SONS OF ITAL Y NATURE COAST LODGE SCHOLARSHIP APPLICATION

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1 SONS OF ITAL Y NATURE COAST LODGE SCHOLARSHIP APPLICATION 2018 SCHOLARSHIP ELIGIBILITY REQUIREMENTS It is the goal ofthe SONS OF!TAL Y NATURE COAST LODGE 2502 to promote and encourage the studies ofitalian heritage and culture. This scholarship program is designed to benefit worthy students ofitalian descent that display academic excellence, leadership qualities and a financial need. Two $ Scholarships will be awarded on the basis ofeligibility, scholastic achievement, financial need and participation in school and community programs. 1. Applicants must be ofitalian descent and a resident offlorida. 2. Applicants must have a minimum grade point average of 3.00 (unweighted) 3. Applicants must have a minimum SAT total score of 1100 or must have an ACT Composite score of Recipients must be accepted as a full-time student at an accredited junior college, college or university and must enroll immediately following graduation in 2018 from one of the five Hernando County High Schools in Florida. Funds for the recipients will be mailed directly to the school Bursar or Financial Aid Office ofthe choice with the instruction that they may be used for any expenses processed through their office for the recipient. Scholarship recipients that are accepted and decide to attend another school, other than the one originally selected, must immediately notify the Sons ofitaly Nature Coast Lodge 2502 Chairperson so the funds may be transferred to the appropriate institution. Unused funds in the account must be returned to Son of Italy Nature Coast Lodge 2502 upon either ofthe following: I. The recipient ceases to attend classes for whatever reason and does not immediately transfer to another accredited institution 2. The recipient withdraws from school and does not immediately transfer to another school. PLEASE NOTE THIS APPLICATION CONTAINS FOUR PAGES. INCOMPLETE APPLICATIONS WILL NOT BE RETURNED OR CONSIDERED.

2 SONS OF ITALY NATURE COAST LODGE SCHOLARSHIP APPLICATION 2018 SCHOLARSHIP APPl1CATION CHECKLIST In order to be considered for a scholarship, you must complete and return this checklist and the attached four (4) page application, POSTNlARKED NO LATER THEN WEDNESDAY, APRIL 11,2018. You must include an official High School transeript, proof offinaneial need using one of the forms indicated below, a copy of your SAT or ACT test scores and a 750 WORD ESSAY on one ofthe indicated subjects ~-.., ~ ~ You must include each of the following documents: III Scholarship Checklist III Scholarship Application (4 pages) III Official High School Transcript You must also include one of the following documents: III Copy of S.A. T. Scores III Copy of A.C.T. Composite Scores You must also include at least one of the following financial documents: 111 Copy of Student Aid Report I1l Copy of University or College specific finanelal aid report (Only for schools that have a unique financial aid process.) You must also include a 750 word (maximum) essavon one of the following topics: rn "The Hollywood Impact: The Effects of Stereotyping Italian-Americans in Movies and on Television" III "La Famiglia: The Importance of Traditional Italian-American Family Values In Modern DaV America" III "From Humble Beginnings: The Single Most Important Contribution of ltalian Americans to Society" Student Name

3 SONS OF ITALY NATURE COAST LODGE SCHOLARSHIP APPLICATION (AI APPUCANT'S INFORMATION NAME~ SEX~ (last) (first) (middle) ADDRESS, (Number and street) (citv) (state) (zip code I TELEPHONE NUMBER,,DATE OF BIRTH, (8) FAMilY INFORMATION FATHER'S_NAME, OCCUPATlON, PlACE OF EMPlOYMENT ANNUAlINCOME. MOTHER'S MAIDEN NAME, OCCUPATION, PLACE OF EMPlOYMENT ANNUAlINCOME, LIST NAMES AND AGES OF BROTHERS AND SISTERS, AND INDICATE IF ANY ARE CURRENTlY ATIENDING COLLEGE. 1. Name' Age, ln college_ 2. Name Age In college_ 3. Name Age In college_ 4. Name Age In college_ Applications must be postmarked, no later than. APRlL Note. Please be sure to complete entire application 2018 Page lof4

4 (C) SCHOOL INFORMATION NAME OF HIGH SCHOOL CURRENTLY ATTENDING, DATE OF GRADUATION, GPA YEAR-BY-YEAR: WEIGHTED FR, SO JR SR, (must be complete) UNWEIGHTED FR, SO JR SR, PSAT SCORES: VERBAL. MATH, SAT SCORES: VERBAL. MATH ACT COMPOSITE SCORE: LIST SCHOOL CLUBS, OFFICES, AND ACTIVITIES.YOU ARE INVOLVED IN. (D) PERSONAL AND COMMUNITY INTERESTS, AND HOBBIES. LIST COMMUNITY ORGANIZATIONS AND ACTIVITIES IN WHICH YOU HAVE BEEN INVOLVED. (E) WHAT ARE YOUR INTERESTS, HOBBIES, PASTIMES, AND LEISURE ACTIVITIES? Note: Please be sure to complete entire application 2018 I Page 2 of4

5 (F) WORK EXPERIENCE LIST ANY WORK EXPERIENCE(S), AND INDICATE IF YOU ARE CURRENTLY EMPLOYED. G) COLLEGES AND UNIVERSITIES OF APPLICATION LIST THE COLLEGES AND UNIVERSITIES TO WHICH YOU HAVE APPLIED FOR ADMISSION. STATE IF YOU HAVE BEEN ACCEPTED IN WHAT SUBJECTS DO YOU PLAN TO MAJOR AND MINOR? MAJOR MINOR (H) SCHOLARSHIPS AND FINANCIAL AID LIST ANY OTHER FINANCIAL ASSISTANCE AND/OR SCHOLARSHIPS YOU HAVE ALREADY RECEIVED OR FOR WHICH YOU ARE APPLYING III ITALIAN HERITAGE RECIPIENTS OF THIS SCHOLASHIP MUST BE OF ITALIAN DESCENT. DESCRIBE AND EXPLAIN HOW YOU QUALIFY. Note: Please be sure to complete entire application 2018 Page 3 of 4

6 /JI AFFILIATIONS WITH ORDER SONS OF ITALY IN AMERICA LIST ALL PRESENT OR PAST family MEMBERS WHO ARE OR HAVE BEEN MEMBERS Of THE ORDER SONS OF ITALY IN AMERICA.THIS IS INFORMATION ONLY, AND NOT A FACTOR IN THE DECISION MAKING PROCESS. IKI TERMS OF APPLICATION BY MY SIGNATURE BELOW, I CERTIFY THAT I AM OF ITALIAN DESCENT AND INTEND TO ENROLL AS A FULL-TIME STUDENT IN AN ACCREDITED JUNIOR COLLEGE, COLLEGE, OR UNIVERSITY IMMEDIATELY UPON GRADUATING FROM HIGH SCHOOL I UNDERSTAND THAT ANY UNuseD PORTION OF THIS SCHOLARSHIP WILL BE RETURNED TO THE SONS OF ITALY, FLORIDA FOUNDATION IF I CEASE ATTENDING CLASSES AND/OR WITHDRAW FROM SCHOOL WITHOUT IMMEDIATELY ENROLLING IN ANOTHER SCHOOL (Applicant's Signature) (Date) (Parent's Signature) (Date) This application must be completely filled out! Incomplete applications will not be considered or returned Scholarship winners will be notified no later then TUESDAY, APRIL 17,2018. It is mandatory that scholarship winners attend our Dinner Meeting on Thursday, April 26,2018 at st. Teresa's Catholic Church Hall located at 1107 Commercial Way, Spring Hill beginning at 5:30 p.m. There will be two (2) $ scholarships awarded. Scholarship winners and parents will receive three (3) dinner tickets; there will be a charge for additional dinner tickets. Again, mail the completed four (4) page application, check list and all applicable supporting documents no later then WEDNESDAY, APRIL 11,2018 to: DOMBALZANO MONTEGO STREET SPRING HILL, FL NOTE: PLEASE BE SURE TO COMPLETE THE ENTIRE APPLICATION. PAGE 4 OF 4

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