PESCOSOLIDO FAMILY SCHOLARSHIP FOUNDATION, Inc.
APPLICATION FORM 2021
NAME TEL. NO. ( ) _____- _________
Email (required for communication): _____________________________
PARENT OR LEGAL GUARDIAN
Address if different than above
CURRENT ACADEMIC AFFILIATION
High School Status
College Prep Course Yes No
College or University Status
Grade Average Current Year
Grade Average Past Two Years
SCHOOL OR COLLEGE ACTIVITIES:
List all school activities, including, but not limited to, extracurricular academic, intramural, athletic, dramatic, musical, volunteer services and leadership roles, as well as language clubs.
ACADEMIC AWARDS: Honors or Special Recognition
List all volunteer services (non-salaried). Indicate type or service, length of time involved, location of agency and supervisor’s name.
MEMBERSHIP IN ORGANIZATIONS:
AWARDS (non-academic): Honors, Special Recognition.
List all jobs you have held. Include name of firm, position held, length of employment and name of your supervisor.
HOBBIES: List activities and length of time/interest involved.
FOR ALL APPLICANTS:
Write in one hundred words or less why you wish to study in Italy its language, culture civilization and its history.
Why did you apply for this scholarship?
Deadline for submission of this form is MAY 22, 2021
This completed form should be returned to the: Pescosolido Family Scholarship Foundation, Inc.
c/o Lino Rullo, President
9 Dudley Road
Lexington, MA 02421