TOPIC: “SERVICE TO OTHERS”

WHAT DOES THIS MEAN TO YOU?

Please note there are two pieces to the application package. The application and the guidelines. Please complete the application in its entirety. Applications not completed will be disqualified.

When submitting please do not forget to include the following:

Scholarship application

Materials supporting which category of scholarship you are submitting

(ie. Art/Photography, Essay, YouTube Video)

Scholarship applications & supporting documentation should be mailed to:

The Four Chaplains Memorial Foundation

Attn: Scholarship Committee

1201 Constitution Avenue

The Navy Yard, Bldg. 649

Philadelphia, PA 19112

Or via email:

If you have any questions, please contact our offices at:

Phone: 215-218-1943Email:

NOTE: ENTRIES MAY BE SUBMITTED VIA EMAIL TO THE ADDRESS LISTED ABOVE – EXCEPT FOR ART PIECES, THEY WILL NEED TO BE MAILED IN.

Copyright and usage: The copyright of all entries remains with the entrants. The Four Chaplains Memorial Foundation reserves the absolute rights to exhibit or reproduce any acceptable entries in whatever way deemed fit for exhibition and for any media based publicity and promotional purposes without prior notice or consent. The artwork and/or multimedia must not infringe upon the copyrights, trademarks, contract rights, or any other intellectual property rights of any third person or entity.Entrant grants the Four Chaplains Memorial Foundation and their designees an irrevocable, royalty-free, nonexclusive, worldwide perpetual license to use the entry and his/her name, city and state of residence for credit purposes in the organizations online galleries, brochure or newsletters without compensation, unless prohibited by law.

2017-2018SCHOLARSHIP COMPETITION APPLICATION

  1. Applicant Information

Name: ______Grade: ______

Home Address: ______

City: ______State: ______Zip: ______

Phone: ______Email: ______

Parent/Guardian Name: ______

Parent/Guardian Phone: ______

Parent/Guardian Email: ______

Gender:  Female Male

2017-2018SCHOLARSHIP COMPETITION APPLICATION

  1. School Information

School Name: ______

School Address: ______

City: ______State: ______Zip: ______

School Phone: ______School Fax: ______

School Contact Name: ______Title: ______

School Contact Email: ______

2017-2018SCHOLARSHIP COMPETITION APPLICATION

  1. Type of Submission

Please select which category(ies) you are entering. Note: More than one submission may be entered however, only one can be awarded.

Art/PhotographyEssay YouTube Video

2017-2018SCHOLARSHIP COMPETITION APPLICATION

I have personally prepared this application and certify that the information provided is accurate.

______

Signature of ApplicantDate

We have reviewed this application and believe the information provided is accurate.

______

Signature of Parent/GuardianDate

FOR OFFICE USE ONLY:

DATE RECEIVED: ______BY: ______