Scholarship Application Form

Msgr. Ronald C. Bill Scholarship Application

Application Opens Nov 1st - Deadline March 1st
Please use this application for the Monsignor Ronald C. Bill Scholarship Fund, Inc. You must have completed the sacrament of confirmation and a current member of a parish in the Syracuse Diocese within Onondaga County, NY to be considered for this scholarship. This scholarship is open to all high school seniors with a GPA 85 or above who will be attending an accredited college (2 or 4 year) or an accredited trade school.
Read and Understand the instructions.
If selected, you may be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Applicant Name:

First NameMiddle NameLast NameSuffix
Parents Names:
Home No. :
Format: (000) 000-0000.
Mobile No. :
Format: (000) 000-0000.
E-mail :
Where the confirmation will be send to
Home Address :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Confirmation Information:
Confirmation Church Name
Confirmation Church Address
MonthDayYear
Confirmation Date
ConfirmationCertificate

Upload a File
Confirmation Certificate Cancelof
Are you an active member of your parish?
Letter from your parish indicating you are a member of the parish (must be on church letterhead)

Upload a file
Parish Member Letter Cancelof
First Communion Certificate

Upload a File

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Baptismal Certificate

Upload a File

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II. High School Information:
Presently a student at:
Anticipated Graduation Date:
Most recent cumulative GPA:
Unofficial Transcript from High School required to be sent with this application including the telephone number of the Registrar.

Please attach an electronic version of your transcript. Transcript must have GPA listed.
Registrar Office Phone:
Format: (000) 000-0000.
Transcript

Upload a File

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III. Employment Information:
Are you currently employed?
Currently Employed
Employer:
Position:
IV. Church Activities
List any church activities.

Church Activities

Rows	Name of Activity	Date	Notes (if needed)
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5

V. Awards and Honors
List any significant awards and honors which you have received to include school, sports, music, arts.

Honors & Academic Awards

Rows	Name of Award or Honor	Date	Grade Received (Fr, So, Jr, Sr)
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5

Athletic and/or School Awards

Rows	Name of Award or Honor	Date	Grade Received (Fr, So, Jr, Sr)
1
2
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5

List extracurricular activities and volunteer service (beyond Confirmation Hours) including any leadership positions held and activities from church, school and community.

Extracurricular Activities

Rows	Activity	Hours per week	Grade (Fr, So, Jr, Sr)/Dates
1
2
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5

Volunteer Service

Rows	Name of Company/Organization	Hours per week	Grade (Fr, So, Jr, Sr)/Dates
1
2
3
4
5

VI. Personal Statement
IT IS VERY IMPORTANT THAT APPLICANTS FOLLOW THE EXACT INSTRUCTIONS WHEN COMPLETING THE PERSONAL STATEMENT.

Please provide a concise and well-written statement (approximately 300 words). It can be less. Personal statements more that 300 words will be eliminated. The statement should be a concise description of the student's intended course of study and future career goals. The student should not include activities, awards, volunteer service & personal achievements which are to be included elsewhere on the application. Do not use your family name or your name within the document.
Personal Statement:

0/300
VII. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:
Should be Empty:

Msgr. Ronald C. Bill Scholarship Application

I. Personal Data:

II. High School Information:

III. Employment Information:

IV. Church Activities

V. Awards and Honors

VI. Personal Statement

VII. Applicant's E-Signature