Apply For A Scholarship

APPLICANT INFO

Applicants Full Name

Address

Town

State

Zip

Phone

E-Mail

High School

Expected Graduation Date

Date of Birth

I learned about the Columbians Scholarship from:

PARENT INFO

Father’s Full Name

Father - Living / Deceased

Father’s Occupation

Father’s Name of Employer

Approx. Annual Income $

Mother’s Full Name

Mother - Living / Deceased

Mother’s Occupation

Mother’s Name of Employer

Approx. Annual Income $

*Please include any amounts due to alimony, child maintenance, or child support.payments

RESIDENCE INFO

I Reside with: Family / Other

The home in which I live in is: Rented / Owned

Years at Current Address:

List all members living at current address: (name, relationship, age)

COLLEGE INFO

List colleges you have applied to, or intend to apply to in order of preference. If you have already accepted and have been a assigned a student number please indicate.

Field of Study:

Career Goal or Ambition:

Estimated Cost of College Education per Academic Year:

The above included living expenses: YES/NO

Extracurricular, Community, Church, and Hobby Information.

List your extracurricular, community and church activities, length of participation and offices held

Employment Info

Are you employed: Yes/No

If Yes. Where?

Current Position:

Approx. Hours Per Week:

Essays

Please attach a document with the following essays.

Please indicate the italian american your most admire and why?

Please indicate what it means to you to be an italian-american?

Please have your guidance counselor mail to the address below a copy of your transcripts along with your SAT Scores, GPA, and remarks on your community involvement and social responsibility.

All the information appearing on this application will be treated with the strictest confidence. Any inaccuracies will automatically disqualify the applicant from consideration. The decision of the Philanthropic Committee will be final. Publication of the relative merits of the candidates will not be made.

FINANCIAL INFORMATION IS VERY IMPORTANT TO US IN OUR DECISION MAKING PROCESS. Please mail us a copy of your family's IRS Form 1040, including schedules A&B for the past and current year. If you feel any additional information would benefit your application, please mail them along with the previously requested.

By CLICKING ON SUBMIT to this form you and your father/mother/guardian attest to the truthfulness of all the statements made in this application and understand the contents thereof.

Submitted By (Name):

Send a copy of this message to your own address

Mail Address: THE COLUMBIANS. MR. VINCENT SPINA. PO BOX 614 RIDGEFIELD, NJ 07657

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