Orange Scholarship Fund

Requirement Forms Checklist

Please initial after each line below indicating you have completed and submitted that section of your application. This checklist with all required forms/letters/information MUST be attached for application submission.

Student's Full Name:

Student's Email:

Student's Phone Number:

1. Application Form - Page 1 & 2; completed, signed and attached

2. Student Additional Pertinent Information Form - completed (if necessary)

3. Student Activities / Leadership Form – completed and attached

4. Reference Letter I – Requested from

5. Reference Letter II – Requested from

6. Transcript- Requested from

Request the Reference Letter I, Reference Letter II and
transcript to be sent prior to the application deadline:

email to info@orangescholarshipfund.com

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

7. Parental Form completed and attached

8. Parental Supplemental Page completed (if necessary)

9. Federal Income Tax Form - Pg. 1 & 2 of Form 1040 (latest year)
See item 6 above as to where to send this form

Applicant must print and sign below to indicate that he/she understands and has completed the above checklist.

Late or incomplete applications will NOT be processed.

Signature of Applicant Date

Request the Reference Letter I, Reference Letter II and transcript to be sent prior to the application deadline:

Applicant must print and sign below to indicate that he/she understands and has completed the above checklist.

Late or incomplete applications will NOT be processed.

Request the Reference Letter I, Reference Letter II and
transcript to be sent prior to the application deadline: