JOSEPH R. NOLAN MEMORIAL
SCHOLARSHIP AWARD
  APPLICATION FOR SCHOLARSHIP


NAME________________________________ SPONSOR’S NAME__________________________

RELATIONSHIP TO SPONSOR: (SON, DAUGHTER, FRIEND, ETC.)__________________________

ADDRESS:____________________________CITY:______________STATE:________ZI________

TELEPHONE #:_________________________SPONSOR’S TELEPHONE #:__________________

PRESENT HIGH SCHOOL:__________________________________________________________

COLLEGES, UNIVERSITIES APPLIED TO:______________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________


EMPLOYED BY:___________________________________________________________________

LIST OF ACHIEVEMENTS, HONORS, AWARDS OR AFFILIATIONS:_________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________


ARE YOU RECEIVING ANY OTHER SCHOLARSHIPS OR GRANTS? IF SO, NAMES AND AMOUNTS:
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________

SUBMIT A COPY OF YOUR FAF IF YOU HAVE A FINANCIAL BURDEN.

DO NOT SUBMIT AN FAF IF YOU DO NOT HAVE A FINANCIAL NEED.


                                                                                          _________________________________
                                                                                              SIGNATURE OF APPLICANT

                                                                                           ________________________________
                                                                                              SIGNATURE OF SPONSORS