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Cellino & Barnes College Scholarship Program
 

Applicant Data

Name
First Name: Last Name:

Address
Street:
City:
State:
Zip:

Additional Information
Date of Birth:
Phone Number:
Email Address:
High School:
County:
G.P.A.
Name of 4-year college you will attend

School, Community, Volunteer

School Activities
List all school activities in which you...

Activity 09 10 11 12 Special Awards/Honors Leadership Positions/ Offices Held 09 10 11 12
Not Applicable:

Additional Information:



Community and Volunteer Service
List all community and volunteer activities in which you have participated without pay during the last 4 years (e.g. Red Cross, Big Brother/Big Sister, Youth Group, volunteer at nursing home, recycle project, etc.). Indicate all special awards and honors. List all leadership positions and offices held. Do not list any paid work. Check academic years durning which you participated.

Activity 09 10 11 12 Special Awards/Honors Leadership Positions/ Offices Held 09 10 11 12
Not Applicable:

Additional Information:



Employment Activity
Start Date End Date Company Position Held Hours Worked
Not Applicable:

Additional Information:



Family Background

Parent Information
Father's name:
Occupation:
Employer:
Mother's name:
Occupation:
Employer:
Not Applicable:


Sibling Information
Name Age School or Work? Living at Home?
Not Applicable:

Additional Information:

Scholarship Information

Scholarships or Grants
Please list any scholarships or grants that you have received. Please list the source and the amount.
Scholarship/Grant Amount

Not Applicable:


Essay

In 250 Words or less, describe your ambitions, future plans, and why you believe you are deserving of this award.

In submitting this aplication, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information will result in termination of any scholarship award.

College Scholarship Program

Cellino & Barnes is proud to announce the Annual Cellino & Barnes $100,000 Scholarship Program.

In 2011, Cellino & Barnes will award one hundred, one thousand dollar college scholarships. The applicants must submit, online, a completed application by 5 PM, June 1, 2011. The applicant must graduate from a high school in 2011 and must be enrolled in a four year academic institute for the fall 2011 semester.

The applicant must also reside in one of the following counties:

Allegany, Bronx, Cattaraugus, Cayuga, Chautauqua, Chemung, Erie, Genesee, Kings, Livingston, Monroe, Nassau, New York, Niagara, Ontario, Orleans, Queens, Richmond, Schuyler, Seneca, Steuben, Suffolk, Thompkins, Tioga, Wayne, Wyoming and Yates. Winners will be published on our website mid-July, 2011. Good Luck!

 
 
 
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