Officer Daniel Boyle Scholarship Fund Application

Officer Daniel Boyle Scholarship Fund
To Parents and Students:

Daniel Boyle graduated from Archbishop Ryan High School in 1987. His career path eventually led him to the Philadelphia Police Department. In February of 1990, Danny entered the Philadelphia Police Academy. After completing his studies, he was assigned to the 26th Police District at East Girard and Montgomery Avenues.

On February 4th, 1991, Dan reported for work and was assigned to a one-man patrol car. Dan stopped a vehicle he suspected was stolen and a moment later was shot in the head. Danny died of his wounds on February 6th, 1991.

The Officer Daniel Boyle Scholarship Fund was established at the suggestion of several of Danny's classmates. This scholarship fund helps families who may find the increasingly high costs of a Catholic education difficult, or impossible, for their children.

The Officer Daniel Boyle Scholarship Fund is open to all students, without regard to race, sex, national origin or religious beliefs. Our only intent is to help as many families as possible with their children's education.

A selection committee has been established and all scholarships will be awarded based on the financial need and merit of the applicants.

Sincerely,

The Boyle Family
Patrick & Nancy Boyle
Kathleen Boyle-Wrigley

Student Information
Student Full Name

First NameLast Name
Student Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Student Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Student Email Address
example@example.com
Current School
Student ID #
Grade Average
Grade Conduct
Do you have a part-time job?
Company
Company Address
Position
Hourly Rate
Hours Per Week
Are you living with a single parent/guardian?
If yes, other than your possible employment, is your single parent/guardian the only source of income or support for the family?
IN YOU OWN WORDS, PLEASE DESCRIBE WHY YOU FEEL THAT YOU QUALIFY FOR THIS ASSISTANCE.

0/300

Family Status and Parent/Guardian Identity
Father Living/Deceased
Mother Living/Deceased
Guardian Living/Deceased
Father Name

First NameMiddle NameLast Name
Father Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Father Phone
Please enter a valid phone number.Format: (000) 000-0000.
Father Email Address
example@example.com
Father Employer
Father Occupation
Mother Name

First NameMiddle NameLast Name
Mother Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Mother Phone
Please enter a valid phone number.Format: (000) 000-0000.
Mother Email Address
example@example.com
Mother Employer
Mother Occupation
Guardian Name

First NameMiddle NameLast Name
Guardian Address

Street Address

Street Address Line 2
CityState / ProvincePostal / Zip Code
Guardian Phone
Please enter a valid phone number.Format: (000) 000-0000.
Guardian Email Address
example@example.com
Guardian Employer
Guardian Occupation

Other Contributors

Please list any other people who contribute to your education
Other Contributor 1 Name

First NameLast Name
Other Contributor 1 Approximate Contribution
Other Contributor 2 Name

First NameLast Name
Other Contributor 2 Approximate Contribution

Additional Dependents

List additional dependents who attend school
Dependent 1 Name

First NameLast Name
Dependent 1 Relation
Dependent 1 Age
Dependent 1 School
Dependent 1 Tuition
Dependent 2 Name

First NameLast Name
Dependent 2 Relation
Dependent 2 Age
Dependent 2 School
Dependent 2 Tuition
Dependent 3 Name

First NameLast Name
Dependent 3 Relation
Dependent 3 Age
Dependent 3 School
Dependent 3 Tuition

Signatures
Student Signature
Student Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Parent/Guardian Signature
Parent/Guardian Signature Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
I understand a copy of last year's Income Tax Form must be submitted to the school to be turned in with my application.
Should be Empty: