2011 Scholarship Application

The Men's League of St. Nicholas Greek Orthodox Shrine Church

196-10 Northern Boulevard, Flushing, New York 11358

The Men's League of St. Nicholas proudly announces it's 56th Anual Scholarship Award of two $1000 Individual Scholarships to be awarded to June 2011 High School Graduates. Parents of applicants must be members in good standing of St. Nicholas Church and have participated in the Stewardship Program for the years 2009 thru 2011
STUDENT NAME: _______________________________________________

ADDRESS: _______________________________________________

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HOME PHONE:________________________________  AGE:_________

PARENT'S NAME:  _______________________________________________

ACADEMIC RECORD: (Please attach copy of High School Transcript)

CHURCH ACTIVITIES: (List the organizations which you as a student were active in within the Church during 2009-2011. e.g. Boy Scouts, Girl Scouts, GOYA, etc.)

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COMMUNITY ACTIVITIES: (List public and community activities attended, e.g. Little League, etc.)

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  PARENT'S SIGNATURE:___________________________

STUDENT'S SIGNATURE:__________________________

  PLEASE RETURN APPLICATION FORM (along with a High School Transcript) BY October 31, 2011 TO:

St Nicholas Mens League
196-10 Northern Boulevard
Flushing, NY 11358 (718) 357-4200

 

  RECEIVED BY:____________________________________________________