The Kavanagh Education Trust

Grant Form for New Applicants

New applicants to the Kavanagh Trust should fill out this form, which will be emailed to the trustees for consideration. Prior recipients of a grant should fill out the renewal form.

I. PERSONAL

First Name: Last:
Address:
City:State:
Zip:
Phone:Email:
Date of birth (MM/DD/YYYY):
Please also provide your SSN separately by reaching out to one of the trustees.
Religion:Sex:
Marital Status:Children:
Father's Name:Father's Occupation:
Father's Employer:Phone:
Mother's Name:Mother's Occupation:
Mother's Employer:Phone:
With whom do you live?
For how long?
Please list any brothers or sisters, including their DOB, current grade levels, and colleges attended (if applicable):
Please describe how you are related to the grantors of the Kavanagh Trust and how you learned of the trust.


II. EDUCATION - PAST AND CURRENT

Your high school:City/state:
Date of enrollment:Graduation date:
GPA:
Any additional high school:City/state:
Date of enrollment:Graduation date:
GPA:
College attended:City/state:
Date of enrollment:Graduation date:
Major:GPA:
Degree achieved:
Additional college:City/state:
Date of enrollment:Graduation date:
Major:GPA:
Degree achieved:
Graduate school:City/state:
Date of enrollment:Graduation date:
Major:GPA:
Degree achieved:

In approximate order of their importance to you, list below the meaningful activities in which you have participated. Indicate numerically the grade levels in which you were involved with each and any leadership positions held.
Describe any honors or special recognition you have received for academic or extracurricular activities.
Please list any applicable test scores below:
SAT:Date of test:
ACT:Date of test:
Other (specify):Date of test:


III. EDUCATION - IMMEDIATE AND FUTURE PLANS

What are your areas of academic interest? What is your major subject of study?
What are your educational and career / professional goals?
What extracurricular activities do you plan to pursue in college / graduate school?
Please type a well-developed statement that details how and why you are a serious student in need of an award from this Trust to further your education.
Describe your regular volunteer activities / work for charitable, religious or civic organizations:


IV. FINANCIAL

School you plan to attend:City/state:
Planned enrollment date:Planned graduation date:
Anticipated enrollment:Explain:
Your expenses (actual or best estimate):
Tuition:
Room:
Board:
Other (explain):
Total annual expenses:
Grants / scholarships / financial aid (do not include loans or family support):
Grants:
Scholarships:
Awards / prizes:
Other (explain):
Total financial support:

Total need (amount expenses exceed financial aid):


To the best of my knowledge, the information contained in this application is accurate and complete.
Name:Date: