Connelly Foundation Summer Scholars- Intent to Apply Form

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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address

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* 4. Please select your high school from the dropdown box:

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* 5. Please select your scholarship type:

Neumann

Josephine C. Connelly (JCC)

St. John Vianney (SJV)

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* 6. Parent/Guardian Name(s)

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* 7. Preferred Parent/Guardian Email

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* 8. Select the summer program(s) to which you intend to apply. You may select more than one.

University of Notre Dame- Summer Scholars

University of Notre Dame- Introduction to Engineering (IEP)

University of Notre Dame- Leadership Seminars

Boston College- BC Experience Non-Credit Program

Georgetown University HOYA Summer HS Sessions (1 Week Academy)

Georgetown University HOYA Summer HS Sessions (2 Week Academy)

Clemson University- Summer Scholars

Temple University- Pre-College Workshops

Temple University - Summer Institutes and Intensives

Temple University- Summer Academy

Drexel University- Summer Institutes

University of Pennsylvania- Penn Summer Prep Program

University of Pennsylvania- Penn Band HS Summer Music Camp

Villanova University- Pre-College Summer Academy: Campus Experience

Penn State University- BOSS (Business Opportunities Summer Session)

Other (Please provide institution, program name and website.)

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* 9. If applicable, list the program track(s)/course(s) for which you are applying within program indicated above.

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* 10. Provide a brief description of why you are interested in your desired program(s).

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* 11. Select below to confirm that you and your family have discussed your intentions to apply, and are in agreement about your selection.

Yes, my family and I have discussed my selections and are in agreement.

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* 1. First Name:

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* 2. Last Name:

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* 3. Email Address

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* 4. Please select your high school from the dropdown box:

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* 5. Please select your scholarship type:

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* 6. Parent/Guardian Name(s)

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* 7. Preferred Parent/Guardian Email

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* 8. Select the summer program(s) to which you intend to apply. You may select more than one.

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* 9. If applicable, list the program track(s)/course(s) for which you are applying within program indicated above.

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* 10. Provide a brief description of why you are interested in your desired program(s).

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* 11. Select below to confirm that you and your family have discussed your intentions to apply, and are in agreement about your selection.

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* 12. Please type your name below to indicate your confirmation.