Scholarship Application for St. Mary's Church
Thank you for applying for a scholarship from St. Mary's Church for the 2025/2026 school year. May God Bless you as you continue your educational journey! Please mail an official digital transcript to scholarship@stmarysglensfalls.org. Applications are due May 31, 2025.
Personal Information
Name
*
First Name
Last Name
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Is the applicant a registered member of St. Mary's Parish in Glens Falls, NY?
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Yes
No
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Educational Information
Is the applicant a graduate of St. Mary's / St. Alphonsus Regional Catholic School/ St. Mary's Academy?
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Yes
No
School that the applicant currently attends
Current Grade / Year as of May 2025
College, Trade School, or Program that the applicant plans to attend in the Fall
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Please list educational goals
*
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Family Information
Full Name of Parent/Guardian #1
*
First Name
Last Name
Occupation of Parent/Guardian #1
*
Place of Employment of Parent/Guardian #1
*
Full Name of Parent/Guardian #2
First Name
Last Name
Occupation of Parent/Guardian #2
Place of Employment of Parent/Guardian #2
Please List Any Siblings (Full Name, Age, and School They Attend)
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Financial Information
Cost of Tuition for the Program/School applicant will attend in the Fall (Please enter the dollar amount.)
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Yearly Room & Board Cost at Program/School applicant will attend in the Fall (Please enter the dollar amount.)
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Yearly Cost of Books (Please enter the dollar amount.)
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Additional Fees (Please specify item and cost.)
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Total Yearly Costs (Please add all costs from the ABOVE questions.)
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Yearly Aid from Scholarships or College/Program/Trade School - (This is the dollar amount the applicant is receiving from the college or other scholarship sources - not including loans, or parent/guardian/student contributions)
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Expected Yearly Deficit (This equals the total yearly costs minus yearly aid from scholarships, etc. )
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PARENTS, please provide the Adjusted Gross Income from your most recent tax return. If you are separated or divorced, please provide BOTH parents'/guardians' Adjusted Gross Incomes. (From form 1040 or Form 1040-5R, line 11) If this is not provided, financial need will be assessed at zero.
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State any unusual circumstances in your family that could affect your need for assistance. Enter "none" if this does not pertain to you.
*
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Personal Experience
Please list any volunteer community service you have performed over the past year, and indicate the number of hours in each activity. Describe the impact it may have had on your life. (Limit response to 150 words.)
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0/150
Indicate your academic goals and your career goals upon graduation, and your plans for achieving them (Limit response to 75 words.)
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0/75
Describe the impact your Catholic faith has had on you during the past year. (Limit response to 100 words.)
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0/100
Visit Father Scott's channel on YouTube (accessible on stmarysglensfalls.org/livestream-media) Choose a video, indicate which one it was, reflect & share your comments in the answer box below:
*
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Attestation to Financial Information
Parents/Guardians and Applicants - Please sign below to confirm the following statement: We hereby affirm all information is true and accurate.
Student Signature
*
Parent/Guardian Signature
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