ARMENIAN STUDENTS' ASSOCIATION OF AMERICA, INC.

 REQUEST FORM FOR SCHOLARSHIP APPLICATION

Request is hereby made for an application for an outright grant.

Please read the following paragraph carefully to determine whether you are eligible.

 Applications for outright grants may be submitted by full-time students of Armenian descent if they have completed at least one year at an accredited college or university and if they will be enrolled as full-time students for the entire 2004-2005 academic year at a four year accredited college or university in the United States. The criteria for being eligible for these grants are: financial need, academic achievement, self-assistance and extracurricular activities.

DEADLINE FOR ANNUAL GRANT:

This request for an application package must be filled out and returned to the Armenian Students' Association no later than February 15, 2004. An application package will then be sent to you. All application paperwork must be fully completed and received by the ASA on or before March 15, 2004, or application will be considered ineligible. There will be no exceptions made for late application paperwork.

 RETURN THIS REQUEST FORM WITH FIFTEEN DOLLAR ($15.00) APPLICATION FEE TO:
 

A.S.A. Scholarship Committee
333 Atlantic Avenue
Warwick, RI  02888
(401) 461-6114 


 

Please make checks payable to the Armenian Students' Association (checks only)

 APPLICANT'S NAME:

 Complete address where Scholarship Application Forms are to be mailed:
 
 
 

1. FULL NAME:

 2. Telephone Number:

 3. Social Security Number:

 4. Place of Birth:
    Date of Birth:

 5. In what way are you of Armenian descent? (Please be specific):
 
 
 

6. Name and address of the school you will be attending next year:
 
 
 

a. Will you be a full-time student next year?

 b. What is your major?

 c. What is your expected graduation date?

 Reminder: To qualify for this grant you must be a freshman in college or beyond and you must be enrolled as a full-time student at an accredited four year college or university in the United States for the entire 2004-2005 academic year. (High School seniors are not eligible to apply for this grant.)
 

Please remember to include the $15.00 Application Fee

Rev. 11/96
ASAFORM