Scholarship Application

PRINT OUT THIS PAGE AND MAIL TO:
Matthew Iaria, Chairman Scholarship Committee, 4440 Ingleside Ln., Indianapolis, IN 46227

 

 
Application Date:___________________________

Name: ___________________________________________________________

Address :  ________________________________________________________

City/State/Zip ______________________________________________________

Phone:  __________________________________________________________

Compose an essay stating

"WHY SHOULD WE HAVE AN ITALIAN HERITAGE SOCIETY?"

Complete application and return with a copy of your transcript (and the essay) to

Matthew Iaria
4440 Ingleside Ln
Indianapolis, IN 46227

List Employement Experience:

Place of Business __________________________________________________

Position __________________________________________________________

Address __________________________________________________________

City/State/Zip ______________________________________________________

Immediate Supervisor _______________________________________________

 

Place of Business __________________________________________________

Position __________________________________________________________

Address __________________________________________________________

City/State/Zip ______________________________________________________

Immediate Supervisor _______________________________________________

 

Place of Business __________________________________________________

Position __________________________________________________________

Address __________________________________________________________

City/State/Zip ______________________________________________________

Immediate Supervisor _______________________________________________

 

 

List extra curricular activities associated with school

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List outside activities not associated with school

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List maternal and paternal Italian family members

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