Scholarship

Please submit your application and an essay with the topic, “The most important lesson I’ve learned” by April 6th, 2015

Email Address:
Last Name:
First Name:
Age:
 Male Female
Address:
City:
State:
Zip:
Phone:
High-School:
Prospective College:
How many hours of community service have you completed over the past four years:
List the organizations to which you donated these hours:
Please list other honors and/or awards you have received.
What is your GPA as of your last marking period?
How many years have you participated in Cross Country and or Track & Field (list years and seasons):
List two (2) recommendations other than a family member (for example a teacher, coach, principal or community leader.)
Recommendation 1
Name:
Title:
Phone Number:
Recommendation 2
Name:
Title:
Phone Number:
Attach a letter of recommendation from one of the two listed (PDF only).
Attach your Essay (PDF only):

May The Force be with you!

or

Download our Scholarship Application and mail it to:

The Luke M. Parlatore Scholarship Foundation
1320 Bay Street
Staten Island, NY 10305-3102

1320 Bay Street, SI, New York 10305-3102 • p:718.448.5746 • f:718.448.7655