Signature School Scholarship Materials Request Form
Please complete the following form to request one or more Signature School scholarship applications. Once Mrs. Cirino receives your request form, she will email you the materials requested.
Name of person completing form:
*
First Name
Last Name
Name of nominator (this might be your name!)
*
First Name
Last Name
Please provide the email address for the person to whom scholarship nomination materials should be sent:
*
example@example.com
Name of person being nominated (this might be your name!):
*
First Name
Last Name
Your relationship to the nominee:
*
Self
Teacher/Administrator
Parent/Guardian
Employer
Supervisor
Coach
Friend
Other
Nominator's relationship to nominee:
*
Self (Kuhlenschmidt, Schwenker, Szorcsik)
Teacher/Administrator (Kuhlenschmidt, Schwenker, Szorcsik)
Felllow Classmate (Kuhlenschmidt, Schwenker, Szorcsik)
Parent/Guardian (Szorcsik)
Supervisor/Coach/Community Leader (Szorcsik)
Other
Please select all scholarships for which you are requesting materials. Scholarship descriptions can be found in the email you received with this link or in the Class of 2025 Notes.
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Ted Kuhlenschmidt Service Award
Laurel Szorcsik Heart of Signature Award
Major General Eric H. Schwenker Award
Once you submit this form, Ms. Cirino will email the nomination materials requested to the email address provided above. Scholarship applications should be submitted to Ms. Cirino by email (kristen.cirino@signature.edu) or a hard copy should be turned in to her by Monday, May 5, at 3:00 PM.
Submit
Should be Empty: