APPLYING FOR ACADEMIC YEAR _____ - _____

APPLYING FOR ACADEMIC YEAR _____ - _____
Please indicate the award you are applying for:
I AM APPLYING FOR:






Makarios Scholarship/Theodore and Wally Lappas Awards
Makarios Scholarship/Thomas and Elaine Kyrus Endowment
Makarios Scholarship/Peter G. and Bess Kolantis Decker Award
Cyprus Children’s Fund Scholarship Endowment
Cyprus Children’s Fund Awards –Solicited by Michael and Despina Anastasiou
Cyprus Children’s Fund Stanley J. Dru Award
SCHOLARSHIP APPLICATION
Name:__________________________________________________Date of Birth:____________________
Address:________________________________________________Place of Birth:____________________
City:______________________________________________State:______________Zip:______________
Home Phone __________________________
Marital Status: Single
Married
Daytime Phone _____________________
Divorced
Nationality:………………………….
Are you a U.S. Resident?
Yes
No
Are you a U.S. Citizen?
Yes
No
Are you on a foreign student visa?
Yes
No.
If yes, please attach copy of visa and copy of your passport page(s) where name, date of birth, address,
passport number and photograph appear.
EDUCATION
SCHOOL
ADDRESS
HIGH SCHOOL:_________________________________________________________________________
Grade Point Average________________________Date Attended____________
COLLEGE:______________________________________________________________________________
Grade Point Average________________________Date Attended____________
GRADUATE SCHOOL:___________________________________________________________________
1
Grade Point Average_______________________ Date Attended______________
(Please attach official transcripts)
2. SCHOLARSHIPS OR AWARDS RECEIVED: (Please specify source and year):
___________________________________________________________________________________
___________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
3. OTHER SOURCES OF FUNDING: (Please indicate amount and period during which aid is
applicable)
LOANS_____________________________________________________________________________
GRANTS__________________________________________________________________________
FINANCIAL AID_____________________________________________________________________
OTHER SOURCES: (Parents, etc.)
_______________________________________________________________
4. EXTRACURRICULAR ACTIVITIES: (Please list all academic, civic and community activities you
are involved, positions held and dates)
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
5. FINANCIAL NEED
2
A. Father’s full name and place of birth:
________________________________________________________
Occupation_________________________________Annual_Salary $......................
B. Mother’s full name and place of birth:
________________________________________________________
Occupation_________________________________Annual_Salary $......................
C. Spouse’s full name and Place of Birth:
________________________________________________________
Occupation_________________________________Annual_Salary $....................
6. WORK EXPERIENCE (Please list employment)
EMPLOYERS’ NAME AND ADDRESS
Employment
Period of
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
7. PLEASE TELL US THE REASON FOR YOUR APPLICATION
8. HOW DID YOU FIND OUT ABOUT OUR SCHOLARSHIP FOUNDATION?
9.
PLEASE TELL US THE SOURCE OF YOUR GREEK ORIGIN.
10. PLEASE GIVE US A BRIEF ACCOUNT OF YOUR FUTURE PLANS.
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11. HAVE YOU EVER APPLIED TO THE CCF FOUNDATION BEFORE?
Yes (If yes, please specify date)........................
No
HAVE YOU EVER BEEN GRANTED AN AWARD BY THIS FOUNDATION?
Yes (If yes, please specify date).......................
No
12. ARE YOU WILLING TO VOLUNTEER TIME TO THE CYPRUS CHILDREN’ S FUND?
Yes
No
If yes, please state number of hours per week. ................per week.
I agree that the decisions of the Scholarship Selection Committee are final.
________________________________________________________________________________
APPLICANT’S NAME
Date:
_________________________________________________________________________________
APPLICANT’S SIGNATURE
Date:
Telephone Number
WITNESS: (Please have a witness sign this application.)
_________________________________________________________________________
WITNESS NAME:
WITNESS ADDRESS:________________________________________________
WITNESS’S SIGNATURE: __________________________________Date: __________________
Witness Telephone Number:
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