Personal Fact Sheet

THE FAITH TRUMBULL CHAPTER, DAR, INC. 42 Rockwell Street Norwich, CT 06360 860-877-8737

Dear Applicant:

The Faith Trumbull Chapter DAR, Inc. has established one-year Scholarship awards of $500.00 each to graduating seniors from Norwich Free Academy, Montville High School, St. Bernard High School, Bacon Academy and Griswold High School. These awards will be paid directly to the college where you are accepted.

Selection is based on school record, financial need, clarity of college goals and personal potential. You may apply for this scholarship even though you may have applied for the Connecticut State DAR scholarship.

The Scholarship will be awarded when Faith Trumbull Chapter receives notification from the Registrar’s Office that you are enrolled and attending classed during the 2008-2009 calendar year. It is your responsibility to make sure Faith Trumbull receives this information.

APPLICATION PROCEDURE

 Complete the Personal Fact Sheet  Complete the Financial Need Sheet  Complete the Student Income and Resources Sheet  Submit S.A.T scores  Submit Class Standing  Submit brief, personal letter (250-350) explaining goals in college and any specific interests or plans for future activities.  Submit two personal references from teachers or others who know you and are aware of your activities. (No relatives)  Be sure to fully complete the above information.  Deadline for completed application is April 30, 2008.  Winners will be notified by the Scholarship Chairman and will be requested to attend the chapter meeting on June 4, 2008. Chapter House is at 42 Rockwell ST., Norwich, CT.

Mail applications to: Ms. Patricia G. Pellegrini, Scholarship Chairman The Faith Trumbull Chapter, DAR, Inc. 20 Connecticut Drive, Plainfield, CT 06374 PERSONAL FACT SHEET

NAME IN FULL

HOME ADDRESS

TELEPHONE NUMBER

NAME OF FATHER OR GUARDIAN

HOME ADDRESS

TELEPHONE NUMBER

NAME OF MOTHER

HOME ADDRESS

TELEPHONE NUMBER

HIGH SCHOOL

GUIDANCE COUNSELOR’S NAME

NAME OF COLLEGES TO WHICH YOU HAVE APPLIED – IN ORDER OF PREFERENCE

COLLEGES WHERE YOU HAVE BEEN ACCEPTED 

LIST ANY SCHOLARSHIPS OR HONORS YOU HAVE RECEIVED

EXTRA CURRICULAR ACTIVITIES, SCHOOL CLUBS, ATHLETIC TEAMS AND/OR COMMUNITY SERVICE

Use Back of Sheet if Necessary INCOME DATA (FINANCIAL NEED)

Father or Guardian Mother

Name Name

Address Address

Telephone Number Telephone Number

Employer or Firm Employer or Firm

Employer’s Address Employer’s Address Employer’s Employer’s Telephone No. Telephone No.

Current Position Current Position

Income Income

Total Annual Family Income from all Sources

Number of Dependents in Family and ages (other than applicant)

Other information concerning the financial assets and obligation which would explain your need:

Signed Date Father or Guardian Signed Date Mother ESTIMATED COSTS STUDENT INCOME & RESOURCES

Estimated Costs: Tuition Fee: $ Board and Room: $ Books and Supplies: $ Other Costs: $

What will you be able to contribute to your education: $ How Earned?

Any other pertinent information the Committee should know?

Date: Signed:

Mail completed applications, by April 30, 2008, to:

Ms. Patricia G. Pellegrini, Scholarship Chairman The Faith Trumbull Chapter, DAR, Inc. 20 Connecticut Drive, Plainfield, CT 06374