On-line scholarship application

Applicant

First Name *

Middle Name

Last Name *

Email Address *

Phone *

Date of birth *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Studies

OtherPlease provide more details on your educational status

Campus attended or accepted by

Name of school *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Country *

Education level pursued *associate degreebachelor’s degreemaster’s or graduate degreedoctorate or professional degree

Major *

Required documents

Proof of acceptance or current attendance at an accredited college or university (e.g., a letter of acceptance, current transcript). *

No file chosen

Verification of scholastic achievement (e.g., GPA, transcript) from at least the last two (2) years of education. *

No file chosen

A letter of intent written by the applicant, outlining their interest and thoughts regarding their Polish-American heritage, describing their volunteering activities or showing active involvement with the Polish community. *

No file chosen

A copy of a valid identification document (e.g., passport, driver’s license, or Colorado ID). *

No file chosen

References

Recommendation letters

Please, ask your two teachers and one officer of Polonian or community organization to email their recommendation letters directly to scholarship@polishclubofdenver.com and provide their names and contact information in the fields below.

First Teacher

Prefix

First Name *

Last Name *

Email Address *

Name of teacher's school *

Second Teacher

Prefix

First Name *

Last Name *

Email Address *

Name of teacher's school *

Officer of Polonian or community organization

Prefix

First Name *

Last Name *

Email Address *

Name of Polonian or community organization *

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