Scholarship Application

Meriden Amateur Radio Club Inc.
P.O. Box 553
Meriden, CT 06451
www.W1NRG.com
Scholarship@w1nrg.com

This application may be filled out electronically or you may print the form from The Frank Darmofalski Scholarship page, fill it out, and mail or email it to the address above.

In addition to the completed application, the applicant must submit:

  • A written essay of 250 words (minimum) on why they selected their program of study and what they plan to do with it upon graduation/program completion.
  • High school transcripts.

Letters of recommendation are optional. Completed applications must be received no later than April 14.

Please enable JavaScript in your browser to complete this form.
Date submitted.
Name
Please list all high schools you have attended, most recent first.
Please give your class rank in the form ___ of ___, e.g., "10th of 270."
What is your grade point average, e.g., "3.7 out of 4.0"
Please add the name and physical address of the college or university.
Please list your intended major.
Parent or guardian 1
This person is
Check all that apply.
Parent or guardian 2
This person is
Check all that apply.
This includes tuition, rent, dorm fees, food, utilities, etc.
Selected Value: 0
Selected Value: 0
Selected Value: 0
Selected Value: 0
Your signature
I hereby attest that I understand the scholarship award terms and that the foregoing information provided by me is true to the best of my knowledge. If I am granted the scholarship by MARC Inc. I will permit my name to be used for publicity releases to further the aims and purposes of MARC Inc.
Parent or guardian signature