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
Two references required (excluding relatives) - One must be from a school
counselor or teacher
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
CRITERIA FOR SELECTION:
Financial need - scholarship - leadership
FORMS WITH PEN CONTAINING ”BLACK
PRINT OR TYPE
EVERYTHING – no cursive writing.
Complete the Leadership Role Form
for only those groups, clubs, or organizations in which
you have demonstrated leadership.
SCHOLARSHIPS AVAILABLE, AND AMOUNTS:
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
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 firstname.lastname@example.org
or mail to:
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
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
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
Name of other scholarships or financial aid programs you were awarded
and dollar amount:
Your current total savings /investments (include bank accounts, stocks,
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.