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Andrea Oser 807 N. Columbia Street Covington, LA 70433 Phone (985) 893-‐8757
THE AZBY FOUNDATION
aoser@northshorefoundation.org
PART I – Student Information
Student Name Age DOB
Address City / State / ZIP
Student’s Email Address
School Current Grade Graduation Year
Parent / Guardian 1 Name Email Address
Place of Business Primary Phone
Parent / Guardian 2 Name Email Address
Place of Business Primary Phone
Recommender’s Name Recommender’s Affiliation
Recommender’s Email Address Recommender’s Phone
6. Enclose your $20 application fee with your completed application and mail to: Northshore Community Foundation Attn: YEA 807 North Columbia Street Covington, LA 70433
YEA! Academic Year $XXXX
The YEA! academic year begins in October and ends in May. Classes will meet once a week for three hours with a day and time to be determined.
Deadline for applications for the 2017–2018 year is September 26, 2017.
YEA! Academic Year for St. Tammany and Tangipahoa Parish Students
$395
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