Scholarship Application

1. First Name *

Last Name *

Phone Number *

Country *

Email Address *

2a. Permanent Street Address

City

State/Province

ZIP / Postal Code

2b. Present Street Address (If different from permanent address)

City

State/Province

ZIP / Postal Code

3. Are you a United States citizen or permanent lawful resident? * *YesNo

4a. Are you of Greek descent? *YesNo

4b. If yes, who in your family is Greek? List name(s) of person(s) and how you are related. *

Are you a dependent student? If you are an independent student, as defined by FAFSA, skip to 6a. *YesNoIf you are a dependent student, you must complete 5a-5c

Family

5a. Father's Name

Last Name

Father's Street Address

City

State/Province

ZIP / Postal Code

Country

Father's Employment

5a. Mother's Name

Last Name

Mother's Street Address

City

State/Province

ZIP / Postal Code

Country

Mother's Employment

5c. Names and ages of other children in family. Indicate if any are presently attending college.

Education

6a. School you currently attend *

Address While at School *

City *

State/Province *

ZIP / Postal Code *

Country

6b. Anticipated Graduation Date *

6c. Cumulative GPA *

7. Honors and Awards you have received and/or extracurricular activities. *

8. Previous schools attended (high school or college) with dates and degrees: *

Are you presently in college? If so, skip to 10a. * *YesNoIf no, you must complete 9a-9b.

9a. Colleges to which you have applied

9b. Colleges to which you have been accepted

9c. What is your intended field of study?

10a. Present or anticipated annual tuition *

USD

10b. Room and board *

USD

11. Name of your guidance counselor or academic adviser *

Work Address of Counselor/Advisor *

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Email Address *

12. Name of the person providing your recommendation letter *

Work Address of Counselor/Advisor *

City *

State/Province *

ZIP / Postal Code *

Phone Number *

Email Address *

13. List all agencies to which you have applied for financial aid or scholarships. Indicate estimated financial need and amounts received to date. *

14. How did you hear about our undergraduate scholarship program? Select all that apply. *Friend or family memberHellenic Hearts MemberHellenic Hearts EmailUniversity: adviser, professor, etc.Social media: Facebook, Twitter, etc.Hellenic Hearts WebsiteChurchScholarship book or websiteOther

15. You have completed your application for a Hellenic Hearts Filodoxia scholar program! Please agree to the declaration below by typing your name and date.

I certify that all the information I provided on this application is complete and accurate. I understand that I must submit an essay (see topic in “Instructions to Applicant”), page 1 of my FAFSA Student Aid Report [if applicable], scholastic transcripts & exam scores, one letter of recommendation as well as any other requirements discussed in question 13 in order to submit a complete application package. It is my responsibility to submit this application and all supporting documents to HellenicHeartsScholarProgram@Gmail.com by Thursday June 15, 2023.

First Name *

Last Name *

Date *

Filodoxia Scholarship Application

Eligibility Requirements

Please note:

Family

Education

Contact

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