Robert Mammano Frezza Memorial Scholarship

Application Form

Student’s Full Name:

Preferred Name (i.e., “Bob” for Robert):

Student’s Lawrenceville Address (if boarding):

Student’s Lawrenceville Phone: (if boarding):

Student’s Home Mailing Address:

Student’s Home Phone:

Student’s e-mail Address:

Student’s Social Security Number:

Please read and sign:

The information I am providing on this application form is my own and is an accurate representation of my activities and achievements. I have reviewed the eligibility criteria accompanying this form, and have fulfilled the necessary requirements. Should I be awarded the RMF Scholarship, I accept the conditions under which the funds will be disbursed to StanfordUniversity throughout my four years of undergraduate study. I also authorize the release, to the RMF scholarship selection committee, any information held by Lawrenceville or Stanford officials and others, including, but not limited to, personal evaluations and transcripts.

Student’s signature:Date:

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RMF Scholarship Application

Student InformationPlease attach a photo of

yourself here (approx 2”x3”)

Name:

Date of Birth:

Place of Birth:

Country of citizenship:

Parents or Guardians:

Mother’s Name:

Address (please list if different from student’s):

Occupation:

College attended (if applicable):

Father’s Name:

Address (please list if different from student’s):

Occupation:

College attended (if applicable):

Siblings Names and Ages (please note class if Lawrenceville students):

Name:

Please list below significant Honors and Awards you have received, in order of importance to you.

Please list below any special programs or conferences you have attended.

Please list areas of special interest to you, outside of Lawrenceville activities, and briefly tell us something about your investment in each.

Please list, in order of importance to you, three to five special Lawrenceville activities in which you have invested yourself since freshman year, including the school years you participated, the average number of hours per week, and the length of your involvement in each academic year.

Name:

Please list any employment experience you have had (if applicable), dates you worked, and average hours worked per week. Also include a brief statement informing us of your motivation for that work experience.

What one or two experiences you have listed on these two pages best portray you, and why? If that portrayal is not best captured in any of the above, tell us what does.

What do you consider to be your most important contribution Lawrenceville? Explain why and your feelings about it.

Discuss an area of personal growth that has transpired from your Lawrenceville experience.

Name:

What high school experience did you initiate or become involved in that led you into a leadership role? What about your leadership in that activity do you feel most and least satisfied with. What long lasting impact do you predict this will have on your life?

Why did you choose Stanford for your undergraduate studies? In what direction(s) do you predict these next four years will lead you?

Please list the names of two faculty members at Lawrenceville who you have asked to submit personal recommendations specifically for The Robert Mammano Frezza Memorial Scholarship Fund.

Please have those letters of recommendation along with this form submitted to College Counseling by the application deadline of April 15.

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