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Perth Amboy Contact

(732) 442-1081

(732) 638-2800

9 am - 4 pm

100 First Street,
Perth Amboy, NJ 08861

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Scholarship Application Form

All fields must be completed and an essay must be attached to be able to submit an application.

First name

Last name

Phone

Which scholarship are you applying for?

Grade Point Average (GPA)

Please submit an essay answering the above question with your application. The essay should be no more than 750 words. (.pdf or .docx files accepted)

Address

Please list at least three community service activities that you completed between 9th and 12th grade

Please list extracurricular activities such as clubs, sports, faith-based activities, or employment that you participated in between 9th and 12th grade

What type of schooling are you pursuing?
2-year college or university4-year college or universityTrade schoolTechnical training programCosmetology schoolVocational certification

Please identify the college you will be attending