City of Parma Scholarship Fund



The City of Parma Andrew Boyko Memorial Scholarship Foundation

City of Parma Andrew Boyko

Memorial Scholarship Foundation

Application Form

Applicant Number_________

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“How will your education benefit your future career goals and contribute to the good of the City of Parma?”

(Type your essay on separate paper, no more than 250 words, single-spaced. Be sure to use correct grammar, punctuation and spelling.)

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Applicant Number_________

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The Board of Trustees of the City of Parma Andrew Boyko Scholarship Foundation is honored to offer this scholarship application. The Foundation was established in 2006 in honor of Andrew Boyko, who served the City of Parma for over 30 years as judge, law director and in many other capacities. The Scholarship is intended to provide financial assistance to high school seniors from the City of Parma wishing to pursue post-secondary education. Many City officials, residents and businesses have given generously to make this scholarship available. We commend you for planning to further your education and encourage you to apply for other financial assistance, as well, particularly federal and state aid by completing and submitting the Free Application for Federal Student Aid (FAFSA). This form is available at . The Selection Committee will take into consideration each applicant’s financial need, special circumstances, character, scholastic record, involvement in community service and commitment to the City of Parma (Members of the Board of Trustees are not involved in the selection process.). The Foundation will award a total of $7,500 in scholarships in 2019. The Selection Committee will award three to five scholarships, with a minimum award of $1,500 for each scholarship. One of these scholarships will be designated for an applicant exhibiting an exceptional commitment to community service.

Eligibility Requirements

1. Must be a resident of the City of Parma and a United States Citizen

2. Must currently be a high school senior or equivalent

3. Scholarship is paid directly to the accredited college or university, and must be used during the 2019 - 2020 academic year

4. Prior recipients are not eligible

Application Submission Documents

1. Completed application form (Applications are also available on the City of Parma website at

cityofparma-)

2. Official transcript of grades from high school

3. Essay response

4. Completed FAFSA form

5. One letter of recommendation

Submit to

The City of Parma Law Department

6611 Ridge Road, Parma, Ohio 44129

APPLICATION DEADLINE/POSTMARK DATE

April 1, 2019 (4:00 pm)

All materials must be received together by the application deadline.

Board of Trustees

Jeffrey M. Boyko, D.O. Sean P. Brennan, M.Ed.

Timothy A. Boyko, Esq., President Dean E. DePiero, Esq.

Timothy G. Dobeck, Esq.

COLLEGE/POST-SECONDARY SCHOOL PLANS

Name __________________________________________________________________________________

(Last) (First) (Middle)

Address ________________________________________________________________________________

(Street) (City) (Zip Code)

Telephone (______)_________________________

Are you a United States Citizen? ___ Yes ___ No

___ Female ___ Male

___ African ___ Asian ___ Caucasian ___ Latino ___ Native American ___ Specify (_____________)

School Name ____________________________________________________________________________

Address ________________________________________________________________________________

Phone Number: ( ) _

(Street) (City) (Zip Code)

Graduation Date (Month/Year) ___________________________

School Name ____________________________________________________________________________

School Name ____________________________________________________________________________

School Name ____________________________________________________________________________

Date of Expected Entry ________________________ Field of Study _______________________________

OPTIONAL (Check the appropriate responses)

ACADEMIC INFORMATION (Secondary School Education Information)

GENERAL INFORMATION (Please print or type in blue or black ink.)

ACTIVITIES, AWARDS AND HONORS (Include school and other activities in which you have participated)

COMMUNITY SERVICE (List volunteer and community service activities during the past two years)

ESSAY QUESTION

SPECIAL CIRCUMSTANCES (Please report any family or personal circumstances you feel warrants attention.)

CERTIFICATION AND SIGNATURES (Certification: All of the information on this application form is true and complete to the best of our knowledge. If asked by an authorized official of the Foundation, we agree to give proof of the information provided on this form. We realize that this proof may include a copy of our U.S. and/or State of Ohio Tax Return(s). We also realize that if we do not give proof when asked, the student may not receive aid. Falsification of information or behavior unbecoming of a diligent student may result in termination of eligibility and/or any scholarship granted.)

Applicant _________________________________________________ Date _______________________

Parent or Guardian __________________________________________ Date _______________________

Be sure to include all of the following items when submitting your application for the Scholarship: this completed application form, transcript of grades from high school, essay response, one letter of recommendation, and completed FAFSA form. Mail or deliver all items together to The City of Parma Law Department, 6611 Ridge Road, Parma, Ohio 44129 by the April 1 deadline. Scholarship recipients will be notified by May 15. The Board of Trustees thanks you for your submission and wishes you much success in all of your future endeavors.

FINANCIAL INFORMATION (Applicant must submit completed, up-to-date Free Application for Federal Student Aid (FAFSA) form. All financial information will remain confidential and will not be shared with entities outside of the City of Parma Andrew Boyko Memorial Scholarship organization. All information will be shredded following the selection process.)

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