Dante Alighieri Society of Jersey City Lori Sorrentino ...
[Pages:4]Dante Alighieri Society of Jersey City Lori Sorrentino Hennessy
Scholarship Application Form-1of 3 pages
Personal Details Student Name: ________________________________________________
Email address: _____________________________________ Mailing address: ___________________________________
___________________________________
Contact telephone number: __________________________ Proof of New Jersey Residency:
Attach Copy of NJ Drivers License, ID Number Redacted, or Utility Bill, yours or parents/guardian.
Italian Ancestry:
Father______ Mother______ Both______ Select A. or B.
A. High School attended: ________________________________________ Year graduated or anticipated date: ___________ ____________________________________________________________ B. College or University currently attending: ________________________
Dante Alighieri Society of Jersey City Lori Sorrentino Hennessy
Scholarship Application Form-2 of 3 pages
Current Study Status and Study Intention What is your current study status? High School___ Collage/University___ What college/university will you attend? ___________________________ What degree or certification do you intend to receive? _________________ ____________________________________________________________ Is this course of study leading to an Education Certification? Yes___ No___ Do you intend to study Part time___ Full time___ Please list any academic awards or scholarships that you would like to make the selection committee aware of: 1.
2. 3. Letter of Recommendation. *Applicant to provide transcripts (with SS redacted) Add any relevant information, essay and additional documentation along with this application.
Dante Alighieri Society of Jersey City Lori Sorrentino Hennessy
Scholarship Application Form-3 of 3 pages
APPLICATION DEADLINE IS MARCH 15, 2019 Scholarship will be announced June 1, 2019 The recipient will be notified on or before June 2, 2019 The recipient will be required to attend and speak at the Dante Alighieri Society of Jersey City, Scholarship Awards Presentations June 10th 2019, at the Dante Alighieri Building 562 Summit Avenue, Jersey City, New Jersey 07306 in order to receive the funding for this scholarship.
*The Scholarship Recipient must agree to complete a full semester of study
and pass all classes during the first year enrolled, (2019-2020), after receiving the scholarship, or all funding will be forfeited and all of the scholarship award will be returned to the Dante Alighieri Society of Jersey City.
Please send application and all relevant material to: Dante Alighieri Scholarship 562 Summit Avenue Jersey City New Jersey 07306
I understand and except all the conditions set forth and agree to provide proof of attendance and satisfactory grades from the college/university I will attend, the first semester within one year, (2019-2020) upon receiving the Lori Sorrentino Hennessy scholarship. I agree all information provided in this application is true and accurate.
Signed_____________________________Date_______
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