POLISH AMERICAN CONGRESS OF MICHIGAN SCHOLARSHIP FUND, INC. 11333 Jos. Campau Hamtramck, Michigan 48212-3038 (313) 365-9400 APPLICATION FOR SCHOLARSHIP GRANTS GRANTS AVAILABLE(2017-2018) MICHAEL & HELEN BEDNARCZYK GRANT Available for Business Administration, Finance or Accounting areas of study.

CZECHOWSKI GRANT Available for any major area of study. FRANK & SOPHIA FILIPEK GRANT No specific major area of study or criteria has been established with the donor.

JOZEF & REGINA MARCINIEC GRANT Available for any major area of study, however, candidate must be proficient in the Polish language and actively participating in Polonia.

DANA WITKOWSKI GRANT No specific major area of study or criteria has been established with the donor.

JOHN AND VICTORIA KUSHEL GRANT Available for a major study in the Nursing profession.

DR. STANLEY A. OZOG GRANT Available for a major study in Osteopathic Medicine, pre-Medicine or the Nursing profession

POLISH AMERICAN CONGRESS OF MICHIGAN SCHOLARSHIP FUND ACCOUNT Grants are established by the Board of Directors as funds are available. CRITERIA USED IN EVALUATING CANDIDATES 1. Scholastic Average 2. Polonian Involvement-include the last two years 3. Community Service-include the last two years 4. Financial Need of Student APPLICATION REQUIREMENTS - College freshman are not eligible for scholarship. Available for only full time students - All applicants must be residents of Michigan. - Application must be completed in its entirety. - Verification of current grade point average must be attached. - Verification of Polonian involvement must be included. - Verification of community service must be included. - Verification of financial need must be included. SCHOLARSHIPS ARE FOR TUITION AND BOOKS ONLY Checks will be made out to the College or University.

Completed applications become the property of the Polish American Congress of Michigan Scholarship Fund. All information submitted on the application is considered confidential and will not be duplicated and only be discussed by the Scholarship’s designated judges and officers. Your completed application is due NO LATER THAN APRIL 1 OF EACH YEAR

Completed application must be mailed or delivered to: Polish American Congress of Michigan Scholarship Fund, Inc. 11333 Jos.Campau Hamtramck, Michigan 48212-3038

A 501(c)3 Organization under the Internal Revenue Service POLISH AMERICAN CONGRESS OF MICHIGAN SCHOLARSHIP FUND, INC. 11333 Jos. Campau Hamtramck, Michigan 48212-3038 (313) 365-9400

APPLICATION FOR SCHOLARSHIP GRANTS

NAME: ______

ADDRESS: ______

CITY: ______ZIP: ______PHONE: (_____)______

COLLEGE / UNIVERSITY YOU WILL BE ATTENDING IN THE SCHOOL YEAR

______Location: ______

AREA OF STUDY: ______

How will this scholarship grant help you in pursuit of your degree?

In the last two years, which Polonian organization(s) have benefited from your membership? How?

In the last two years, which organized volunteer, community or other group(s) benefited from your service? How?

Any additional information, which may be helpful in reviewing this application, may be added on the back on this sheet.

Your “Application Check List” must be included with your application. Attach all necessary information needed to evaluate your request for a Scholarship Grant.

Applicant’s Signature: ______Date:______A 501(c)3 Organization under the Internal Revenue Service APPLICATION CHECK LIST:

In order to receive consideration for a PAC of Michigan Scholarship Grant, the following must be sent:

_____ 1. Completed Application.

_____ 2. Verification of acceptance or attending College / University (ex. letter of acceptance, transcripts, etc.)

_____ 3. Verification of scholastic average (ex. test scores, transcripts, report card, etc.)

_____ 4. Verification of financial need (ex. completed financial aid form-- FAFSA), federal income tax return form(s), other scholarships, 1098-T Form, etc.)

_____ 5. A letter of recommendation from an officer of at least one Polonian organization.

_____ 6. A letter of recommendation from an officer of at least one volunteer or community organization.

_____ 7. If you are applying for the Jozef & Regina Marciniec Grant, verify your degree of Polish proficiency.

Polish American Congress-Michigan Division encourages you to apply for one of our scholarships. Our division is grateful to all our generous benefactors over the years for donating to the Polish American Congress of Michigan Fund Inc., thus enabling us to offer scholarships to young people of our community each year since 1972. All applicants are welcome to become members of PAC-MI and, as recipients, are invited to contribute their time and talents at our division events and to our projects.