ELIGIBILITY:

Orange resident enrolled in public, private, parochial school entering his/her first year of post-secondary education.

TYPES OF QUALIFYING POST-SECONDARY EDUCATION:

Vocational, community college, four year college or university

REFERENCES:

Two references required (excluding relatives) - One must be from a school counselor or teacher

TRANSCRIPT: Transcript MUST be sent from your school. Speak to your guidance counselor to assure this is done by the deadline date (see Submission of Information below).

CRITERIA FOR SELECTION: Financial need - scholarship - leadership

COMPLETE ALL FORMS WITH PEN CONTAINING ”BLACK INK”  –  PRINT OR TYPE  EVERYTHING – no cursive writing.

LEADERSHIP ROLE(s):

Complete the Leadership Role Form for only those groups, clubs, or organizations in which you have demonstrated leadership.

SCHOLARSHIPS AVAILABLE, AND AMOUNTS:
1. Ashlie Krakowski Scholarship total amount to be awarded will be $5,000 in 2024. Applicants interested in pursuing academic studies in the field of Nursing or related health care fields.
2. Additional awards will be made depending on annual fund raising and total number of awards are based on number of applications received.

DELIVERY OF SCHOLARSHIP FUNDS:
Scholarship checks will be mailed to the post-secondary institution that the student will be attending.

APPLICATION DEADLINE DATE: April 22nd. Late or incomplete applications will NOT be processed. Applicant is responsible for submission and verification of ALL requested information (references, transcripts, application forms) and mailing thereof by the due date.

SUBMISSION of INFORMATION:
All application materials:
email to info@orangescholarshipfund.com

or mail to:
Sabra Donovan
390 Lambert Road
Orange, CT 06477

Parents: Submission of your Federal Tax Form ( Pages 1 and 2 of Form 1040) is required to substantiate income data. All tax forms are maintained as confidential and destroyed soon after the scholarships are awarded.

 

Student Application Form

Name of Applicant Date of Birth

Address

Phone No Social Sec. No.

Work Experience - (1) Place of work (2) Duties (3) Dates

1 2 3

1 2 3

1 2 3

Brief statement concerning your education goal :

Do you plan to work while attending college? Yes No

College/University applied to:

College/University accepted to:

Intended major - if known:

What have you done to acquire information/experience in the above area of interest? If area of interest in unknown at this time, leave blank.

What do you hope to achieve by enrolling in your post-secondary school?

Name of other scholarships or financial aid programs you have or will apply for:

Name of other scholarships or financial aid programs you were awarded and dollar amount:

Your current total savings /investments (include bank accounts, stocks, bonds)

$

Anticipated earnings this summer: $

Financial aid needed for the coming school year: $

Of all the students who will apply for financial assistance through the Orange Scholarship Fund, why should you be selected?

Student Additional Pertinent Information Form

Note: If there is any additional pertinent information that would aid the committee in its deliberations
please attach attach a separate sheet.

To be completed by the student if needed

I certify that the answers given above are complete and accurate.

Student's signature Date