M&T Bank Scholarship Application

  • 2010-2011 Academic Year Application

    Application Deadline: July 15, 2010


    Student Name:_____________________________________________________________
                                 (Last)                                                (First)                                (M.I.)

    Home Address: ____________________________________________________________

    Street: ____________________________________________________________________

    City ________________________________State: _______________ ZIP:_____________

    E-mail Address: ____________________________________________________________

    Name of High School : ______________________________________________________

    Date of Graduation:_________________________________________________________

    Class Rank:__________________ GPA:______________________

    Special Awards, Honors, or Activities: _________________________________________
    (Attach additional sheet if necessary)

    2009 Family Income:________________________________________________________

    PASSHE university you plan to attend: ________________________________________

    Major: ___________________________________________________________________

    I declare that the information provided herein is true and correct to the best of my
    knowledge. I also give permission to release my name and photograph to the
    Scholarship Committee and to the PASSHE Foundation for promotional purposes.

    ____________________________________              ___________________________
    Signature of Scholarship                                                  Applicant Date

    Please include the following with your completed application:

    1. Your five-hundred to eight-hundred word essay on the following topic: How this scholarship will help you
      achieve your education and career goals.
    2. The completed application.

    Deadline for submission is July 15, 2010, to:

    Eileen Showers
    Director of Scholarship Programs
    PASSHE Foundation
    2986 North Second Street
    Harrisburg, PA 17110