Darko Rapotez Memorial College Scholarship
                        Fund For Aged Out Foster Youth

                                            An Initiative of Love Our Children USA

                                  APPLICATION

     

 

        

                     

The 2007 - 2008 Scholarship Process Is Closed.
Please watch for updates
on when to apply for 2009 Scholarships.

Please submit the application in the below order, using paper clips. No staples please.

All parts (including transcipts and recommendation letters ) must be received in one envelope by Monday, March 10, 2008. Late or incomplete applications will not be considered. Transcripts and/or recommendation letters will not be accepted without the completed application.

Send completed application packages to:

Love Our Children USA
220 East 57 th Street , 9 th Floor – Suite G
New York NY 10022 – 2820
Att: Darko Rapotez Memorial Scholarship Fund

Completed application packets must be postmarked no later than March 7, 2008. Applicants will be notified of the committee's final decision by May 15, 2008. Decisions on funding are made on academic excellence and determined by need.

All fields must be completed. Please type or print clearly and print out form.

PART I - PERSONAL INFORMATION

Date

First Name  MI   Last Name

Gender     Male Female     

Birthdate   Month    Day    Year

Social Security Number

Address

Address 2

City State  Zip Code

Home Phone     Area Code  Phone Number

Cell Phone        Area Code  Phone Number

College Phone  Area Code  Phone Number

Email

Are you planning to move in the next six months?   Yes No

If yes, anticipated new address and expected move date

City State  Zip Code
If you experience an unanticipated move, please keep us up-to-date on your address, phone, and email address.

PART II - SCHOOL INFORMATION

Do you have High school diploma or GED

Date of graduation Month  Year

If not, expected graduation?  Month  Year

Are you currently enrolled in college?  Yes No

If no, what is your anticipated starting date? Mo Day Year

Name of school currently attending (No nicknames or abbreviations)

Your address while attending school (if different than home/permanent address):

Address

Address 2

City State  Zip Code

Dates attended to GPA

Advisor's Name

Area Code  Phone Number

Email

Name of school you will attend in the fall of 2007 (Do not abbreviate or use nickname):

Academic Year for which you are applying: Please Select
Freshman Sophomore Junior Senior Graduate

Major Minor

Student status: Full-time Part-time

How many units are you taking?

How many units do you anticipate taking next year?

Per semester/quarter

PART III - BACKGROUND INFORMATION

Social Worker's Name

Area Code  Phone Number

Current Previous

Have you lived in: Foster home(s) Relative Care Group Home

County

Were you adopted out of the foster care system? Yes No

For the 2007– 2008 term, have you applied for any type of financial aid?
Yes No

If yes, please list what type (or who is the provider), how much will be received and when, or what date you will know the result.

What type:

How much received (or will receive):$

Date received(or to be received - month/year)

What type:

How much received (or will receive):$

Date received(or to be received - month/year)

PART IV - EMPLOYMENT INFORMATION

Are you currently employed? Yes No

If no, are you currently seeking employment? Yes No

If yes, list: Place of employment

Position

Supervisor Phone Area Code  Phone Number

Employment status: Full-time Part-time

Will you allow Love Our Children USA to use the information in this application for publicity purposes? (There is no penalty if you want your application kept confidential)
Yes No

Where did you learn about the Darko Rapotez College Memorial Scholarship Fund for Abandoned Youth?

Please note which number is best to reach you at after March 15th
Home College Mobile

Please initial the following:
I certify that the information given in this application is true to the best of my knowledge.
I authorize Love Our Children USA to contact my current and prior employers and the Health and Human Services Agency in my county to verify my eligibility and information provided.

I certify that the information given in this application is true to the best of my belief.
I authorize Love Our Children USA to contact my current and prior employers and the Health and Human Services Agency in my county to verify my eligibility and information provided

Applicant's Signature

Date

Please read GUIDELINES before submitting complete application packet
and sSend completed application packages to:

Love Our Children USA
220 East 57 th Street , 9 th Floor – Suite G
New York NY 10022 – 2820
Att: Darko Rapotez Memorial Scholarship Fund

 

For questions or comments please email
Darko Rapotez Memorial Scholarship Fund in Subject Line

If you are interested in contributing to the fund, please Click here to make a secure online donation or call 1-888-347-KIDS.

 

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