Damato Adult Learner Scholarship Application Fall 2025

Damato Adult Learner Scholarship Application Fall 2025

Application due by April 15, 2025
SECTION 1 - Biographical Information
Name*

First NameLast Name
Address (include zip code)*
Phone number
Cell phone number
Email*
example@example.com
Date of Birth

MonthDayYear
Date
Ethnicity (Optional)
Ethnicity (specify other)
How long have you been a resident of Manchester?*
Section II: Academic Information
Previous Education - High School

High School GraduateGEDCollege
Name of High School Attended
Graduation Date
GED Completed - Number of Certificate and Date Awarded
Have you ever participated in any other education programs since high school? If so, please list them below. Include the school or program, the duration and the date completed.
Other Education - Post High School
Name and address of the school or college you are or will be attending:
Attach evidence of acceptance by your school or college. This should be a copy of your letter of admission or your most recent grade report or transcript.

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What is your intended major?
What career, occupation or profession are you planning to pursue?
How long do you expect to take to attain your educational goals?
Section III: Work Experience / Ability to Honor Commitments
Employment History - Include the name of your employer, the position you held and the dates you were employed.
Volunteer History - Include the name of the organization where you volunteered, the position you held and the dates when you volunteered.
Military History - List the branch of service where you served, the highest rank you held and the dates when you served.
Section V: Personal Statement Essay
Please attach a typed, double-spaced essay of 250-500 words which will provide the selection committee with insights about you as an individual. Your essay should include:
- your reasons for wishing to further your education at this time
- your personal or career goals
- people or events which may have influenced your decision
- an explanation of why scholarship assistance is important to enable you to continue your education
Essay

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Section VI: Financial Information
Do you receive any other forms of financial assistance? If yes, please state source(s) and the amount below.

YesNo
Explain Financial Assistance
Do you have any outstanding student loans?

YesNo
If you have a student loan, please enter the amount below.
MAIL a copy of your 2022 Income Tax Return to:

Manchester Scholarship Foundation
Adult Learner Scholarship
P.O. Box 51
Manchester, CT 06042
If you did not file a tax return for the past year, please provide a statement as to why you did not.
Section VII: Certification Statement
I affirm that, to the best of my knowledge, all information provided is correct and I understand that I am responsible for submitting this application by the deadline. The Manchester Scholarship Foundation reserves the right not to process applications found to be late or incomplete as of the application deadline.

By clicking SUBMIT on this application, you are affirming that, to the best of your knowledge, the above statements are correct.

ALL INFORMATION PROVIDED BY THE APPLICANT WILL BE HELD IN STRICT CONFIDENCE AND WILL BE VIEWED ONLY BY THE MEMBERS OF THE SELECTION COMMITTEE.
Should be Empty:

Damato Adult Learner Scholarship Application Fall 2025

SECTION 1 - Biographical Information

Section II: Academic Information

Section III: Work Experience / Ability to Honor Commitments

Section V: Personal Statement Essay

Section VI: Financial Information

Section VII: Certification Statement