Midwest Federation of American Syrian-Lebanese Clubs Inc.

Scholarship Application  

SPECIAL NOTICE TO APPLICANTS:  Scholarship Awards will be presented at the 74^th Annual Convention, on Friday, August 6, 2010, in Chicago, Illinois.  Recipients are required to attend and will receive one non-transferable registration book for this convention. 

Eligibility: High school seniors and undergraduate collegiate students are eligible to apply if they are an active member of the Midwest Federation and/or YAN, or if they are the child or grandchild of an active member of the Midwest Federation and/or a Federation Member Club for a minimum of two years.  Applicants may receive a Midwest Federation Scholarship twice, but not in consecutive years.    

Selection Criteria: Applicants will be selected for scholarships on the basis of their participation in the Midwest Federation and/or YAN and/or a Federation Member Club; ethnic/cultural related activities/studies; academic achievements and standing; personal goals; and, financial need.   

Application Process:  The applicant must provide the following items to be considered for a scholarship:  (1) completed application form; (2) official transcript of high school or college grades;  (3) two letters of recommendation—one from a teacher/school official or employer, and one from your local Member Club president or Midwest Federation official; and, (4) a current photo. 

All application materials must be postmarked no later than March 31, 2010 and mailed directly to:

                            Dr. Michael J. Coury, Chairman  
                            Midwest Federation Scholarship Committee
                            4937 Willow Drive                                                                                                           For additional assistance—
                            Boca Raton, FL 33487                                                                                         (561) 699-6639 or drcoury@comcast.net

 APPLICANT’S NAME:    _________________________________E-mail________________________ Phone (_____) ________________
 MAILING ADDRESS: ____________________________________________City ____________________ State ______ Zip __________
 DATE OF BIRTH: _______________         Male _____  Female _____ 

CLUB AFFILIATION: ___________________________________________ Name of Club President _____________________________
Address of Club President ___________________________________________ City ___________________ State ______ Zip __________ Phone Number for Club President (______) ____________________   Number of years affiliated with Member Club __________________ 

APPLICANT’S FAMILY:    
Parent(s) name and address___________________________________________________________________________________________
Affiliated Club__________________________________________ Name of Club President ______________________________________
Address of Club President ___________________________________________ City ____________________ State ______ Zip _________ Phone Number for Club President (_______) _____________________ Number of years affiliated with Member Club _________________
Number of brothers and sisters: _______   List their ages: _____________________
Grandparents’ Name(s) ___________________________________________ Affiliated Club______________________________________

COLLEGE/UNIVERSITY: ___________________________ Year________ Major/Course of Study ______________________________
Address______________________________________________________ City_________________________ State_______ Zip_________

On a separate page, please write an essay about yourself, addressing the following items:
·   The College you attend or plan to attend; the course of study you plan to pursue; and, your future goals and objectives.
· Your involvement and achievements in school, church, community, ethnic or cultural activities/studies, and extra-curricular activities.
· Your relationship and experience with the Midwest Federation, YAN, or your local club, and their influence in your life.
·    How your education will assist you in promoting and preserving our heritage.

On a separate page, if necessary, briefly describe any financial need or special circumstances.

I understand that all applications will be confidential, and I certify that all information in my application is correct. 

Parent/Guardian signature___________________________________________________________ Date__________________________ 

Applicant signature________________________________________________________________ Date__________________________