Entry Form

Dr. Edward Wilt, Jr., McHenry County Civil War
Round Table 2010 Scholarship
Entry Form

PLEASE PRINT INFORMATION

NAME: Last_______________________________First____________________ Age __________

Home Address: City _________________________County ______________Zip Code_________

Home Phone: ( _____) _________________________

High School: __________________________________________________Grade:_____________

Briefly summarize some of your school activities, work experience etc, and how the scholarship award would be used if you are successful in this competition.

_______________________________________________________________________________

2010 Scholarship Topic:

In 1776 citizens from the 13 colonies declared independence from Great Britain. These citizens were called Patriots. In 1860 citizens from several southern states seceded from the United States. These citizens were called Rebels. In your essay review the reasons for the difference, if there was a difference.

Essay are to be no more than 500 words, typewritten and double spaced. They will be judged by a panel of Civil War Round Table members on the basis of neatness, grammatical correctness, historical accuracy and originality. The essay should include reference citations and a bibliography of sources used.

Applicant Signature: ____________________________________________________________

School Advisor (Printed Name): ___________________________________________________

Signature of Advisor: ____________________________________________________________

PLEASE RETURN YOUR COMPLETED ESSAY WITH THIS FORM BEFORE MONDAY, March 1, 2010. MAIL ENTRY TO:

ATT: SCHOLARSHIP
M.C.C.W.R.T.
P.O. BOX 1865
McHENRY, IL 60051