Annual Scholarship Form

First Name

Last Name

Middle Initial

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Email Address

Phone

Name of College Alumnus (or Attendee) Related to (If Applicable)Please enter the answer to the question below

Relationship

Polish DecentYesNo

College where enrolled

Major

EligibilityStudent must currently be enrolled in 2-year or 4-year College, University, or Technical School.Option 2Student must have a minimum of a 2.5 grade point average.Preference will be given to a student related to an alumnus of Alliance College (or Alliance Technical School), Cambridge Springs, PA.All majors will be considered.

Recent Photo suitable for press release

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Most Recent Transcript from current institution

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Resume

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(Optional) Letter of introduction from an Alliance College alumnus or letter explaining how you are related to an alumnus.

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Two (2) letters of reference from the following: *may be emailed separately to: barb.adams@roadrunner.com

Letter from your guidance counselor or academic advisor,

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Letter from a teacher or professor within the candidate’s major or chosen field of study,

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Letter of personal reference (coach, employer, youth advisor, or priest/minister/rabbi).

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In addition, applicants must submit a 500 word essay on one of the following topics:

How you are going to advance the understanding of Polish history, language, and culture?

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Why you are the best candidate for this scholarship?

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Why you have chosen the field of study you are pursuing.

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Annual Scholarship Form

Two (2) letters of reference from the following: *may be emailed separately to: barb.adams@roadrunner.com

In addition, applicants must submit a 500 word essay on one of the following topics:

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