James Cavatore Memorial Scholarship Application

STUDENT INFORMATION

First Name: *

Last Name: *

Email: *

Phone Number: *

PARENT INFORMATION

First Name: *

Last Name: *

Address: *

Phone: *

Email Address: *

ACADEMIC INFORMATION

School: *

Current Grade Level: *

Do you plan to go to college in the fall after senior year?: *

INVOLVEMENT IN THE DISABLED COMMUNITY

Describe your involvement with people with disabilities: *

SUBMIT

What is the best way to reach you?
(Parent phone, parent email, student phone, student email)

How did you hear about us?
(Word of mouth, newsletter, presentation, social media, flyer, other)