kennedy memorial scholarship application form* student

KENNEDY MEMORIAL SCHOLARSHIP APPLICATION FORM* Complete the application and submit your handwritten 1-2 page essay and a form of artwork honoring either the Boston Fire Department or our Military.

Ø STUDENT NAME: ______________________________________________________ Ø ADDRESS: ______________________________________________________ Ø TUITION BASED SCHOOL & GRADE: _________________________________________________ Ø PARENT/GUARDIAN NAME: _______________________________________________ Ø PARENT / GUARDIAN CONTACT (EMAIL/PHONE #): _____________________________ Ø PERMISSION TO USE SCHOLARSHIP SUBMISSION OF ESSAY/PICTURE/VIDEO ON OUR WEBSITE AND/OR FACEBOOK PAGE: YES OR NO (THIS WILL NOT AFFECT SCHOLARSHIP AWARD)

UPON COMPLETION PLEASE MAIL TO: PARKWAY IN MOTION, PO BOX 320399, WEST ROXBURY, MA 02132 All applications, artwork and essays must be received by Friday February 24, 2017 to *Eligibility Requirements: 1.) Must live in West Roxbury, Roslindale, or Hyde Park 2.) Must attend tuition-based school 3.) Must be in grades 6-8 for 2017-2018 academic year