Scholarship Application

Adam J. Cirillo Scholarship Foundation

5 Morse Avenue Staten Island, NY. 10314-5619 (718)-698-3947

The Adam J Cirillo Scholarship is offered annually to a deserving student-athlete from the Brooklyn Technical High School Football Team. Interested seniors are invited to apply to the scholarship committee using the form below by November 30th.

Adam J. Cirillo Scholarship Foundation Form

Last Name*
First Name*
Course Major*
Phone Number*
Email*
Address*
City*
State*
Zip*
1. What is your intended college major?*
2. What are your career goals and why?*

Hit the Plus(+) at the end of the row to add more items.
3. List the colleges and/or universities to whom you will apply:*
Hit the Plus(+) at the end of the row to add more items.
4. List your advanced placement course(s) and your score(s) for each:*
Hit the Plus(+) at the end of the row to add more items.
5. List any summer programs/ advanced courses that you have taken and give the school or agency where taken:*
Hit the Plus(+) at the end of the row to add more items.
6. List academic and athletic honors and/ or awards received, i.e., NHS/ Arista, societies, academic teams and/or tournaments, etc:*
Hit the Plus(+) at the end of the row to add more items.
7. In what community activities have you contributed? (Volunteer, church, youth groups):*
Hit the Plus(+) at the end of the row to add more items.
8. Write a Personal Essay that indicates the qualities, credentials and experiences that you believe contribute to your individuality.*
9. Describe your Brooklyn Tech Football experience and what it has meant to you. Tell us why you deserve the Adam J. Cirillo Scholarship.*
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