The Cataumet Schoolhouse

An 1894 schoolhouse brought back to life by a village

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2020 Annual Meeting

CCA 2022 Student Scholarship Application Form


1.  Personal Information                                                                                 

Name:                                                                   Date of birth:

 

Home Street Address:                                           Cell Phone:                                Email:

 

Mailing address:

 

Name of school now/previously attended: 

 

Parent’s Name:                                                 Parent’s Address:                                              Phone:

                                   

Name of institution which you plan to attend next year:                                                      Yr:   Fr     So    Jr      Sr    (circle)

Have you been accepted?                      Expected graduation year:

Please state your educational/career goals: 

 

 

Please list any other factors in support of this application which you may deem appropriate:  (Honors or awards received, interests and activities, club memberships, civic activities, etc.) 

 

 

 

 

II. Financial Information

Expected annual cost for: Name of school:

            Tuition and fees                                                 $  

            Room and Board                                              $     

            Transportation                                                  $     

Total expected annual costs:                  $  

Expected amount of financial aid:                                  $

personal and family contribution:                                  $

Scholarships, grants, awards, work study, etc                  $

                                                                        Total personal/family, financial aid,other           $

 

Please list any factors pertaining to your financial need of which you would like the committee to be aware

(e.g. other family members presently attending college, temporary unemployment of a parent, disability, changed circumstances, etc) 

 

 

 

 

 

Applicant’s Signature:  ________________________________________Date:_______________________

 

Please return your completed typed application (if using more than one page to reply – please put your last name at the top of each page) with a copy of the most up-to-date transcript of your grades NOT LATER THAN MAY 31, 2022 TO:

   

Email:   subject line:  2022 CCA Scholarship your name at scholarships@cataumetca.org  

or mail to:                     CCA SCHOLARSHIP COMMITTEE

P.O. BOX 277

CATAUMET, MA  02534-0277


Cataumet Schoolhouse Preservation Group (CSPG) P.O. Box 649 Cataumet, MA 1200 County Rd Cataumet, MA 02534