MARY ZICARELLI MEMORIAL SCHOLARSHIP
PURPOSE
In cooperation with the Education Foundation of Kenosha, the Robert Zicarelli family is sponsoring a $1,500.00 renewable scholarship to provide assistance to a Kenosha Unified School District student graduating this year who is planning to prepare for a career in school/community activities, public service or related career area. The scholarship may be used only at an accredited institution of higher education located in the United States of America.

ELIGIBILITY
Interested students must be academically capable, display extensive interest and involvement in school and community activities, provide evidence of college acceptance, and be a U.S. Citizen.

FINANCIAL DATA
The scholarship award amount is $1,500. It may be renewed up to a maximum of four years. The award is to be used for tuition, fees, and college residential costs at an accredited college or university, and will be issued to the college or university at which the recipient is enrolled.

APPLICATION PROCEDURE
Applications may be obtained from Kenosha Unified high school guidance offices. Completed applications must be submitted by March 15th.

Email address *
MARY ZICARELLI MEMORIAL SCHOLARSHIP APPLICATION
Date of Application *
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Date of Graduation *
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PERSONAL INFORMATION:
Name *
Date of Birth *
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Address *
Telephone *
Name of parent(s) *
Occupation of parent(s) *
Employer of parent(s) *
Number of Dependent Children in Family *
Number of Dependent Children in College/Technical School *
EDUCATION INFORMATION:
High School Attended *
GPA Number (Not Weighted) *
List below colleges to which you have applied. Indicate if you have been accepted. *
Planned Major
School Achievements/Activities List (Required) *
School Achievements/Activities - Attach information here - Optional
Volunteerism/Community Service List (Required) *
Volunteerism/Community Service - Attach information here - Optional
Attach a current copy of your high school transcript. *
Required
Acceptance Letters are Required to be uploaded here *
Required
FINANCIAL:
Explain how financial assistance will help you to continue your education *
REFERENCES:
Name / Relationship / Phone (Reference 1) *
Name / Relationship / Phone (Reference 2) *
Name / Relationship / Phone (Reference 3) *
OTHER INFORMATION
Attach a one-page (200 words or less) explanation of your future plans and goals. *
Required
A copy of your responses will be emailed to the address you provided.
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