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Application Form
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| 1.) Name | |
| 2.) Address | |
| 3.) Phone | |
| 4.) E-mail | |
| 5.) Qualify | Please provide below the name of
parent/guardian who: (a) is currently or was previously employed by the City of New York as a firefighter (b) passed away in a fire in New York City (c) was lost in the attack on the World Trade Center on September 11, 2001 (d) passed away in any other natural or national disaster
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| 6.) Institution | A) At what college do you plan to
be enrolled in the coming academic year?
B.) If you have not yet decided where you will attend college, please provide us with the names of colleges to which you are applying and to which you have been admitted. If your decision depends on the availability of financial aid or scholarship funds, please indicate such circumstances below.
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| 7.) Other Funds | Are you applying for or receiving any other scholarships? If yes, please describe |
| 8.) Attach | The following information will be
required to complete the application:
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| 9.) Comments | If you would like to take the opportunity to discuss or explain any element of your transcript, please include with this application a brief statement, not to exceed one typewritten double-spaced page |
The Michael Lynch Memorial Scholarship Program is a publicly endowed fund established to provide scholarships to relatives of (i) New York City firefighters, (ii) victims of fires in New York City, (iii) victims of the September 11, 2001 World Trade Center attacks and (iv) victims of other disasters, and others as the Directors of the Foundation may, in their discretion, designate. Students in any one of the above mentioned categories who are about to commence a college education or who are currently in the process of obtaining an undergraduate degree are eligible to apply. Selection of Michael Lynch Memorial Scholarship recipients is, based on objective, non-discriminatory criteria without regard to race, sex, religion, national origin, sexual orientation or ethnicity.
