Littleton Scholarship Trust                                    Senior Application                                                          All applications must be submitted no later than April 15th.
Scholarships from Littleton Scholarship Trust are awarded for the 2nd (second) semester of the year.  Please submit your 2nd semester bill to Littleton Scholarship Trust c/o John Boroski P.O. Box 693 Littleton, MA  01460.  Your scholarship is based on the information provided below.  If you transfer schools or do not attend as planned, please contact, in writing, our Treasurer at the above address.
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Email *
Last Name *
First Name *
Middle Initial *
Street Address, Town, Zip Code *
Father/Mother Name *
Street Address, Town, Zip Code for Father/Mother *
Graduating High School *
Required
If you have a sibling in Grade 12, are they also applying for a Scholarship? *
Required
If you have sibling in Grade 12 applying for a scholarship, please enter their name below. If you do not, please enter N/A. *
If you have a sibling in College, are they also applying for a Scholarship? *
Required
If you have sibling in College applying for a scholarship, please enter their name(s) below. If you do not, please enter N/A. *
Name of College you will be attending. If undecided, enter Undecided. *
Have you been accepted to the College you listed above? If you did not list a College in the previous question, choose N/A. *
If undecided, where did you apply? Please enter ONLY your top 3, separated with a comma . If you have decided, enter N/A. *
Intended Major *
Cost - Tuition/Room and Board & School Related Fees (Not to include books, supplies, insurance, travel etc.) *
Adjusted Gross Income of parents or guardians as reported on their 2022 Tax Return *
Does the income reported above represent... *
Other Monies: Grants/Scholarships/Family Contributions - Please do not include loans. Enter total dollar amount only. (Ex. $15,000) *
Are you currently working? *
Where do you work and how long have you worked there? If you do not work enter N/A. *
Number of Extra Curricular Activities (not including work) while in High School *
List your top three Extra Curricular Activities. Please separate them with a comma. If you don't participate in any, enter N/A.
Combined Score for SAT. If you did not take SAT, enter N/A. *
Combined Score for ACT. If you did not take ACT, enter N/A. *
Have you participated in the Door to Door Drive in years past? *
Verification information
I have checked this form for omissions and errors.  To the best of my knowledge, the information reported is complete and accurate. Please check the appropriate box. *
Required
Applicant Signature                                                                       By typing your name below, you acknowledge that this is your digital signature indicating that the information you have provided is accurate. Applications will not be processed without your name entered below *
As the parent of the applicant, I have checked this form for omissions and errors.  To the best of my knowledge, the information reported is complete and accurate. Please check the appropriate box. *
Required
Parent of Applicant Signature                                                      By typing your name below, you acknowledge that this is your digital signature indicating that the information you have provided is accurate. Applications will not be processed without your name entered below *
You will receive an email confirming your responses to the email address supplied below.
Applicants Email address *
If there are any extraordinary circumstances which you would like the committee to take into consideration, please send a letter of explanation to littletonscholarshiptrust@gmail.com
A copy of your responses will be emailed to the address you provided.
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