One moment please...
Are you a new or returning scholar?
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New
Returning
Name
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First Name
Last Name
What Class of College will you be in this fall?
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select one
Freshman
Sophomore
Junior
Senior
Name of College or University (if unknown, type "unknown")
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Current/Proposed Major
Address
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
Email
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Phone (cell)
Name of Parent
First Name
Last Name
Parent email
Parent phone number
Name of deceased parent
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First Name
Last Name
Deceased date
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(mm/dd/yyyy)
Do you have any younger siblings who may apply for this scholarship?
Yes
No
Number of younger siblings
select one
0
1
2
3
4 or more
High School
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select one
LTHS
Nazareth
Fenwick
Benet
Saint Ignatius
Other
High school name if you chose "other"
Middle School/Junior High
select one
Highlands Middle School
Gurrie Junior High
McClure Junior High
Park Junior High
Pleasantdale Middle School
St. Francis Xavier
St. Cletus
St. John of the Cross
St. John's Lutheran
St. Louise de Marillac
Trinity Lutheran School
Washington Middle School
Other
Middle School/Junior High name if you chose "other"
Submit .pdf with your responses to the following : 1) Write an essay about the loss of your parent and why you are applying for this scholarship 2) List Community, School, Work and / or Volunteer Activities and 3) Summarize Need for Financial Assistance
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Please upload a .pdf of your college transcript in order to qualify for an additional scholarship. Be sure your name in on the file.
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