CONTENTS

Armenian Professional Society
Organized in 1958 for The Advancement of Fellowship & Education

GRADUATE STUDENT SCHOLARSHIP APPLICATION

INSTRUCTIONS:

1. Print out this form (we suggest printing in portrait format)
    
2. Please complete this form by typing or neatly writing the requested information
    
3. Attach the following to the completed application:
1. Official transcripts (past four years);
2. Brief essay (1 page) telling about yourself, your involvement in the Armenian community and why you think you should be a scholarship recipient;
3. Copies of applicant’s and parents’ most recent IRS Tax Returns or equivalent financial information;
4. Obtain two college or university recommendations (at least one from current graduate school) and have them sent directly to the APS.
    
4. Send completed application and attachments to:
   
   APS Scholarship Chairperson
   Armenian Professional Society
   P. O. Box 1944
   Glendale, CA 91209-1944
   
   Proof of entrance/acceptance into, or continuing in, a GRADUATE school in the UNITED STATES is required and must be submitted with this application;
    
5. United States Citizenship or a Green Card is NOT required;
    
6. Completed applications must be received no later than:
   September 1 of the current year.
    

Personal Data:

Name

__________________________________________________________________________
       (Last)                   (First)                      (Middle)

Home Address

__________________________________________________________________________
  (Street)                           (City)              (State)      (Zip)

Day Phone

__________________________________________________________________________
               (Area Code)               (Number)

Evening Phone

__________________________________________________________________________
               (Area Code)               (Number)

e-mail

__________________________________________________________________________
 

__________________________________________________________________________
   Birthplace                                 Birthdate

__________________________________________________________________________
   Marital Status                           Number of Dependents
 

Graduate School Currently Enrolled

Name

__________________________________________________________________________

Address

__________________________________________________________________________
  (Street)                           (City)              (State)      (Zip)

__________________________________________________________________________
Years Attended          Major                 Degree Attained/Expected

Undergraduate School(s) (if more than one, attach additional sheets)

Name

__________________________________________________________________________                                                 

Address

__________________________________________________________________________
  (Street)                           (City)              (State)      (Zip)

__________________________________________________________________________
Years Attended          Major                 Degree Attained/Expected

Letter of Recommendation Requested:

1. ____________________________________________________________________
         (Name)                             (Position)
    
2. ____________________________________________________________________
         (Name)                             (Position)

Professional Societies 

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Scholastic Honors, Accomplishments, etc.

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Community Involvement (Armenian Organizations, etc.) 

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________

Income:

Please submit applicant’s and parents’ most recent IRS returns.

__________________________________________________________________________
  Father’s Occupation                                Gross Annual Income

__________________________________________________________________________
  Mother’s Occupation                               Gross Annual Income

Applicant - source and amount of funds available for year in which scholarship is requested

 Annual Income $___________________________   Savings  $____________________

 Scholarships  $___________________________   Parents’ $____________________

Other Income (include spouse, relatives, investments, etc.)

__________________________________________________________________________

__________________________________________________________________________

__________________________________________________________________________
Signature of Applicant                                      Date

Mail To:

Armenian Professional Society
P. O. Box 1944
Glendale, CA 91209-1944