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THE LOCAL SCHOLARSHIP APPLICATION 2014 – 2015 SCHOOL YEAR
Please complete this application and return it to the Vice Principal’s Office by Thursday, April 30. Remember to sign
below.
Last Name_____________________________ First Name ___________________________STUDENT #______________
THESE SCHOLARSHIPS REQUIRE FINANCIAL NEED. (1) Read the descriptions, (2) Place a check in the box to
the left of the scholarship(s) for which you would like to be considered, (3) Sign below.
NAME
CRITERIA
[ ] The Children’s Tree and Art Foundation
Awarded to a student who excels in fine or cultural arts and has a history of
giving back to the community. Student will study the arts in college.
[ ] Eastern Bergen County Board of Realtors
An outstanding student with school and/or community involvement; good
character and integrity. Submit list and brief description of activities.
[ ] NVE Bank Scholarship
Scholastic aptitude with a B average or better.
[ ] Lisa Merians DiSalvo Memorial Scholarship
Awarded to an Alpine student who has financial need and is in academic
good standing. The student should have an interest in literature and/or art.
Awarded to an Alpine student who has financial need and is in academic
good standing. The student should have an interest in business.
Awarded to a student who has demonstrated scholarship, character, and
involvement in service to our school or community. Submit list and brief
description of activities.
[ ] Sidney Merians Memorial Scholarship
[ ] Tenafly Rotary Club/Jean Wolf Humanitarian
[ ] Tenafly Administrators and Supervisors Assoc.
College-bound senior who has demonstrated outstanding leadership, service
and character. Submit list and brief description of activities.
[ ] Tenafly PBA #376 Memorial Scholarship
Good character; service to the community. Submit list and brief description
of activities
{ } Thomas J. Elefante Memorial Scholarship
A passion for science and/or the outdoors/nature. Submit essay describing
your passion, what you plan on studying in college and how your passion
may direct your career aspirations. (Scholastic achievement.)
[ ] Woman’s Club of Tenafly and Woman’s Club of
Tenafly in Memory of William W. Parmer and
Thomas B. Parmer
Plan to attend an accredited college or school of art; active participation in
school and community service. Submit list and brief description of activities.
PLEASE COMPLETE PAGE 2 FOR SCHOLARSHIPS WITH FINANCIAL NEED
Page 2 of 3 CONTINUED SCHOLARSHIPS WITH FINANCIAL NEED
Last Name______________________________ First Name________________________ Student No._____________
NAMES AND AGES OF BROTHERS/SISTERS (PLEASE NOTE IF THEY ARE IN COLLEGE)
__________________________________________________________________________________________________________
CUMULATIVE GRADE POINT AVERAGE (GPA)__________________
# OF YEARS AS A Tenafly/Alpine resident________________
Father/Guardian occupation_______________________________
Mother/guardian occupation_________________________
IF YOU WORK:_______________________________ NO. HOURS PER WEEK___________________ SALARY____________________
Name of college you plan to attend_______________________________ Intended major or career___________________________
APPROXIMATE TOTAL EXPENSES FOR YOUR FIRST YEAR OF COLLEGE________________________
Tuition and fees including books, room and board _________________Do you plan to work at college? Yes_____
During summers? Yes_____ No_____
No_____
ANTICIPATED SOURCE OF FUNDS (INDICATE APPROXIMATE AMOUNTS):
YOUR SAVINGS/EARNINGS______________ PARENTS/GUARDIANS ________________
COLLEGE FINANCIAL AID _______________ LOANS________________ OTHER SCHOLARSHIPS_______________
WRITE/TYPE ON SEPARATE PAPER AND INCLUDE WITH APPLICATION:
1. Brief statement giving other information that would be helpful to scholarship committee.
I AUTHORIZE THE VICE PRINCIPAL’S OFFICE TO RELEASE THIS APPLICATION FORM AND MY TRANSCRIPT TO
ORGANIZATIONS OFFERING SCHOLARSHIPS.
__________________________________________
Student’s Signature
____________________________________________
Parent’s Signature (if student is under 18)
PAGE 3 CONSISTS OF SCHOLARSHIPS THAT DO NOT REQUIRE FINANCIAL NEED.
YOU MAY APPLY FOR THESE IN ADDITION TO OR INSTEAD OF THE ABOVE
SCHOLARSHIPS.
Page 3 of 3 – SCHOLARSHIPS NOT NEED-BASED
Last Name_______________________________ First Name___________________________ Student No.___________________
THESE SCHOLARSHIPS WILL BE AWARDED REGARDLESS OF FINANCIAL NEED. (1) Read the descriptions, (2)
Place a check in the box to the left of the scholarship(s) for which you would like to be considered,
and (3) Sign below.
NAME
CRITERIA
[ ] Chief Nicodemous Amicucci Memorial
Scholarship
[ ] Class of 1983
This scholarship will be awarded to a deserving senior interested in a
community service related major at Bergen Community College (full-time or
part-time), as Mr. Amicucci was a police science instructor and a retired Chief
of Police.
Candidate must demonstrate school spirit and be a humanitarian.
[ ] Bergen County Directors of Guidance
Service to the school or community. Submit list and brief description.
[ ] Dr. Eugenia Pfeiffer Humanitarian Award &
Scholarship
Graduating senior, demonstrates service to others above self, positive
attitude and determination, committed to the betterment of the school and
community and exemplary citizenship. Submit 500 word essay describing
above.
Demonstration of character and determination in the face of a hardship or
other significant problem while successfully completing course of studies.
Submit essay describing your hardship.
Candidate must be of Italian heritage; be a student at THS for at least 2 years;
have a 3.0 confirmed GPA; be in good standing, not only academically but
behaviorally (not having been suspended, etc.); must not have a relative who
is an Italian Society Club member; a special emphasis on service to school and
community; partake in school activities and/or sports. A 500 word essay is
required explaining blood heritage, how family first came to the U.S., why you
are proud to be Italian, how Italians have impacted America.
Plan to pursue a career in the field of literature and/or journalism or those
who wish to teach in those fields. Statement of involvement in journalism;
theatre; leadership qualities; integrity; community service (i.e. Girl Scouts, Boy
Scouts, EMT’s, etc.); love of reading and writing. Additionally, an original
writing sample is required. Submit statement of involvement and writing
sample (see attachment).
[ ] Henry W. Redfield
[ ] Italian Society Club of Tenafly
[ ]Kathryn Anne Lanz Memorial Scholarship
Please see attachment
[ ] Tenafly Education Association
[ ] Tenafly Fire Association
[ ] THS Home School Association/
David E. Johnston Memorial
Candidate must submit a 500 word essay on why s/he is interested in a
teaching career.
Outstanding community service. Submit essay describing service you are
most proud of.
Outstanding support of school activities while maintaining an excellent
academic record. Submit list and brief description of activities.
[ ] TEF: Tenafly Educational Foundation Award for
Outstanding Volunteerism
Must have given significant personal time volunteering with a Tenafly-based
non-profit, non-religious organization that serves the Tenafly community
and/or Tenafly public schools. Preference will be given to TEF Club leadership,
TEF Student Reps and TEF 5k volunteers.
WRITE/TYPE ON SEPARATE PAPER AND INCLUDE WITH APPLICATION:
1. Extracurricular and/or community activities. 2. Brief statement giving other information that would be helpful to scholarship
committee.
I AUTHORIZE THE VICE PRINCIPAL’S OFFICE TO RELEASE THIS APPLICATION FORM AND MY TRANSCRIPT TO ORGANIZATIONS
OFFERING SCHOLARSHIPS.
__________________________________________
Student’s Signature
__________________________________________________
Parent’s Signature (if student is under 18)
Attachment for Kathryn Anne Lanz Memorial Scholarship
Kathryn Anne Lanz
Memorial Scholarship
Kate was a 1998 graduate of Tenafly High School. The Kathryn Anne Lanz Memorial Scholarship is
an annual scholarship, established in 2005, at her request.
Brief Description of the Qualifications
This scholarship is presented annually to a graduating senior who demonstrates academic desires in
journalism and/or literature or a desire to pursue a teaching career in those fields. The applicant must show a
passion for the written and/or spoken word as reflected in school course work and involvement in writing,
particularly creative writing, as part of the co-curricular and extra-curricular program. Lastly, the applicant must
exhibit the qualities of integrity, leadership and responsibility, which were values Kate possessed and sought in
others.
Application Information
Student Name
Address
Phone Number
E-mail address
List of English/Language Arts Courses you have taken as part of your high school program:
Briefly describe the nature and extent of your co and extracurricular involvement in the general area of writing
(i.e. school literary magazine, newspaper etc.)
Please attach a piece of original writing that you are proud of and which reflects your ability as a writer. Mail
or email the completed application to:
Kathryn Anne Lanz Memorial Scholarship
PO Box 43
Tenafly, NJ 07670
Email: memories@katelanz.com
Applications must be received by May 1, 2015.