Donna Adams Mahaffey & Jean DiLuzio Scholarship Past Recipients

Part I: Applicant Information

Name

Title

First Name *

Last Name *

Suffix

Applicant Mailing Address

Address Line 1 *

Address Line 2

City *

Zip/Postal Code *

Applicant Email Address *

Applicant Phone Number *

College Currently Attending *

Current cumulative Grade Point Average on a 4.0 scale (Minimum 2.0 GPA with a copy of unofficial transcript)

I have completed the FASFA form and have an ID. *

Yes No

I plan to continue enrollment for the following semester: *

I am currently taking a minimum of 6 credit hours. *

Yes No

Part II: Written Essay (max 500 words on why you still need financial assistance and how your college experience is helping you achieve your goals) *

Part III: Consent Form

See the link to download the Consent Form on this page.

Part IV: Provide a Copy of Your Unofficial Transcript

Additional Information

The Scholarship Committee may request additional information. Additional information can be sent via email or mailed to: The Donna Adams Mahaffey & Jean DiLuzio Scholarship, c/o Sandy Springs Perimeter Civic Fund, Attention: Adam Forrand, 1000 Abernathy Road, Suite L-10 | Sandy Springs, GA 30328 | Phone: 678.443.2990 | Email: civicfundsspc@gmail.com |

Donna Adams Mahaffey & Jean DiLuzio Scholarship Past Recipients

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