Kappa Sigma Scholarship Form

Name_____________________ Date_______________

Class _______________________ Instructor _______________________ Grade _______________________ Attendance _______________________ Homework _______________________ Instructor’s Signature _______________	Class _______________________ Instructor _______________________ Grade _______________________ Attendance _______________________ Homework _______________________ Instructor’s Signature _______________
Class _______________________ Instructor _______________________ Grade _______________________ Attendance _______________________ Homework _______________________ Instructor’s Signature _______________	Class _______________________ Instructor _______________________ Grade _______________________ Attendance _______________________ Homework _______________________ Instructor’s Signature _______________
Class _______________________ Instructor _______________________ Grade _______________________ Attendance _______________________ Homework _______________________ Instructor’s Signature _______________	Class _______________________ Instructor _______________________ Grade _______________________ Attendance _______________________ Homework _______________________ Instructor’s Signature _______________