MARY RANKIN SCHOLARSHIP APPLICATION 2015 General Qualifications: 1. Applicant must be a member of an Episcopal Church in the Diocese of Newark 2. Applicant must have applied for admission to an accredited institution of higher learning. 3. Applicant must be involved in church, and school and/or community activities. Name_____________________________________________Telephone_____________________ Address_________________________________City__________________Zip_______________ Parish Affiliation_____________________________________City________________________ Father’s Occupation___________________________________Employer___________________ Mother’s Occupation___________________________________Employer___________________ Colleges or Schools applied to: Accepted Tuition Costs 1._______________________________________ ___________________ ____________________ 2._______________________________________ ___________________ ____________________ 3._______________________________________ ___________________ ____________________ What is your intended major? __________________________________________________ School level of brothers and sisters. If college or graduate level, indicate college, and whether on scholarship: Name Level School 1.________________________________________ ______________ _________________________ 2.________________________________________ ______________ _________________________ 3.________________________________________ ______________ _________________________ Number of other dependents in the family:_______________________________________________ List any existing, unusual financial obligations:____________________________________________ From what other organizations have you sought financial aid?________________________________ ____________________________________________How much are you receiving?________________ Requirements: The following MUST be submitted with the application: a. Letter of recommendation from the parish priest b. One page statement in the applicant’s handwriting about his/her future plans. c. Letter of recommendation stating class standing from a secondary school official. d. Copy of the letter of acceptance into an accredited school of higher education. Applicant must be willing to be interviewed personally by a member of the Diocesan ECW Board. Return completed application no later than April 15, 2015 to Sue Bennett Treasurer ECW, Diocese of Newark 48 Mount Arlington Road Ledgewood, NJ 07852 (THIS FORM MAY BE DUPLICATED)