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Student Financial Assistance Application

Name

Address

Age

Phone

Are you currently a student? *

Yes

What school are you attending or planning to attend?

Grade/Form

Do you have an intended field of study?

When will you graduate?

What school are you attending or planning to attend?

Do you have a financial need? *

Yes

Is the money to be used for a particular need? (Example tuition, books, etc.)

Please provide detail of financial need

Please provide current employment status of your family

What is the highest level of education achieved by your family?

Applicant *

Less than High School

High School

Bachelors Degree

Masters + Degree

N/A

Mother *

Less than High School

High School

Bachelors Degree

Masters + Degree

N/A

Father *

Less than High School

High School

Bachelors Degree

Masters + Degree

N/A

Siblings *

Less than High School

High School

Bachelors Degree

Masters + Degree

N/A

What makes you the ideal candidate for this funding opportunity?

List two references here along with their contact information. If you are currently in school, one of the references must be affiliated with your school.

Please upload one letter of recommendation.

Upload File

Upload .pdf or .doc file (15 MB Max)

Please upload a photo of yourself. If you are a recipient of an award please note that your photo may be used on our promotional materials or on our website.

Upload File

Upload .jpg or .png file (15 MB Max)

Please describe any recent community activity. Note: All award recipients must participate in a community activity during the upcoming school year. This is a requirement for the scholarship award.

Disclaimer: We may request proof that the funding you received was used for the intended purpose.

support@bernadettefrancisfoundation.org

Address

Bernadette Francis Foundation

P.O. Box 340555

Tampa FL 33694

United States

Florida 501(c)3 Not For Profit Organization

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