Undergraduate Information and Application
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FOR JUNE 2009 GRADUATING HIGH SCHOOL
SENIORS UNDERGRADUATE SCHOLARSHIP APPLICATION
MUST BE FILED NO LATER THAN MAY 10, 2009
NAME
(Last) (First) (Middle)
ADDRESS
(Street) (City) (State) (Zip)
DATE TO BE GRADUATED HIGH SCHOOL
LIST OF EXTRACURRICULAR ACTIVITIES
EMPLOYMENT AFTER SCHOOL AND DURING SUMMER
(Attach additional sheet of paper if necessary)
IF ACCEPTED, COLLEGE/VOCATIONAL SCHOOL WHERE YOU PLAN TO PURSUE A DEGREE
MAJOR AREA OF STUDY OR SUBJECT YOU WILL
PURSUE, eg.. ACCOUNTING, TEACHING,
ETC. _______________________________
I, the student, do hereby authorize the release of school
records and consent to the review thereof by the Scholarship
Committee of Cellini Lodge. I also agree to a final renew of
my transcript after graduation.
DATE_____ APPLICANT'S SIGNATURE_______________________
************************************************
Information regarding Member of Lodge and Parent of Applicant
NAME
_________________________________
(Last) (First) (Middle)
Month and Year Initiated into Cellini Lodge #2206
PROGRAMS or COMMITTEE INVOLVEMENT BY
PARENTS (If applicable)
If transferred from another Lodge, Month and Initiated Date
into OSIA ______
MY SON/DAUGHTER ACKNOWLEDGES AND UNDERSTANDS ALL OF THE ABOVE.
HOME PHONE #
SIGNATURE OF PARENT__________________________________
SCHOLARSHIP APPLICATION INSTRUCTIONS AND PROCEDURES FOR HIGH SCHOOL SENIORS
1. Applicant must be graduated in the year in which
scholarship awards are made. Awards are usually made in
June of each year.
2. After applicants and parent have completed the information
requested, submit to school Principal or Guidance
Counselor.
3. A parent must be a member in good standing for two consecutive years prior to the date on which the
applicant's application for such scholarship is dated, but in
no event less than two years prior to May 10, 2009.
4. In order that the Scholarship applicant might be evaluated
properly, the Principal or Guidance Counselor must attach
to the application a certified or official high school
transcript of the applicant's high school grades with SAT
scores through completion of the seventh semester and
forward to:
Joseph Sciame
Vice President for Community Relations
St. John's University
8000 Utopia Parkway
Jamaica, NY 11439
5. Applications, together with transcript of high school grades
through completion of seventh semester and two letters of
recommendation must be received by May 10 of the year of graduation for consideration. If high school grade
transcript is missing, the scholarship committee has the right to reject the application. The Scholarship committee
reserves the right to request the final transcript after June graduation by August 31st of that year.
6. All SAT score results or other standardized tests for college
admission must be included either on the transcript or
separately.
7. In the event the applicant feels that additional data exists
which attests to other significant accomplishments, either
scholastic or personal community oriented achievements,
made during the high school years, the data must be
forwarded directly to the above address for the Scholarship
Committee Chairman for review of awards for 2009 year graduates.
8. The consideration of a scholarship application is based upon
the applicant complying with instructions. It is incumbent
upon the applicant to submit a full and complete application
with all attachments and transcripts. The Scholarship
Committee will not consider an incomplete application. The
Committee will, however, give proper consideration to all
applications received.
9. In addition to the above, the Scholarship Committee will
take into consideration the years of parental membership in
the Cellini Lodge, as well as their active involvement in
various committees of the Cellini Lodge, and the support of
ongoing programs of the lodge.
CRITERIA FOR SCHOLARSHIP AWARDS
To be eligible for an award, a student applying must:
1. Be a child of a good member in good standing of Cellini
Lodge for a period of at least two-years prior to submission
of an application for a scholarship.
2. Be accepted at an accredited school, college or university or
vocational school and express commitment to a degree at a
time of presentation.
3. Be given consideration classified with four general
categories...
a) Cellini Scholar Award
b) Cellini Scholarship Award
c) Cellini Incentive Award
d) Vocational Award
Make certain all necessary documents, test scores and letters be submitted by the DEADLINE May 10, 2009
5.
Any award is entirely within the discretion of the Scholarship Committee of Cellini Lodge, and may be revoked if:
a) Any applicant/recipient does not graduate with his/her
high school class; and,
b) Is unable to submit verification of college acceptance
by August 31 of graduation year.
6. Prior Gold and Silver Awardees - Note
Recipients must submit verification of college continued enrollment by September 15th of each year.
Failure to comply may result in an award being revoked by the Committee. Any school change must be
submitted to Scholarship Committee of Cellini Lodge. Award will be discontinued if parent does not
remain in good standing.