HICKSVILLE PUBLIC SCHOOLS Hicksville, New York BOARD OF EDUCATION Phil Heckler, President Kevin J. Carroll, Vice President Brenda Judson, Secretary Steven Culhane, Trustee James Mott, Trustee Patrick Stines, Trustee Michael Beneventano, Trustee DISTRICT ADMINISTRATION Dr. Carl Bonuso Superintendent of Schools Rosemarie Coletti Assistant Superintendent for Personnel Marianne Litzman Assistant Superintendent for Curriculum and Instruction Marcy Tannenbaum Assistant Superintendent for Business Susan Guiliano Director of Curriculum, Instruction and Assessments Michelle Davis Director of Special Education & Pupil Personnel Services Patricia Griffin Administrative Assistant for Special Education & Pupil Personnel Services HIGH SCHOOL ADMINISTRATION Raymond A. Williams, Principal Lauren Du Beau, Assistant Principal Robin Leak, Assistant Principal Walter Roche, Assistant Principal Timothy Sweeney, Assistant Principal Efthymia Rafaelides, Chairperson for Guidance Services Lori Saland, Chairperson for Special Education HICKSVILLE HIGH SCHOOL HICKSVILLE, NEW YORK Guidance Office Directory of Local Scholarships 2016 Through the generosity of the PTA's, school organizations in the Hicksville community, local organizations and individuals, a substantial number of scholarships are available to graduating seniors of Hicksville Senior High School. The purpose of these scholarships is to help deserving students meet the cost of preparing for their futures. Scholarships are not limited to the college bound and neither are they restricted to outstanding scholars. Students who have conscientiously applied themselves and have taken advantage of the high school educational opportunities should carefully review this directory and apply for all financial opportunities to help them achieve the next step toward their college and career goals. This Directory presents a brief description of all local scholarships offered to members of the June, 2015 graduating class of Hicksville High School. They have been numbered for identification purposes. Please note that there are opportunities for all students. Awards are available to students planning to attend college, technical school or trade school. Review the descriptions in the Directory carefully and apply only for those scholarships for which you meet the eligibility requirements. Follow the instructions given to fill out the application forms, which are included at the back of this directory. Carefully answer every question and include all information requested. Detach the application and return it to the Guidance Office. The Directory of Local Scholarships is also available on our school web-site at www.hicksvillepublicschools.org. DEADLINE: FRIDAY, MARCH 4, 2016 1. American Legion Post 421 Charles Wagner Memorial Scholarship*. Amount $500.00. Criteria: Any worthy senior student who is a citizen of the United States, who is the descendant of an honorably discharged war veteran or service person currently on active duty. Scholarship may be applied toward tuition expenses of any post-high school education or training. TO BE CONSIDERED FOR THIS SCHOLARSHIP, STUDENT MUST ATTACH ELIGIBILITY FORM TO APPLICATION. 2. Band Parents Association Scholarship. Amount $250.00 each, a total of four (4) will be awarded. Criteria: This scholarship will be awarded to a graduating senior attending a two- or four-year college. The student must have participated in the Marching Band program which includes Marching Band and Color Guard for at least three years. Only Winter Guard participation does not qualify. An essay of 100 words minimum describing your Marching Band experience and what it meant to you is required. 3. Bethpage Hicksville Lodge #975 F. & A.M. Bernard LaPadula Memorial Scholarship. Amount $1,000.00. Criteria: Applicant must be accepted in an engineering program at a college, university or trade school. GPA 80% or greater. Community involvement a factor. 4. David R. Bouton Life Sciences Award. Amount $500.00. David Bouton had a passion for the life sciences that he shared with the students he taught. His dedication for teaching was exemplified by his uncanny ability to utilize humor while teaching the most complex biological systems, thus encouraging the learning process without compromising the integrity of the student’s work. The criterion for this award is as follows: 1. Student should be planning to attend a two- or four-year college with a major in the life sciences, (broadly defined as any sub-discipline in life sciences.) 2. Student should be in the top 20% of their graduating class. 3. Student must write an essay of 250 words describing their interests and educational goals in the life sciences. 4. Student must have a recommendation from a life science teacher. 5. Susan Brill Memorial Scholarship. Amount (2) $1,000.00 each ($500 per semester) Awarded to one boy and one girl. Criteria: For an average student, one who has done their best and has the desire to further his/her education. 6. Burns Avenue School PTA Dorothy Stein Memorial Scholarship. Amount $500.00. Criteria: The student must be a graduate of Burns Avenue School and eligible for a Hicksville High School diploma. They must be an average or above average student who is continuing his/her education. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 7. Burns Avenue School PTA Elizabeth Obremski Memorial Scholarship. Amount $500.00. Criteria: The student must be a graduate of Burns Avenue School and eligible for a Hicksville High School diploma. They must be an average student who plans to pursue a career in education. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 8. Burns Avenue School PTA Mary Price Special Achievement Scholarship. Amount $500.00. Criteria: Student must be a graduate of Burns Avenue School and eligible for a Hicksville High School diploma. They must be a student who has overcome personal and/or physical adversity and can explain how they have overcome this adversity. He/she must show an interest in learning and must want to continue his/her education either through college entry or vocational training. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 9. Burns Avenue PTA Eve Borja Memorial Scholarship. Amount $500.00 Criteria: Student must be a graduate of Burns Avenue School and eligible for a Hicksville High School Diploma. They must be an average or above average student who plans to pursue a career in the visual or performing arts. He/She must show an interest in learning and want to continue his/her education either though college entry or vocational training. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 10. The Colaio Pedicini Memorial Foundation - Mark Colaio Scholarship. Amount $4,000 payable $1,000 at the beginning of each school year for the four years of undergraduate education. Criteria: An average student, with a grade point average not higher than 90%. Must display an interest in sports and/or arts. Must have very good interpersonal skills, with the ability to lead and try new things. Must have self-confidence and belief in his/her ability to do anything that he/she puts his/her mind to. This grant should be given to a student who is more "emotionally intelligent" than "book smart.” Student must be recommended by a teacher. The student must submit an activity sheet, an essay about why he/she is deserving of this scholarship and a teacher recommendation letter. Only COMPLETE applications will be accepted. 11. The Colaio Pedicini Memorial Foundation – Stephen Colaio Scholarship. Amount $4,000 payable $1,000 at the beginning of each school year for the four years of undergraduate education. Criteria: An average student, with a grade point average in the 80th percentile (80’s). Must display an interest in sports and/or school spirited activities. Must have a charismatic personality, good leadership skills and the ability to draw people towards him/her with a strong sense of humor. This grant should be given to a student who puts forth his/her best effort to be a hardworking student and respectful individual with modest confidence and an easy going manner. Student must be recommended by a teacher. The student must submit an activity sheet, an essay about why he/she is deserving of this particular scholarship and a teacher recommendation letter. Only COMPLETE applications will be accepted. 12. The Colaio Pedicini Memorial Foundation - Thomas Pedicini Scholarship. Amount $4,000 payable $1,000 at the beginning of each school year for the four years of undergraduate education. Criteria: Must be an average student with a grade point average 85% or higher. Must display an interest in sports and/or music. Must be self-motivated with a strong will to excel through hard work and practice. Must be easy-going and calm and non-judgmental. This grant should be given to a student who is a bright, energetic self-starter who is both patient and persistent in achieving his/her goals. Student must be recommended by a teacher. The student must submit an activity sheet, an essay about why he/she is deserving of this scholarship, and a teacher recommendation letter. Only COMPLETE applications will be accepted. 13. Mary D’Andrea Scholarship. Amount $500.00. Criteria: Any student having attended Lee Avenue School, graduating from Hicksville High School, who will be pursuing a degree in education or any medical field. Student must have shown a commitment to community service and shown great improvements academically over the years and must also have characteristics that demonstrate selflessness and empathy for others. 14. DeDomenico Family Endowed Scholarship. Amount varies depending upon availability of funds. Criteria: The award will be granted to a qualified graduate of Hicksville High School by the Hofstra University Financial Aid Office, upon the recommendation of the Hofstra Admissions Office. 15. Dutch Lane PTA Scholarship. Amount $500.00 Criteria: Student must be a graduate of Dutch Lane School, maintaining a grade point average of 75% - 100%. Students must have continued in the Hicksville school system and be graduating from same. The student will be going onto further education – college, vocational, trade, etc. The student will be eligible if he/she also received another scholarship, except if another PTA or PTSA scholarship. The student should receive the higher of the scholarships. Applicants should have participated in at least one school and/or student activity such as school sports, clubs, or student committees. Outside employment and volunteer work are also taken into consideration. 16. Dutch Lane PTA Scholarship. Amount $500.00 Criteria: Student must be a graduate of Dutch Lane School, maintaining a grade point average of 75% - 100%. Students must have continued in the Hicksville school system and be graduating from same. The student will be going onto further education – college, vocational, trade, etc. The student will be eligible if he/she also received another scholarship, except if another PTA or PTSA scholarship. The student should receive the higher of the scholarships. Applicants should have participated in at least one school and/or student activity involving the fine or performing arts. Outside employment and volunteer work are also taken into consideration. 17. Annual East Street PTA Scholarship Fund**. Amount $500.00. Criteria: Awarded to either one boy or one girl. Student must be a graduate of East Street School and a graduate of Hicksville High School. The student must be going on to further education such as college, vocational, trade, etc. Show an interest in community and school activities, be of average academic standing. In case of a tie, financial need will be the deciding factor. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 18. East Street PTA Rededication Scholarship. Amount $500.00. Criteria: Awarded to either one boy or one girl. Student must be a graduate of East Street School and a graduate of Hicksville High School. The student must be going on to further education such as college, vocational, etc. Maintain 80% average overall and submit two letters of recommendation from previous or current teachers showing exceptional effort in their academic studies. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 19. The East Street PTA/Sarah Grace Weippert Memorial Scholarship. Amount $500.00. Criteria: Awarded to a Hicksville High School graduating student who is also an East Street Elementary School graduate, male or female. Recipient must attend a two (2) or four (4) year college and must pursue an interest /degree in art and/or education. A teacher must nominate the student, preferably an art teacher and have a grade point average of 85% or better, with good attendance as well as good disciplinary record. The candidate should have a strong desire to excel through hard work and practice, must be easy going and non-judgmental and show a willingness to help others. This scholarship should be given to a bright energetic self-starter who is both patient and persistent in achieving his/her goals. The student should submit an activity sheet and an essay about why he/she is deserving of this scholarship. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 20. Elaine Resnik Eyes of Learning Scholarship for Service to School and Community. Amount (4) $500.00 each for a total of $2,000.00. Criteria: This scholarship will be awarded to four seniors, two girls and two boys who are graduating from Hicksville High School. These students must exemplify the spirit of Brotherhood by their motivation, commitment and sincerity in the acts and deeds they perform in the area of human relations. These students must participate in school activities and community service. The students must demonstrate a spirit of cooperation, good-will, understanding, kindness, respect and compassion for others. 21. Henry Euler Mathematics Education Scholarship. Amount (2) $500.00. Criteria: The student must pursue academic studies in the field of secondary mathematics teacher. If only one student is deemed worthy of this scholarship then that student will receive the full $1000.00. 22. Fork Lane Elementary Jeremy Katz Memorial Scholarship Sponsor: Amount $250.00. Eligibility/Criteria: Any student, having attended Fork Lane School, graduating from Hicksville High School, with a high interest in Art and/or has overcome a difficulty (illness, disability or physical disability). To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 23. Fork Lane PTA Scholarship. (2) Amount $500.00 each will be awarded to two students. Criteria: Student must be a graduate of Fork Lane School. Student must apply to be considered. Any student who attains an overall academic average of 85% or better and shows social involvement, community service and/or student activities will be eligible. A student who will be going on to any further education will be eligible. The scholarship will be given upon proof of acceptance to school of his or her choice. No financial statement is to be required for this scholarship. Must be a graduating senior at Hicksville High School. 24. Fork Lane PTA Walter W. Gaylor, Jr. Memorial Scholarship. Amount $250.00. Criteria. A Fork Lane student graduating from Hicksville High School and attending any form of higher education. Student must show an interest in good citizenship and a desire to help others. Student need not have outstanding academic record, but must have studied to his/her best to achieve a grade point average of 80% or higher and possess a good attendance record. 25. Scott Fusco Memorial Scholarship. Amount $1,000.00. Criteria: A student with an average above 80%. Student must be planning to have a career in Law Enforcement. An activity sheet must be provided showing evidence of volunteer/service work in the community or school. Students must submit an essay explaining why he/she is deserving of this scholarship. 26. Galileo Galilei Lodge #2253 Memorial Scholarship. Amount $500.00. Criteria: To the student who over the course of four years, achieves the highest grade in study of the Italian language. Subject to approval from scholarship committee. 27. The Grace J. Fippinger Foundation, Inc. Scholarship.** Two (one male and one female) scholarship grants in the Amount of $20,000 each, payable $2,500 per semester for the four years of undergraduate education. To be awarded to deserving seniors who might otherwise be unable to attend the college of their choice. Students will be required to maintain a satisfactory grade point average, and demonstrate a commitment to community service. Students who win this award will be required, at the end of each school year, to send the Fippinger Foundation a copy of their most recent grades and a letter outlining the community service they have or plan to perform. Students failing to do so, will forfeit the scholarship. *Please provide a written statement as to why you are deserving of this scholarship. Exclusions- Family members of teachers and staff of the Hicksville Public School system. 28. The Ricky Greene Memorial Scholarship. Amount $1,000.00. Criteria: Student must be a graduating senior who has made a significant contribution to the Hicksville High School theatre program through active participation both backstage and onstage. The student must have an overall average of 80 or above and must be planning to attend a two year or four year college. An activity sheet must be included with the application. Financial need is not a requirement. 29. Hicksville American Soccer Club (HASC) Dave Daly Scholarship*. Amount $500.00. The Scholarship Committee will determine at the time of selection how many scholarships will be granted to either the “Public or the Private” school applicants. Criteria: Student must be a graduating High School senior the year of the application, have a minimum overall high school average of 80%, and plan on attending a university, college, or trade school in the fall following graduation. Student must be playing soccer either for their High School, HASC, or other certified soccer organization in their senior year. Every applicant MUST have played 3 years of travel soccer in the HASC. With all things being equal preference will be given to an active HASC player. Students must include the following with the application: two letters of recommendation, official transcript, brief resume, and an essay of 250 to 500 words on ONE of the following: “How soccer has affected or influenced your life”, “In your years playing for the HASC, how has it influenced your life?”, OR “What has soccer done to positively affect your life? 30. Hicksville Athletic Booster Club Outstanding Male Athlete Scholarship. Amount $500.00. Criteria: Student must be graduating from Hicksville High School and will be continuing their education in a two- or four-year program. Student must participate on two Hicksville High School athletic teams his senior year and receive league honors (AllLeague, All-Conference, All-County, etc.) during any varsity season. Student must be well rounded and in academic good standing. All things being equal, HABC membership may be considered. 31. Hicksville Athletic Booster Club Outstanding Female Athlete Scholarship. Amount $500.00. Criteria: Student must be graduating from Hicksville High School and will be continuing their education in a two- or four-year program. Student must participate on two Hicksville High School athletic teams her senior year and receive league honors (AllLeague, All-Conference, All-County, etc.) during any varsity season. Student must be well rounded and in academic good standing. All things being equal, HABC membership may be considered. 32. Hicksville Athletic Booster Club – Applebee’s Neighborhood Grill/Kristy Haley Community Service. Amount $500.00. Criteria: Student must be graduating from Hicksville High School and will be continuing their education in a two- or four-year program. Student must participate on at least one Hicksville High School athletic team their senior year and be involved with community minded activities. Service to the community such as the service Applebee’s provides to our school community is the essential ingredient to being awarded this scholarship. Student must be well rounded and in academic good standing. All things being equal, HABC membership may be considered. 33. Hicksville Athletic Booster Club Male Scholar Athlete Scholarship. Amount $500.00. Criteria: Student must graduating from Hicksville High School and continuing their education in a two- or four-year program. Student must have maintained an academic GPA of 90 or above. Student must participate on at least one Hicksville High School athletic team their senior year. Student must be well rounded. All things being equal, HABC membership may be considered. 34. Hicksville Athletic Booster Club Female Scholar Athlete Scholarship. Amount $500.00. Criteria: Student must graduating from Hicksville High School and continuing their education in a two- or four-year program. Student must have maintained an academic GPA of 90 or above. Student must participate on at least one Hicksville High School athletic team their senior year. Student must be well rounded. All things being equal, HABC membership may be considered. 35. Hicksville Athletic Booster Club Male Comet Scholarship. Amount (2) $500.00. Criteria: Student must be graduating from Hicksville High School and continuing their education in a two- or four-year program. Student must participate on an athletic team their senior year. Student must be well rounded, active in the community and in academic good standing. All things being equal, athletic commitment in the High School athletic programs and HABC membership may be considered. 36. Hicksville Athletic Booster Club Female Comet Scholarship. Amount (2) $500.00. Criteria: Student must be graduating from Hicksville High School and continuing their education in a two- or four-year program. Student must participate on an athletic team their senior year. Student must be well rounded, active in the community and in academic good standing. All things being equal, athletic commitment in the High School athletic programs and HABC membership may be considered. 37. Hicksville Baseball Association (HBA) Scholarship. Amount, Two $500.00 Scholarships will be awarded. One male, one female, first choice. Criteria: A student must be graduating Hicksville High School in the year of the application. Academics must be in good standing. They must have plans to attend a university, college, or trade school in the fall following graduation. They must have participated in HBA for at least one year. Students must submit an essay with a minimum of two hundred words on “How has being part of HBA influenced my life”. No financial information is required. Winners will be asked to join us at a board meeting to receive award. 38. Hicksville Boys & Girls Club*. Amount $500.00. Criteria: Student must be a graduating Hicksville resident involved with the Club. There will be one scholarship awarded. He/She must show active participation in any type of community service and involvement with the Hicksville Boys & Girls Club. A personal interview is required. If you are interested in this scholarship, you must pick up a separate application either at the Guidance Office or at the Hicksville Boys &Girls Club, located at 79 West Old Country Road, Hicksville, New York. 39. Hicksville Chamber of Commerce Scholarship*. (2) awards. Amount $500 each. Criteria: Student must be accepted to a two- or four-year accredited college, university or trade school. Must reside in Hicksville and show active participation in community service to Hicksville. If you are interested in this scholarship you must pick up a separate application in the Guidance Office. 40. Hicksville Community Council Scholarship. (1) Amount $500. Criteria: Graduating senior of Hicksville High School. The student must demonstrate that they have worked for making Hicksville a better place through active participation in volunteering in community service performed ONLY IN HICKSVILLE. Interested students should submit a statement of their participation in such activities, including the names and telephone numbers of adults in charge of the service completed. Academic standing and financial need are not required for this scholarship. Only applicants that complete the requirements as requested will be considered. 41. Hicksville Community Tennis Association. (2) Amount $750.00 (1) Boy (1) Girl. Criteria: Recipients need to have maintained an 80% average and good attendance throughout high school. They must have been a member of the varsity team for at least two years. The student has to have demonstrated an interest in the arts or other athletics, as well as, having participated in community or volunteer service. Recipients must have been accepted at an accredited college or university. 42. Hicksville Congress of Teachers- Elliot Paisner Memorial Scholarship** Amount $1,500.00. Criteria: Open to all students who have chosen teaching as their major in college. Selection criteria includes financial need, academic achievement, extracurricular activities and an essay describing a Hicksville teacher’s impact on your education and his/her influence on your career goal. To qualify, students must be accepted to a teacher education program at a four-year college or university. Please pick up the additional application from the guidance office. The completed application with all required documents must be returned directly to Hicksville Congress of Teachers, 183 Broadway, Suite 302, Hicksville, NY 11801 43. Hicksville Congress of Teachers- Memorial Scholarship** Amount $1,000.00. Criteria: Open to all students who have chosen a four year College or University. Selection criteria includes financial need, academic achievement, extracurricular activities and an essay describing a Hicksville teacher’s impact on your education and his/her influence on your career goal. Please pick up the additional application from the guidance office. The completed application with all required documents must be returned directly to Hicksville Congress of Teachers, 183 Broadway, Suite 302, Hicksville, NY 11801 44. Hicksville Congress of Teachers – Elaine Milani Memorial Scholarship** Amount $500.00. Criteria: Open to all students who have chosen teaching as their major in college. Selection criteria includes financial need, academic achievement, extracurricular activities and an essay describing a Hicksville teacher’s impact on your education and his/her influence on your career goal. To qualify, students must be accepted to a Community College, enrolled in Child Care, Early Childhood, Elementary/Secondary education program of study. Please pick up the additional application from the guidance office. The completed application with all required documents must be returned directly to Hicksville Congress of Teachers, 183 Broadway, Suite 302, Hicksville, NY 11801 45. Hicksville Congress of Teachers Commitment to Community Service Award** Amount $750.00. Criteria: Open to all students who can demonstrate an ongoing commitment to a community service project spanning a minimum of 1 year. Selection criteria includes financial need, good grades and school attendance and an essay describing the impact of your community service on your personal growth. Please pick up the additional application from the guidance office. The completed application with all required documents must be returned directly to Hicksville Congress of Teachers, 183 Broadway, Suite 302, Hicksville, NY 11801 46. Hicksville Congress of Teachers-Mary D'Andrea Memorial Union Service Scholarship**- Amount $500.00. Criteria: Open to students who will be attending a college or university on a full-time basis and whose parent(s) or step-parent(s) is an inservice member of any union. Selection criteria includes financial need, academic achievement, and an essay describing the importance of union membership. Please pick up the additional application from the guidance office. The completed application with all required documents must be returned directly to Hicksville Congress of Teachers, 183 Broadway, Suite 302, Hicksville, NY 11801 47. Hicksville Council of Administrators, Supervisors and Department Chairs Scholarship Sponsor**. Amount $500.00. Criteria: Student must apply to be considered. Student must be in the top 25% of his/her class and be accepted at an approved two- or four-year college or university. A student who wishes to pursue a career in the field of education will be given preference, as will a student who shows evidence of financial need. 48. Hicksville Council of PTA Units - Bernard H. Braun Memorial Scholarship. One at $1,000.00 payable at $500.00 per year for two consecutive years of college attendance. Must be in upper quarter of graduating class and accepted by a two- or four-year college or university. Active participation in school and community activities and outside employment are to be taken into consideration. No financial statement required for this scholarship. To be awarded to a student who has not won any other PTA/PTSA scholarship at the time of selection 49. Hicksville Council of PTA Units - Homecoming Scholarship. Five (5). Amount $500.00 each. Criteria: Student must be a Hicksville Public Elementary School graduate and must have continued his/her education in the Hicksville Public School system. Applicants must have a minimum three year average of 85% and must have made a commitment to a two- or four-year college, trade/commercial school. He/she must have actively participated in a school and/or community activity such as school sports, clubs, band, student committees, etc. Financial need is not a requirement. Applicant should not have received a PTA/PTSA Unit Scholarship. 50. Hicksville Council of PTA Units – Homecoming Scholarship. Five (5). Amount $500.00 each. Criteria: Student must be a Hicksville Public Elementary School graduate and must have continued his/her education in the Hicksville Public School system. Applicants must have made a commitment to a two- or four-year college, trade/commercial school. He/she must have actively participated in a school and/or community activity such as school sports, clubs, band, student committees, etc. Financial need is not a requirement. Applicant should not have received a PTA/PTSA Unit Scholarship. 51. Hicksville Council of PTA Units - Lee Del Hughes Memorial Technical Vocational Awards Fund. Two (2) at $500.00 each. Criteria: For students in the vocational technical area as an incentive to continue his/her education or for the purpose of purchasing special equipment for his/her chosen field. No financial statement required. Applicant should not have received a PTA/PTSA Unit Scholarship. 52. Hicksville Council of PTA Units – Homecoming Scholarship – Hicksville Buildings and Grounds Unit Technical Vocational Scholarship – Two (2) at $500.00. Criteria: For students in the vocational technical area as an incentive to continue his/her education or for the purpose of purchasing special equipment for his/her chosen field. No financial statement required. Applicant should not have received a PTA/PTSA Unit Scholarship. 53. Hicksville Crusaders Youth Football & Cheerleading Program “Coach Mike T.” (Torrellas) Memorial Scholarship. Two (2) at $500.00 (one male/one female 1st choice). Criteria: Student must be a graduating High School Senior in the year of the application. Academics in good standing. Plans to attend a university, college or trade school in the fall following graduation. Must have been part of the program for a minimum of (1) completed season either as a participant or a volunteer coach. Student must provide an essay (min. 200 words) on “How has being part of Hicksville Crusaders Influenced My Life”. No financial information required. Winners may be asked to join us at our Board meeting for scholarship presentation. 54. Hicksville Gardens Civic Association Community Service Scholarship. Two (2) at $500.00 each. Criteria: Student must be graduating from high school and have demonstrated a commitment to improving Hicksville through leadership and participation in community service activities. Preference will be given to students whose families are members of and live within the area of the HGCA (south of Old Country Road, west of South Oyster Bay Road, east of Jerusalem Avenue and north of Bloomingdale and Scooter Roads). Student must be accepted into and attend a two- or four-year accredited college, university or trade school. No minimum grade point average is required, but a solid academic record is a plus. Financial need is not required. 55. Hicksville Gardens Civic Association (HGCA) Delco Plaza - Alvin Rush Community Scholarship. Award in the amount of $500.00. Criteria: Student must be graduating from high school and have demonstrated a commitment to improving Hicksville through leadership and participation in community service activities. Preference will be given to students whose families are members of and live within the areas of the HGCA (south of Old Country Road, west of South Oyster Bay Road, east of Jerusalem Avenue and north of Bloomingdale and Scooter Roads). Student must be accepted into and attend a two- or four-year accredited college, university or trade school. No minimum grade point average is required, but a solid academic record is a plus. Financial need is not required. 56. Hicksville Gardens Civic Association (HGCA)/Perfect Pharmacy Community Service Scholarship. Two (2) $500.00 each. Criteria: Student must be graduating from high school and have demonstrated a commitment to improving Hicksville through leadership and participation in community service activities. Preference will be given to students whose families are members of and live within the areas of the HGCA (south of Old Country Road, west of South Oyster Bay Road, east of Jerusalem Avenue and north of Bloomingdale and Scooter Roads). Student must be accepted into and attend a two- or four-year accredited college, university or trade school. No minimum grade point average is required, but a solid academic record is a plus. Financial need is not required. 57. Hicksville Gardens Civic Association (HGCA)/Perillo Fuel Oil Company Service Scholarship. Award in the amount of $500.00. Criteria: Student must be graduating from high school and have demonstrated a commitment to improving Hicksville through leadership and participation in community service activities. Preference will be given to students whose families are members of and live within the areas of the HGCA (south of Old Country Road, west of South Oyster Bay Road, east of Jerusalem Avenue and north of Bloomingdale and Scooter Roads). Student must be accepted into and attend a two- or four-year accredited college, university or trade school. No minimum grade point average is required, but a solid academic record is a plus. Financial need is not required. 58. Hicksville Gardens Civic Association (HGCA)/Foodtown Community Service Scholarship. Award in the amount of $500.00. Criteria: Student must be graduating from high school and have demonstrated a commitment to improving Hicksville through leadership and participation in community service activities. Preference will be given to students whose families are members of and live within the areas of the HGCA (south of Old Country Road, west of South Oyster Bay Road, east of Jerusalem Avenue and north of Bloomingdale and Scooter Roads). Student must be accepted into and attend a two- or four-year accredited college, university or trade school. No minimum grade point average is required, but a solid academic record is a plus. Financial need is not required. 59. Hicksville High School PTSA Scholarships. Amount $500.00 each. Eight scholarships will be awarded. Criteria: Applicants must be graduating from Hicksville High School, have a minimum three-year average of 85% and must be accepted at a college recognized by the American Association of Colleges and Universities. All things being equal, financial need shall not be a determining factor. Applicant must have participated in at least one school and/or student activity such as school sports, clubs, extracurricular fine arts activity, student committees. Applicant must include a statement of future goals on the scholarship application, not to exceed 50 words in length. To be awarded to a student who has not won any other PTA/PTSA scholarship. 60. Hicksville High School PTSA Scholarship. Amount $500.00. One scholarship will be awarded. Criteria: Applicant must be graduating from Hicksville High School, have a three-year average of up to 84.9% and must be accepted to a college recognized by the American Association of Colleges and Universities. All things being equal, financial need shall not be a determining factor. Applicant must have participated in at least one school and/or student activity such as school sports, clubs, extracurricular fine arts activity, student committees. Applicant must include a statement of future goals on the scholarship application, not to exceed 50 words in length. To be awarded to a student who has not won any other PTA/PTSA scholarship. 61. Hicksville High School PTSA Scholarship. Amount $500.00. One scholarship will be awarded. Criteria: Applicant must be graduating from Hicksville High School, have a three-year average of 80% to 84.9% and must be accepted to a college recognized by the American Association of Colleges and Universities. All things being equal, financial need shall not be a determining factor. Applicant must have participated in at least one school and/or student activity such as school sports, extracurricular fine arts activity, student committees. Applicant must include a statement of future goals on the scholarship application, not to exceed 50 words in length. To be awarded to a student who has not won any other PTA/PTSA scholarship. 62. Hicksville High School PTSA John F. Pitrelli Memorial Scholarship. Amount One at $500.00. Criteria: Applicant must be graduating from Hicksville High School, have a minimum three-year average of 80% and must be accepted at a college recognized by the American Association of Colleges and Universities or at a post secondary institute of learning. All things being equal, financial need shall not be a determining factor. Applicant must have participated in at least one school and/or student activity such as school sports, clubs, band, student committees. Applicant must include a statement of future goals on the scholarship application, not to exceed 50 words in length. To be awarded to a student who has not won any other PTA/PTSA scholarship. 63. Hicksville High School PTSA Richard G. Hogan Memorial Scholarship. Amount $500.00 each. Two scholarships awarded; one male and one female. Criteria: Applicant must have a minimum three-year average of 80%, be graduating from Hicksville High School and continuing their studies in the field of education. Applicant must have also been involved in athletics, be of good character and show leadership qualities. Applicant must include a statement of future goals on the scholarship application, not to exceed 50 words in length. To be awarded to a student who has not won any other PTA/PTSA scholarship. 64. Hicksville-Jericho Rotary Club. Amount $500.00. Criteria: Will be awarded to a student who is planning to further his or her education in any type of post-high school program, based upon successful community service activities. Students must submit on a separate sheet of paper some details about themselves: school experiences; plans for future education; interests, hobbies, and awards; and most importantly, information about community service performed. A letter of recommendation from a teacher or guidance counselor is required. 65. Hicksville Middle School PTSA Scholarship. Amount $500.00 Criteria: Student must be a graduate of the Hicksville Middle School and Hicksville High School. The student must be dedicated to the school and/or community, as well as being academically successful. He/she must have made a commitment to a two- or four-year college or a trade/commercial school. The student must apply to be considered. The receipt of this scholarship should not eliminate the student from other scholarships except those given by any other PTA/PTSA. Financial need not be a requirement. 66. Hicksville Middle School PTSA Marie Marshall Academic Excellence Award Scholarship. Amount $500.00 Criteria: Student must be a graduate of the Hicksville Middle School and Hicksville High School. The student must have demonstrated leadership potential and has been dedicated to the school and/or community, as well as being academically successful. He/she must have made a commitment to a two- or fouryear college or a trade/commercial school. The student must apply to be considered. The receipt of this scholarship should not eliminate the student from other scholarships except those given by any other PTA/PTSA. Financial need not be a requirement. 67. Hicksville Public Schools Staff Memorial Scholarship**. Two (2) at $500.00 each. Criteria: Students who will be attending a two- or four-year college or university. Economic need, academic potential and willingness to perform community service to help others or improve the quality of life of the area. 68. Coach Bob Hilsky Memorial Baseball Scholarship. Amount $500.00. Criteria: The student must be a graduating senior from Hicksville High School on the Varsity Baseball Team. The award will be presented to a player who demonstrates outstanding commitment, teamwork and character both on and off the field. The Varsity Baseball Coach will select the recipient once a year. The student will receive a trophy and their name will be added to a Perpetual Plaque which represents the scholarship. 69. Hicksville Scholarship Fund**. Amount $100.00. Criteria: Application must rank in the top 20% of class and be accepted at an approved four-year college or university. Financial need will be an important factor of consideration. 70. Holy Family CYO – Tommy O Memorial Scholarship. Amount (2) $1,000.00 each. Criteria: Applicant must be a graduating high school senior and must be enrolled in an accredited college or university. Applicant must have a high school GPA of 80 or higher. Applicant must have substantial community service experience during their high school career – as determined by the selection committee. Applicant must have been a member of Holy Family CYO for a minimum of 2 years. Applicants must submit a letter of recommendation from a high school teacher or guidance counselor. In addition, they must submit proof of high school GPA, along with an activity sheet which details community service experience. At the time the scholarship selections are made students may be requested to show proof of enrollment in an accredited college or university. Scholarship winners will be selected by Holy Family CYO. 71. Tina L. Inocco Scholarship Fund. Amount $500.00 Criteria: The scholarship should be presented to a graduating boy or girl of Hicksville High School who will be attending a four-year college and will be majoring in accounting. 72. Islamic Center of Long Island Diversity Scholarship. Amount $200.00. Criteria: A student who has showed service towards ethnic diversity and efforts towards eradicating intolerance in their community. 73. The Karla R. Jurgelevich Spirit Award. Amount $1,000.00. Criteria: A student who possesses the attributes of athleticism, artistry, social activism, self-assuredness, and a tolerant and forgiving spirit. 74. Jeremy Katz Memorial Scholarship. Amount (1) $500.00. Criteria: This scholarship will be awarded to a graduating senior from Hicksville High School who also attended Fork Lane elementary School and is pursuing higher studies in the field of Art. Must be an average student with a grade point average not higher than 90%. This student should be self-motivated with a strong will to excel through hard work and practice. The student must submit an essay about why he/she is deserving of this scholarship and a teacher letter of recommendation. 75. The Gieir-Levitt Post No. 655 of The Jewish War Veterans of the USA, Inc. Community Brotherhood Award. Amount $100.00 Criteria: To be awarded to a student (male or female) who best exemplifies service to the community and caring for others. Selection will be made without regard to scholarship standing or religion. 76. The Gieir-Levitt Post No. 655 of The Jewish War Veterans of the USA, Inc. XX Olympiad-Sports Memorial Award. Amount $100.00 Criteria: To be awarded to a student (male or female) who has distinguished himself/herself in any HS sports program (team/individual). 77. Kiwanis Foundation of Hicksville - Hicksville Kiwanians Past and Present Scholarship*(**). Amount $1,000.00. Criteria: This scholarship is open to all Hicksville residents who are graduating from high school. To be considered, the student must submit a COMPLETE application and be attending an institution of higher learning (college, university or trade/commercial school) in September. The student must be in the top 25% of the class and demonstrate financial need. Preference will be given to students who demonstrate social involvement/community service. This scholarship is awarded without preference as to gender, color, creed, or religion. Two letters of recommendation are required: 1) one from community leaders/sponsors and/or individuals who can attest to your community service; 2) one from a teacher/counselor who can speak to your scholarship. A separate application is available in the Guidance Office. Only COMPLETE applications will be considered. 78. Kiwanis Foundation of Hicksville - Dr. Charles J. Masek Memorial Scholarship*(**). Amount $1,000.00. Criteria: This scholarship, in memory of Charles Masek, local dentist and Kiwanian, is open to all graduating seniors attending Hicksville High School. To be considered, the student must submit a COMPLETE application and be attending an institution of higher learning (college, university or trade/commercial school) in September. The student must be in the top 25% of the class and demonstrate financial need. Preference will be given to students who demonstrate social involvementcommunity service. This scholarship is awarded without preference as to gender, color, creed, or religion. Two letters of recommendation are required: 1) one from community leaders/sponsors and/or individuals who can attest to your community service; 2) one from a teacher/counselor who can speak to your scholarship. A separate application is available in the Guidance Office. Only COMPLETE applications will be considered. 79. Kiwanis Foundation of Hicksville – Charles I. Montana Sr. (Class of 1934) and Marguerite Montana Memorial Scholarship*. Amount $1,000.00. Criteria: This scholarship is open to a graduating senior of Hicksville High School who plans to attend a college, junior college or trade/technical school. It will be awarded without preference as to gender, color, creed or religion. Preference will be given to a student who plans to pursue studies in the field of business and has either had part-time employment or participated in community service during high school. A completed application and letters of recommendation are required from: 1. A teacher/counselor who can attest to the student’s academic achievements. 2. Employer/community leader who can attest to the student’s interest in the field of business. A separate application is available in the Guidance Office. Only COMPLETE applications will be considered. 80. Kiwanis Foundation of Hicksville - Fermin Gonzalez Memorial Scholarship*(**). Amount $500.00. Criteria: This scholarship has been established in memory of Fermin Gonzalez, from his wife Myrna Gonzalez. The award is open to all Hicksville residents who are graduating from high school. To be considered, the student must submit a COMPLETE application and be attending an institution of higher learning (college or university). The student must be in the top 25% of the class and demonstrate financial need. Preference will be given to students who demonstrate social involvement/community service. This scholarship is awarded without preference as to gender, color, creed or religion. Two letters of recommendation are required: 1) one from community leaders/sponsors and/or individuals who can attest to your community service; 2) one from a teacher/counselor who can speak to your scholarship. A separate application is available in the Guidance Office. Only COMPLETE applications will be considered. 81. Kiwanis Foundation of Hicksville - William F. and Carol V. Saueracker Community Service Award*. Amount $500.00. Criteria: This award was established by Dr. Edward Saueracker, Hicksville High School Class of 1974 and 1998 Hall of Fame inductee at the 1998 Hicksville High School graduation ceremony. The award, in honor of his parents, is open to all Hicksville High School graduating seniors. Because community service is important to the Saueracker family, the recipient of this award must demonstrate leadership potential and be actively engaged in community service in Hicksville and extracurricular activities. This award will be made without preference as to gender, color, creed or religion. Two letters of recommendation/verification from community leaders, and sponsors, and/or individuals who can attest to your community service are required. A separate application is available in the Guidance Office. Only COMPLETE applications will be considered. 82. Kiwanis Foundation of Hicksville in Honor of GeKun Park*. Amount $1,000.00. This award was established by Dr. Shany Park, Hicksville High School Class of 1990. This award, in honor of her father, is open to Hicksville High School graduating seniors who immigrated to the United States. The student must be in the top 25% of the class and demonstrate strong social involvement/community service. To be considered, the student must submit a complete application and be attending a four year university or college in September. This scholarship is awarded without preference as to gender, color, creed or religion. Two letters of recommendation are required: 1) one from community leader/sponsors and/or individuals who can attest to your community service. 2) One from a teacher/counselor who can speak to your scholarship. A separate application is available in the Guidance Office. Only COMPLETE applications will be considered. 83. Kiwanis Foundation of Hicksville – Philip M. Tornatore, DDS Health Care Scholarship*. Amount $1,000.00. This scholarship is open to all Hicksville residents who are graduating from High School. To be considered, the student must submit a complete application and be attending an institute of high learning in the health care field. The student must be in the top 25% of his/her graduating class. Preference will be given to those students who are pursuing study in the field of dentistry and who demonstrate involvement in community service. Two letters of recommendation are required: 1) one from a teacher in the health/science field and 2) a personal reference from a teacher, counselor or employer. A separate application is available in the Guidance Office. Only COMPLETE applications will be considered. 84. Daniel Kristoff Memorial Scholarship. Daniel Kristoff gave the gift of music, teaching, theater, humor, and heart to serving the students of Hicksville High School. Through the scholarship fund, Mr. Kristoff’s legacy will live on as students pursue their love of music and share it with others. Amount $1,000.00. Criteria: Graduating senior who plans to pursue a degree in theatrical (musical) performance, voice, or music education. The student must also show the greatest appreciation for their love of music. 85. Lee Avenue PTA Mary M. D’Andrea Scholarship. Amount $500.00. Eligibility/Criteria: Any student, having attended Lee Avenue School, graduating from Hicksville High School, who will be pursuing a career in elementary education, if no applicants are pursuing an elementary education career, then an applicant pursuing a career in the education field. The recipient should be a well-rounded, hardworking average student. To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 86. Lee Avenue PTA Lee Del Hughes Scholarship. Amount $500.00. Eligibility/Criteria: Any student, having attended Lee Avenue School, graduating from Hicksville High School, and attending any form of higher education, who has shown a commitment to community service. To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 87. Lee Avenue PTA Jack Mateer Scholarship. Amount $500.00. Eligibility/Criteria: Any honor roll (or high honor roll) student, having attended Lee Avenue School, graduating from Hicksville High School, and pursuing any form of higher education. Recipient should be a well-rounded student, having been involved in various school related programs/activities and involved in community service. To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 88. Lee Avenue PTA Monica Leary Memorial Scholarship Sponsor. Amount $500.00. Eligibility/Criteria: Any student, having attended Lee Avenue School, graduating from Hicksville High School, who will be pursuing an education in nursing. If no applicants are pursuing a nursing career, then in that event, a student pursuing an education in a medically related field/social work; preferably in pediatrics. To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 89. Lee Avenue PTA Donald Skupinsky Scholarship. Amount $500.00. Eligibility/Criteria: Any student, having attended Lee Avenue School, graduating from Hicksville High School, who will be pursuing a career in education. To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 90. Phyllis, Robert and Lawrence Levy Memorial Scholarship**. Amount $300.00. To be paid directly to the school for any post high school education. Applicants must rank in the middle third of the class, be accepted at a school or college and show evidence of financial need. This scholarship shall be given without preference to either a male or female student. 91. Scholarship In Memory of Andrew LiCalsi. Amount $500.00. Criteria: (1) He/She will be attending a two- or four-year school pursuing an education in business; (2) He/She need not have an outstanding academic record, but must have studied his/her best to achieve an average of at least 80-85; (3) He/She should have an outgoing personality and care very much about the well-being (physical and emotional) of others. 92. Lion's Club of Hicksville - Hicksville Lions Memorial Scholarship (A). Amount usually $400.00. Criteria: To be awarded to a BOCES student to use toward the purchase of tools and/or equipment in starting their career. 93. Lion's Club of Hicksville - Hicksville Lions Memorial Scholarship (B). Amount usually $400.00. Criteria: To be awarded to a student who demonstrates outstanding service to their community. 94. Michael Magro Memorial Scholarship. Amount (2) $500.00 each. Criteria: This scholarship will be awarded to a graduating senior from Hicksville High School who is going on to college, played Lacrosse and is involved in the Fine Arts Department. Additionally, this student will have shown great improvement academically over the years, possesses personal traits that show kindness and compassion for others. 95. Irvin Munowitz Memorial Scholarship. Amount $75.00. Criteria: Student must plan to continue education and become a teacher of children with special needs. 96. Nassau County American Legion. Amount $1,000. Criteria: The recipient of this award must be the valedictorian of his or her class. This scholarship will be awarded to the student with the most outstanding academic credentials in Nassau County. 97. Nassau County Police Activity League Kevin Kolm Memorial Scholarship. Scholarships in the amount of $1,000 each will be awarded to two graduating seniors, 2 scholarships will be awarded each year, funding permitting. These scholarships will go to graduating seniors who will be continuing their education in college or technical school. Their high school GPA must not exceed 88%. The applicants must have participated in a Hicksville Police Activity League program. Students must show interest in arts and/or sports. Student must be a Citizen of the United States. Each applicant must be active in community service or as a volunteer. An activity sheet must be submitted along with a letter of recommendation by a teacher or community leader. This letter must describe how the student has shown civic responsibility, good citizenship, outstanding accomplishments in areas of service and leadership. Also, the student must indicate what program in PAL they participated in and what year. Any applications submitted without an activity sheet, letter of recommendation and a note indicating which PAL program with year the student participated in will not be considered. 98. NEFCU’S Making A Difference High School Scholarship. Open to all Long Island high schools, excluding the townships of Shelter Island, East Hampton and Southhampton. Each High School nominates ONE deserving graduating high school senior to receive a $500 award. Students/parents are NOT eligible to apply. Nominations must be made by the Principal, Asst. Principal, Guidance Counselor or Director of Guidance. One nomination per school. Candidate must be attending a two-year or four-year college/university. Candidate must: have a minimum four-year overall average of 90%, and demonstrated strong community service. 99. Old Country Road PTA Scholarship. Amount $500.00. Criteria: Student must be a graduate of Old Country Road School. Must have continued in the Hicksville Public School system and graduated from same. Must go on for further education such as college, vocational, trade school, etc. Student is eligible if he/she received another scholarship, but may only receive one of the four offered by the Old Country Road PTA. Student must have participated in school and/or student activities such as sports, clubs, band, student committees, etc. In fact, such participation will count for 2/3 of the total score used in the selection process. Academics will account for the remaining 1/3. The student does not have to be on the honor roll. However, if there is a tie, then the academic standing can be the deciding factor. To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 100. Old Country Road PTA Catherine Dillon Academic Achievement Scholarship. Amount $500.00. Criteria: Student must be a graduate of Old Country Road School. Must have continued in the Hicksville Public School system and graduated from same. Must go on for further education such as college, vocational, trade school, etc. Student may only receive one of the four scholarships given by the Old Country Road PTA, but may apply and receive other scholarships. Student must have achieved a 90% average or better to be considered and must have participated in school and/or community activities. Academics will count for 2/3 of the total score and the remaining 1/3 will be the student’s involvement in school and the community. To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 101. Old Country Road PTA Kevin Kolm Memorial Scholarship. Amount $500.00. Criteria: The student must have graduated from Old Country Road School and continued their education within the Hicksville School District, as well be a graduating senior at Hicksville High School. The student must be planning to attend a two- or four-year college, or a trade/vocational school. Additionally, the student must have demonstrated leadership and performed community service, as well as having been actively involved in one of the following areas: music, art or sports. High Academic achievement is not a requirement. To be awarded to a student who has not won any other PTA Scholarship at the time of selection. 102. Old Country Road PTA Joan Lane Memorial Scholarship. Amount $500.00. Criteria: The student must have graduated from Old Country Road School and continued their education within the Hicksville School District, as well as be a graduating senior at Hicksville High School. The student must be planning to attend either a two- year or fouryear college, or vocational school. The student must be pursuing a course of study in teaching or administration in a nonprofit organization (not corporate). Additionally, the student must have demonstrated leadership skills through a school or community organization, with emphasis on a spirit of initiative either academically or through service. The student must possess a high caliber of social responsibility; therefore, candidate could not possess a record of cutting classes, misconduct or excessive lateness. The minimum academic overall achievement is a B+ (at least 84.5%) is also required. 103. Sarah Grace Weippert Memorial Scholarship. Amount $500.00. This scholarship has been established in memory of Sarah Weippert, from her parents Marissa and Matt and her brother, James. Sarah was a Hicksville Middle School student when she died of Leukemia at the age of 12. Criteria: The successful candidate must be accepted to a four year college or university and be pursuing an education in the pediatric medical field, including psycho/social, preferably pediatric oncology. The recipient, male or female, must be a well rounded individual who is a graduate of Hicksville High School, Hicksville Middle School and a Hicksville Elementary School. To qualify the student must have a grade point average of 90% or better. The student MUST submit the following with the application: An essay explaining why he/she is deserving of this scholarship. Service to the community is essential to the student who is awarded this scholarship. Two letters of recommendation are required: 1) One from a teacher who can speak to your scholarship; 2) One from a community leader or individual who can attest to your community service. 104. SEPTA Scholarship. Two (2) Amount $500.00. Criteria: Student must be a Hicksville Public Elementary School graduate and must have continued his/her education in the Hicksville Public School System. Student is eligible if receiving any special education support services. The student must be going on to a two- or four-year college or a trade/commercial school. Financial need not required. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 105. The Christine Schiavone Memorial Scholarship. Amount $100. Christine Schiavone was self-taught on the piano at a very young age, and then studied classically. She was also proficient in flute and saxophone (she performed on both, depending on the needs of the band director) and played piano in the jazz band. She had an unbridled passion for music and studied diligently (a Band Director’s dream!) After graduating high school she went on to join the Marching Band at Syracuse University, where she performed for her entire four years. Christine was kind, helpful, always putting others before herself, and always willing to volunteer. She left this world a much better place for having been in it. Criteria: A student who is proficient in multiple instruments and passionate about their music. A student who is known for putting others before themselves. Optional: A student who plans to continue their musical experience in college, preferably in the Marching Band. Student must submit an essay stating what qualities they possess that are similar to Christine’s. 106. The Jerry and Emily Spiegel Family Scholarship**. Amount $1,000.00 ($500.00 per Semester for 1 year). Criteria: Applicant must be in top 25% of class planning to major in business administration or architecture, admitted to an accredited senior or junior college, and show evidence of need. 107. Veterans of Foreign Wars, William M. Gouse, Jr., Post 3211 Scholarship. Amount $250.00. Criteria: Student should have a military member in his or her family, be it Father, Grandfather, Brother, Sister etc. Student should be inclined toward good citizenship, helping others, etc. 108. Gloria & Bernard Vinson Endowed Scholarship in Memory of Theodore Walter Pusinelli. Amount varies depending upon availability of funds. (Usually $1,000.00). Criteria: The award will be granted to a qualified student by the Hofstra University Financial Aid Office. They will select from three Hicksville High School students who will be attending Hofstra University the following fall and whose names have been submitted by the Hicksville High School Guidance Office. 109. Terry Wallace Student-Lacrosse Player Scholarship. Amount $500.00 per year per student. One new scholarship is awarded each year. Criteria: This scholarship is awarded to a graduating boy or girl who is a member of the varsity lacrosse team and is continuing their education at a two-year program. The award is $500.00 per year for two years. Student must have passing grades and be a member of their college lacrosse team to continue receiving the award the second year. A short essay explaining the applicant’s long-range goals are required for consideration. 110. John A. Walker Memorial Scholarship. Amount $500.00 (two will be awarded). Criteria: Student must be graduating from Hicksville High School and will be continuing their education in a two- or four-year program. Student must participate in athletics, and be involved with community/school activities. Student must be well rounded and in academic good standing. 111. Basil S. Warner Memorial Scholarship. Amount $500.00. Criteria: To be awarded to a graduating Hicksville High School senior, female or male. The student must be attending a four-year college, majoring in a technical field, such as (but not necessarily limited to) mathematics, engineering, computer sciences, medical research or teaching in one of these areas. The student must demonstrate school/community service. The student must be in good academic standing. Financial need is not a requirement. 112. Madeline Wicksel Memorial Scholarship. Amount $1,000.00. Criteria: The Student must be a graduate of both Dutch Lane Elementary and Hicksville High School. They must demonstrate academic achievement and have participated in district and community activities. They must also plan to enthusiastically pursue further educational or vocational goals. 113. Woodland PTA – Joseph Agosto Memorial. Amount $500.00. Criteria: This scholarship is to be given to a candidate whose family has experienced the financial and emotional drain of a serious long-term illness afflicting the candidate, his/her parent, sibling, grandparent or has suffered the loss of an immediate family member (parent, grandparent, sibling, aunt or uncle of candidate). Other candidates that may apply are students who have had to overcome any kind of family hardship and have persevered. The candidate must be a Woodland Elementary School graduate and a current Hicksville High School graduating senior who is planning to attend any form of higher education (college, trade school, etc.). The candidate must attach a brief essay to the application describing the circumstances that render him/her eligible for this scholarship. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 114. Woodland PTA Dr. Manus Clancy Scholarship. Amount $500.00. Criteria: Any student of average ability pursuing academic studies in the field of teaching or social work. One who shows social involvement in community services and student activities: one who takes interest in his/her school and community. Alternate to above would be a student planning to attend for liberal arts. Student must be a Woodland School Alumnus and a Hicksville High School senior. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 115. Woodland Memorial Scholarship. (2) Amount $500.00 each. Criteria: A student of average ability, one who shows social involvement, community service and student activities; one who takes an active interest in his/her school and community. A student who will be going on to further education, not necessarily college. The student must be a Woodland School alumnus and a Hicksville High School senior. To be awarded to a student who has not won any other PTA scholarship at the time of selection. 116. Mattie J.T. Stepanek – “Reflections of a Peacemaker” Scholarship. Amount $200.00. Mattie J.T. Stepanek was a poet, a peacemaker, and philosopher – all by the age of 13.He was born with a rare and fatal neuromuscular disease, which crippled his body, but amazingly not his spirit. More than anything he wanted to contribute to peace. He went on (before his death) to co-write a book with ex-president Jimmy Carter entitled “Just Peace a Message of Hope.” His many poems about love, life, peace, and dreams are published in the Heartsongs collection of books. Mattie’s “Journey Through Heartsongs” made the New York Times Best Selling List. In People Magazine (December 2004), Mattie is honored and remembered (page 190) along with Tony Randall, Jack Parr, Bob Keeshan, (Captain Kangaroo), Ann Miller and Geoffrey Beene; amazing company for such a young boy. Mattie had made a video time capsule with some other teens who have/had muscular dystrophy. Mattie’s capsule said – “What matters most to me is that I wake up each day and take a breath. I appreciate watching the sun rise and set, knowing that they are gifts, not things to be assumed.” Criteria: This scholarship is open to all graduating seniors attending Hicksville High School. 1. Write a 200 word biography about Mattie J.T. Stepanek 2. Write a poem or a 500+ word essay about one of the following thoughts: a. “Let Peace Begin With Me…” b. “There are those whose lives affect all others around them, quietly touching one heart who in turn touches another reaching out to ends further than they would ever know.” c. “Remember to play after every storm.” 117. Fernando Bengoechea – Photography/Art Scholarship – We are all connected. Amount $200.00. Fernando Bengoechea was an Argentine born photographer and artist. His work has appeared in Vogue, Elle Decore, Town and Country, and the Oprah magazines. At the young age of 39, he was killed in the 2004 Tsunami while vacationing in Sri Lanka. According to his friends and colleagues he was adventurous, exuberant, and deeply intuitive with a zest for life. I did not know Fernando Bengoechea personally, but his story and his art continue to have a presence in my life. He not only put a face and story to the thousands of victims lost and left homeless in the wake of the Tsunami, but the importance of living in the moment. How small the world really is and that our greatest resource is each other. Criteria: This scholarship is open to all graduating seniors attending Hicksville High School. 1. Photograph, draw, or paint a picture or subject, which potentially could affect another person here or around the world. Title it, “We Are All Connected.” 2. Explain the story of your picture in a poem or 500+ word essay and the inspiration behind it. 118. Zaki & Rahat Hossain Scholarship. Amount $1,000. Criteria: This scholarship will be awarded to the Valedictorian of his or her class. SCHOLARSHIP CRITERIA PRINTED AS STATED BY SCHOLARSHIP SPONSOR Instructions for Filling Out Application Form Please type or print legibly in BLACK ink only. (Blue ink does not photocopy well.) Name: Address: Print your name legibly, last name, first name Enter your full address, including village and zip code PLEASE DO NOT PUT YOUR NAME ON EVERY SHEET OF PAPER. Schools Attended: This information is necessary for eligibility for local scholarships sponsored by the PTA's. College: Enter names of college(s) or other school(s) you have applied to or plan to attend and the program which you are interested. Goal: Indicate what you would ultimately like to do as a career/education goal and your reason for continuing your education. Be specific about your goals and list three possible career choices. Special Talents: List and describe special abilities/talents (For example: athletics, music, drama, art, writing, computers, etc.) Reasons for Applying: Write a brief statement that includes special considerations, unusual circumstances or anything else that the committee would find valuable to assess your application. Signatures: Sign your name and have a parent /guardian signs his/her name to release information to the scholarship committee. Include date. BE SURE THAT THE FORM IS PROPERLY SIGNED. Place a check mark next to the number of each scholarship for which you are applying. Obtain the number of the scholarship from the Directory. CHECK ONLY THOSE FOR WHICH YOU MEET THE CRITERIA. If you need additional space to include any information, use a clean sheet of 8-1/2x11" paper only. Scholarship Numbers (marked with an *) 1, 29, 38, 39, 77, 78, 79, 80, 81, 82, and 83 ALL REQUIRE separate applications in addition to the high school application. THESE ADDITIONAL APPLICATIONS ARE LOCATED IN THE GUIDANCE OFFICE. Scholarship Numbers (marked with a **) 17, 27, 42, 43, 44, 45, 46, 47, 67, 69, 77, 78, 80, 90 and 106 require the Financial Need Supplemental Application attached at the end of the Scholarship Directory. If a scholarship requires an essay, the name of the scholarship must be indicated on the top of the page. If you are using the essay for more than one scholarship, you must include all copies of the essay with the name of the scholarship indicated on the top of the paper. ANY SCHOLARSHIP REQUIRING AN ADDITIONAL APPLICATION, FINANCIAL AID SUPPLEMENTAL APPLICATION, ESSAY, LETTER(S) OF RECOMMENDATION MUST HAVE THESE FORMS ATTACHED IN ORDER TO BE CONSIDERED DO NOT STAPLE! Use a PAPER CLIP to submit application, supplemental application, etc. APPLICATION DEADLINE- FRIDAY, MARCH 4, 2016 HICKSVILLE HIGH SCHOOL SCHOLARSHIP APPLICATION Completing this application will insure your participation in the competition for community and school-related scholarships. STUDENT ID #_____________________ Return this Application to the Guidance Office no later than Friday, March 4, 2016 All information on this application is confidential. NAME:____________________________ TYPE OR PRINT LEGIBLY USING BLACK INK ONLY COUNSELOR: _____________________ ADDRESS:_________________________ PHONE:___________________________ RELEASE OF INFORMATION FOR SCHOLARSHIP APPLICATIONS: (This release must be completed for a scholarship packet to be established for you.) I authorize the Guidance Office of Hicksville High School to provide the following information to scholarship donors if required: Teacher evaluations, high school transcript, financial information, counselor letter of recommendation, standardized test scores, essays. I give my consent to have any essays published by benefactors. ___________________________________________ Signature of Student _________________________________ Signature of Parent ___________________________________________ Date _________________________________ Date GPA________ RANK________ SAT CR________ SAT M___________SAT W ________ TOTAL _________ ACT COMPOSITE ________ Please check one: __________ Male __________Female Please check if you are a member of Hicksville Athletic Booster (HABC) ______ 1. SCHOOLS ATTENDED BY THE APPLICANT a. Elementary_______________________________________________________________________ b. Circle grades attended in Hicksville 6 7 8 9 10 11 12 c. Other High Schools________________________________________________________________ 2. UNIVERSITIES, COLLEGES, AND/OR TECHNICAL SCHOOLS APPLIED TO: Institution Address(City/State Only) Program Applied To 3. 1ST Choice ____________________ _____________________ __________________ 2nd Choice ____________________ _____________________ __________________ 3rd Choice ____________________ _____________________ __________________ 4th Choice ____________________ _____________________ __________________ LIST YOUR POSSIBLE CAREER GOALS IN ORDER OF PREFERENCE: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 4. SHARE SPECIAL TALENTS OR HOBBIES: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 5. DISCUSS YOUR REASONS FOR SEEKING A SCHOLARSHIP: __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ 6. HIGH SCHOOL PTSA SCHOLARSHIP (State your future goals, not to exceed 50 words in length. Use separate sheet if necessary. ) __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ __________________________________________________________________________________________ Please place a check on the line next to the number of awards/scholarships for which you would like to be considered. CHECK ONLY THOSE FOR WHICH YOU ARE ELIGIBLE. 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. 11. 12. 13. 14. 15. 16. 17. 18. 19. 20. 21. 22. 23. 24. 25. 26. 27. 28. 29. 30. 31. 32. 33. 34. 35. 36. 37. 38. 39. 40. 41. 42. 43. 44. 45. 46. _____ American Legion Post 421 Charles Wagner Memorial Scholarship* _____ Band Parents Association Scholarship _____ Bethpage Hicksville Lodge #975 F. & A.M. Bernard LaPadula Memorial Scholarship _____ David R. Bouton Life Sciences Award (essay, letter of recommendation) _____ Susan Brill Memorial Scholarship _____ Burns Avenue School PTA Dorothy Stein Memorial Scholarship _____ Burns Avenue School PTA Elizabeth Obremski Memorial Scholarship _____ Burns Avenue School PTA Mary Price Special Achievement Scholarship _____ Burns Avenue PTA Eve Borja Memorial Scholarship _____ The Colaio Pedicini Memorial Foundation – Mark Colaio Scholarship (essay, letter of recommendation) _____ The Colaio Pedicini Memorial Foundation – Stephen Colaio Scholarship (essay, letter of recommendation) _____ The Colaio Pedicini Memorial Foundation – Thomas Pedicini Scholarship (essay, letter of recommendation) _____ Mary D’Andrea Scholarship _____ DeDomenico Family Endowed Scholarship _____ Dutch Lane PTA Scholarship _____ Dutch Lane PTA Scholarship _____ Annual East Street PTA Scholarship Fund** _____ East Street PTA Rededication Scholarship (two letters of recommendation) _____ The East Street PTA/Sarah Grace Weippert Memorial Scholarship (essay, letter of recommendation) _____ Elaine Resnik Eyes of Learning Scholarship for Service to School and Community. _____ Henry Euler Mathematics Education Scholarship _____ Fork Lane Elementary Jeremy Katz Memorial Scholarship Sponsor _____ Fork Lane PTA Scholarship _____ Fork Lane Lane PTA Walter G. Gaylor, Jr. Memorial Scholarship _____ Scott Fusco Memorial Scholarship (essay) _____ Galileo Galilei Lodge #2253 Memorial Scholarship _____ The Grace J. Fippinger Foundation, Inc. Scholarship**(essay) _____ The Ricky Greene Memorial Scholarship _____ Hicksville American Soccer Club (HASC) Dave Daly Scholarship*(essay, two letters of recommendation, transcript) _____ Hicksville Athletic Booster Club Outstanding Male Athletic Scholarship _____ Hicksville Athletic Booster Club Outstanding Female Athletic Scholarship _____ Hicksville Athletic Booster Club – Applebee’s neighborhood Grill/Kristy Haley Community Service _____ Hicksville Athletic Booster Club Male Scholar Athlete Scholarship _____ Hicksville Athletic Booster Club Female Scholar Athlete Scholarship _____ Hicksville Athletic Booster Club Male Comet Scholarship _____ Hicksville Athletic Booster Club Female Comet Scholarship _____ Hicksville Baseball Association (HBA) Scholarship (essay) _____ Hicksville Boys &Girls Club* _____ Hicksville Chamber of Commerce Scholarship* _____ Hicksville Community Council Scholarship (statement) _____ Hicksville Community Tennis Association _____ Hicksville Congress of Teachers – Elliot Paisner Memorial Scholarship** (essay) _____ Hicksville Congress of Teachers – Memorial Scholarship** (essay) _____ Hicksville Congress of Teachers – Elaine Milani Memorial Scholarship** (essay) _____ Hicksville Congress of Teachers Commitment to Community Service Award** (essay) _____ Hicksville Congress of Teachers – Mary D’Andrea Memorial Union Service Scholarship* (**) (essay) 47. _____ Hicksville Council of Administrators, Supervisors and Department Chairs Scholarship Sponsor** 48. _____ Hicksville Council of PTA Units – Bernard H. Braun Memorial Scholarship 49. _____ Hicksville Council of PTA Units – Homecoming Scholarship 50. _____ Hicksville Council of PTA Units – Homecoming Scholarship 51. _____ Hicksville Council of PTA Units – Lee Del Hughes Memorial Technical Vocational Awards Fund 52. _____ Hicksville Council of PTA Units – Homecoming Scholarship – Hicksville Building and Grounds Unit Technical Vocational Scholarship 53. _____ Hicksville Crusaders Youth Football & Cheerleading Program “Coach Mike T.” (Torrellas) Memorial Scholarship (essay) 54. _____ Hicksville Gardens Civic Association Community Service Scholarship 55. _____ Hicksville Gardens Civic Association (HGCA) Delco Plaza – Alvin Rush Community Scholarship 56. _____ Hicksville Gardens Civic Association (HGCA)/Perfect Pharmacy Community Service Scholarship 57. _____ Hicksville Gardens Civic Association (HGCA)/Perillo Fuel Oil Company Service Scholarship 58. _____ Hicksville Gardens Civic Association (HGCA)/Foodtown Community Service Scholarship 59. _____ Hicksville High School PTSA Scholarships (50 word statement) 60. _____ Hicksville High School PTSA Scholarship (50 word statement) 61. _____ Hicksville High School PTSA Scholarship (50 word statement) 62. _____ Hicksville High School PTSA John F. Pitrelli Memorial Scholarship (50 word statement) 63. _____ Hicksville High School PTSA Richard G. Hogan Memorial Scholarship (50 word statement) 64. _____ Hicksville-Jericho Rotary Club (letter of recommendation, detailed activity sheet) 65. _____ Hicksville Middle School PTSA Scholarship 66. _____ Hicksville Middle School PTSA Marie Marshall Academic Excellence Award Scholarship 67. _____ Hicksville Public Schools Staff Memorial Scholarship** 68. _____ Coach Bob Hilsky Memorial Baseball Scholarship 69. _____ Hicksville Scholarship Fund** 70. _____ Holy Family CYO –Tommy O Memorial Scholarship (letter of recommendation) 71. _____ Tina L. Inocco Scholarship Fund 72. _____ Islamic Center of Long Island Diversity Scholarship 73. _____ The Karla R. Jurgelevich Spirit Award 74. _____ Jeremy Katz Memorial Scholarship 75. _____ The Gieir-Levitt Post No. 655 of The Jewish War Veterans of the USA, Inc. Community Brotherhood Award 76. _____ The Gieir –Levitt Post No. 655 of The Jewish War Veterans of the USA, Inc. XX Olympiad-Sports Memorial Award 77. _____ Kiwanis Foundation of Hicksville – Hicksville Kiwanians Past and Present Scholarship*(**) (see additional application for full list of required documents, all documents must be attached) 78. _____ Kiwanis Foundation of Hicksville –Dr. Charles J. Masek Memorial Scholarship*(**) (see additional application for full list of required documents, all documents must be attached) 79. _____ Kiwanis Foundation of Hicksville - Charles I. Montana Sr. (Class of 1934) and Marguerite Montana Memorial Scholarship* 80. _____ Kiwanis Foundation of Hicksville – Fermin Gonzalez Memorial Scholarship*(**) (see additional application for full list of required documents, all documents must be attached) 81. _____ Kiwanis Foundation of Hicksville – William F. and Carol V. Saueracker Community Service Award * (see additional application for full list of required documents, all documents must be attached) 82. _____ Kiwanis Foundation of Hicksville in Honor of GeKun Park* (see additional application for full list of required documents, all documents must be attached) 83. _____ Kiwanis Foundation of Hicksville – Philip M. Tornatore, DDS Health Care Scholarship* (see additional application for full list of required documents, all documents must be attached) 84. _____ Daniel Kristoff Memorial Scholarship 85. _____ Lee Avenue Mary M. D’Andrea Scholarship 86. _____ Lee Avenue PTA Lee Del Hughes Scholarship 87. _____ Lee Avenue PTA Jack Mateer Scholarship 88. _____ Lee Avenue PTA Monica Leary Memorial Scholarship Sponsor 89. _____ Lee Avenue PTA Donald Skupinsky Scholarship 90. _____ Phyllis, Robert and Lawrence Levy Memorial** 91. _____ Scholarship in Memory of Andrew LiCalsi 92. _____ Lion’s Club of Hicksville – Hicksville Lions Memorial Scholarship (A) 93. _____ Lion’s Club of Hicksville – Hicksville Lions Memorial Scholarship (B) 94. _____ Michael Magro Memorial Scholarship 95. _____ Irvin Munowitz Memorial Scholarship 96. _____ Nassau County American Legion 97. _____ Nassau County Police Activity League Kevin Kolm Memorial Scholarship (letter of recommendation and note indicating which PAL program student participated in) 98. _____ NEFCU’S Making A Difference High School Scholarship 99. _____ Old Country Road PTA Scholarship 100. _____ Old Country Road PTA Catherine Dillon Academic Achievement Scholarship 101. _____ Old Country Road PTA Kevin Kolm Memorial Scholarship 102. _____ Old Country Road PTA Joan Lane Memorial Scholarship 103. _____ Sarah Grace Weippert Memorial Scholarship (essay, letter of recommendation) 104. _____ SEPTA Scholarship 105. _____The Christine Schiavone Memorial Scholarship 106. _____ The Jerry and Emily Spiegel Family Scholarship** 107. _____ Veterans of Foreign Wars, William M. Gouse, Jr., Post 3211 Scholarship 108. _____ Gloria & Bernard Vinson Endowed Scholarship in Memory of Theodore Walter Pusinelli 109. _____ Terry Wallace Student-Lacrosse Player Scholarship 110. _____ John A. Walker Scholarship 111. _____ Basil S. Warner Scholarship 112. _____ Madeline Wicksel Memorial Scholarship 113. _____ Woodland PTA – Joseph Agosto Memorial Scholarship 114. _____ Woodland PTA Dr. Manus Clancy Scholarship 115. _____ Woodland Memorial Scholarship 116. _____ Mattie J.T. – “Reflections of a Peacemaker” Scholarship (poem or 500+ essay, 200 word biography) 117. _____ Fernando Bengoechea – Photography/Art Scholarship – We are all connected (photo,drawing, or painting, 500+ word essay) 118. _____ Zaki &Rahat Hossain Scholarship *ADDITIONAL APPLICATION REQUIRED (PLEASE PICK IT UP IN THE GUIDANCE OFFICE. **FINANCIAL NEED SUPPLEMENTAL APPLICATION REQUIRED ANY SCHOLARSHIP REQUIRING AN ADDITIONAL APPLICATION, FINANCIAL AID SUPPLEMENTAL APPLICATION, ESSAY, LETTER(S) OF RECOMMENDATION MUST HAVE THESE FORMS ATTACHED IN ORDER TO BE CONSIDERED APPLICATION DEADLINE --- FRIDAY, MARCH 4, 2016 THIS FORM MUST BE COMPLETED IN ITS ENTIRETY. If additional space is needed, please attach on 8 ½ x 11 white paper only. In lieu of this form you may attach an activity sheet with the required information. Extracurricular Activities & Clubs Name of Club/Activity Please provide a brief description of each club and activity Hrs. Per Week Description School Years Wks. Per Year Positions Responsibilities Honors and Awards Name of Honor/Award(s) Description School Years Community Service Community Service Positions/Responsibilities School Years Hr. Per Week Wks. Per Year School Years Hr. Per Week Wks. Per Year School Years Hr. Per Week Wks. Per Year Summer Experience Summer Experiences Positions/Responsibilities Employment Employment Positions/Responsibilities Hobbies and Interests Hobbies and Interests Positions/Responsibilities School Years Hr. Per Week Wks. Per Year DIRECTIONS FOR FILLING OUT FINANCIAL NEED SUPPLEMENTAL APPLICATION: 1. Type or print legibly in BLACK ink only. (Blue ink does not photocopy well.) 2. To be filled out only by students who are applying for scholarships stating financial need in their eligibility criteria, i.e. identified by a double asterisk (**) on the Scholarship Application Form. Scholarship #’s are: 17, 27, 42, 43, 44, 45, 46, 47, 67, 69, 77, 78, 80, 90 and 106. 3. For "Information Concerning Your Family": a) b) c) d) 4. Put a check in the space provided to the left of each appropriate response. Information about brothers and sisters includes any step-siblings and/or half-siblings living in the same household as you. List any others living in your home according to relationship to you, e.g. grandmother, uncle, etc. Include dependent siblings currently attending college whether they are living at home or on campus. For "Parent Employment Information": Identify the person(s) who are your primary means of support and state relationship to you as well as the rest of the information requested - e.g. relationship to you could be father, mother, stepfather, stepmother, etc. 5. For "Siblings" presently attending college, etc.: List siblings (as defined above in #3) by age and list the institution(s) attended with address. 6. Attach to and submit with the regular Scholarship Application form. The deadline date is Friday, March 4, 2016. FINANCIAL NEED SUPPLEMENTAL APPLICATION To be filled out only by students who are applying for scholarships stating financial need in their eligibility criteria. The scholarships are: 17, 27, 42, 43, 44, 45, 46, 47, 67, 69, 77, 78, 80, 90 and 106 and are also identified by a double (**) on the scholarship application form. 1. INFORMATION CONCERNING YOUR FAMILY: a) Identify the people living in your home other than yourself by placing a checkmark in the space provided to the left. ____ Father ____ Older Brother(s) How many ?______ ____ Mother ____ Older Sister(s) How many ?______ ____ Stepfather ____ Younger Brother(s) How many ?______ ____ Stepmother ____ Younger Sister(s) How many ?______ ____ Other(s) - State Relationships. __________ __________ _________ __________ 2. PARENT EMPLOYMENT INFORMATION (Please do not write any family names on this form) Relationship to You_________________________________________________________ Occupation________________________________________________________________ Place of Employment ________________________________________________________ Gross Annual Income $_______________________________________________________ Relationship to You__________________________________________________________ Occupation ________________________________________________________________ Place of Employment ________________________________________________________ Gross Annual Income $_______________________________________________________ 3. Siblings presently attending college or any higher education institution: AGE _____ _____ _____ _____ 4. SCHOOL ___________________ ___________________ ___________________ ___________________ ADDRESS (CITY/STATE ONLY) ________________________________ ________________________________ ________________________________ ________________________________ In the space provided below, please indicate any extenuating financial circumstances of which the Scholarship Committee should be aware while considering your application. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ HIGH SCHOOL GUIDANCE AND COUNSELING CENTER Efthymia Rafaelides Chairperson for Guidance Services Counselors Patricia Aliperti Karen Felber Alice Hannon Jessica Molof Sanjay Paranandi Rosemarie Rosenblum Veronica Velez
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