ORDER SONS OF ITALY IN AMERICA

ENRICO CARUSO LODGE # 1463 Scholarship Application $250 - $750

DEADLINE Postmarked by March 20, 2017 SEVERAL SCHOLARSHIPS ARE AVAILABLE TO LOCAL AREA HIGH SCHOOLS. TO QUALIFY , A STUDENT MUST BE OF ITALIAN DESCENT WITHIN THREE GENERATIONS BEFORE YOU (PARENT, GRANDPARENT, OR GREAT-GRANDPARENT) AND/OR BE A MEMBER OR A SON OR DAUGHTER OF A MEMBER OF THE SONS OF ITALY, ENRICO CARUSO LODGE IN VISALIA. Name_____________________________________________Birthdate______________ Address _________________________________________City____________________ High School_____________________________________Student Phone ___________________ What college or university do you plan to attend? _______________________________ _______________________________________________________________________ Name, address, and phone number of parents _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________

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email ____________________________________________________ Are your parents members of the Visalia Sons of Italy Lodge? (YES) (NO) Are you a junior member of the Visalia Sons of Italy Lodge? (YES) (NO) Date___________________

_________________________________ Student’s Signature

PLEASE BE SURE TO INCLUDE A BRIEF EXPLANATION OF YOUR ITALIAN HERITAGE OR HOW YOU QUALIFY FOR THIS SCHOLARSHIP WITH THIS APPLICATION. ALSO NEEDED WILL BE A LETTER OF RECOMMENDATION, AN OFFICIAL TRANSCRIPT, AND THE SCHOOL AND COMMUNITY ACITIVITES SHEET FILLED OUT. PLEASE SEND THE COMPLETED APPLICATION TO:

Kathleen Lagrutta PO Box 245 Exeter, CA 93221

ACTIVITIES SHEET Extracurricular and /or Leadership Activities

9th 10th

11th

12th

Description

Community Service

9th 10th

11th

12th

Description

Honors and/or Special Recognition

9th 10th

11th

12th

Description

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