MJL Annual Memorial Scholarship

NEPA Council VOA
Michael J. Lolli

Annual Memorial Scholarship

Thank you for applying for the Michael J. Lolli Annual Memorial Scholarship. Please fill out the following information so
that we may know more about you.
Applicant Contact Information
Full Name: _________________________________________________________________________________________
Email: ____________________________________________________________________________________________
Street: ____________________________________________________________________________________________
City: _________________________________________ Zip: _________________________________________________
Phone (Cell):____________________________________ Phone (Home): ______________________________________

School Information
School/University: __________________________________________________________________________________
Grade: _______________ Current GPA: ________________ Expected Graduation Date: __________________________
Awards of Honors Achieved: __________________________________________________________________________
Leadership Roles: ___________________________________________________________________________________

Scouting Information
Crew/Troop #: ___________________ Crew/Troop Location: _______________________________________________
Chartered Organization: _____________________________________________________________________________
Highest Rank achieved in Scouting: ____________________________________________________________________
Awards or Honors achieved in Scouting: ________________________________________________________________
Leadership Roles in Scouting: _________________________________________________________________________

NEPA Council VOA
Michael J. Lolli

Annual Memorial Scholarship

List college and high school activities (student government, sports, publications, school-sponsored community service
programs, student-faculty committees, arts, music, etc.). List in descending order of significance.
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List public service and community activities (homeless services, environmental protection/conservation, advocacy
activities, work with religious organizations, etc.). Do not repeat items listed previously. List in descending order of
significance.
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List part-time and full-time jobs and any internships.
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NEPA Council VOA
Michael J. Lolli

Annual Memorial Scholarship

List awards, scholarships, publications or special recognitions you have received. List in descending order of significance.

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What are the three most significant items you have done in preparation for your career?
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NEPA Council VOA
Michael J. Lolli

Annual Memorial Scholarship

Do all of the following 4 items:

1) Volunteer for VOA events and activities for a minimum of 25hrs in the past 12 months. List activities and verified times.

Activity Date Verified by:

2) Try three new vocational activities in the past 12 months. Minimum of 3 hrs per activity. (eg learning to weld, robotics,
plumbing) List activities and verified times.

Activity Date Verified by:

3) Try three shooting sports in the past 12 months. Minimum 2 hrs per activity. List activity and verified times. This must
be at a Scout camp or from a NRA instructor.

Activity Date Verified by:

4) Write an 800 word essay on “Being a role model and tell about a role model in your life and how they inspired you.”