Application for Senior Scholarship

READ ALL DIRECTIONS FIRST.
 Failure to do so will result in your application not being accepted.

1. Submit this online form only ONCE. Multiple submissions will not be accepted.

2. Answer all items completely.

3. Submit other parts of the application via email as instructed on the online application form.


A red asterisk (*) indicates required questions.

  1. What is your first name?*


  1. What is(are) your last name(s)?*


  1. What is your home street address?*


  1. What is the name of your city/town?*


  1. In what state do you live?  *


  1. What is your zip code?*


  1. What is your telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX *


  1. What is your email address?
    NOTE: The email address you provide here must be one that you will be checking during the summer. All communications from this point forward will be through this email address.*


  1. Have you also applied for a Senior Scholarship through the Sociedad Honoraria Hispánica?*
    Yes
    No


  1. In what level of Spanish are you currently enrolled?   *


  1. What level of the National Spanish Exam did you take during your Junior year?  *


  1. What level of the National Spanish Exam did you take take during your Senior year?  *


  1. What is the name of your school?*


  1. What is the address of your school?*


  1. In what city/town is your school located?*


  1. In what state is your school located?  *


  1. What is your school's zip code?*


  1. What type of school do you attend?  *


  1. What is your teacher's first and last name?*


  1. What is your teacher's email address?*


  1. What is your teacher's school telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX*


  1. What is your teacher's home telephone number formatted as follows with the area code in parenthesis?
    (XXX) XXX-XXXX*


  1. What is the name of the college/university that you will be attending this fall?*


  1. In what city/town is this college/university located?*


  1. In what state is this college/university located?  *


  1. What is your projected major area of study?*


  1. What is your projected minor area of study?*


  1. Why are you applying for the Senior Scholarship?*


  1. Please list any other information about your university studies that the scholarship committee might find useful in evaluating your application.


  1. Type in the URL address of your YouTube video. (Make sure that the security setting for the video is for public viewing.)

    NOTE: You should not submit this online application until you have uploaded your video to YouTube.*





Kevin Cessna-Buscemi