Scholarship Application

Jaime Guttenberg & Gina Montalto Friendship Scholarship

Application deadline: May 7, 2021

The Jaime Guttenberg & Gina Montalto Friendship Scholarship Application

*If the applicant needs assistance to complete this application, they may seek assistance from their parent or guardian. For accommodations, please email: hello@thefriendshipjourney.org detailing assistance that is needed.

*Our virtual scholarship event will take place Sunday, June 6th*

Eligibility

Committed to embodying the values of inclusivity, kindness & empathy within their communities & beyond
Graduating high school senior
A minimum of 80 cumulative hours as a volunteer or participant with The Friendship Journey
Continuing their educational journey at a college, community college, university, trade school, institute of technology, seminary, vocational training, employment or other approved program
Minimum cumulative grade point average (GPA) of 2.75 (based on 4-point scale). If specific accommodations or considerations should be made for a GPA lower than 2.75, please include an explanation.

Award Amount

The annual scholarships awarded will be determined by the Scholarship Committee based on the applicant’s commitment to service and availability of funds each year. Individual scholarship awards will not exceed $3,000.

Tax Information

No services are required from you if you receive a scholarship, so the amount awarded is not required to be reported by The Friendship Journey on any form to the IRS. However, the scholarship must be spent on “qualified educational expenses” (tuition, course supplies) to remain tax free. Tax topic 421 at irs.gov (https://www.irs.gov/taxtopics/tc421) contains additional information about qualified expenses.

Scholarship Application Form

TELL US ABOUT YOURSELF

Please provide information about yourself. *If this application is being completed by a parent, guardian or other on behalf of the applicant, please include the name of person completing the form and the applicant’s involvement in addition to the applicant’s information.*

First Name *

Last Name *

Date of Birth *

Address *

Address

City

State/Province

Zip/Postal

Phone *

Email *

Name of Person Completing Application (if not self)

If applicable, please describe the applicant’s involvement in completing this process (e.g., Provided answers verbally, communicated using augmentative & alternative communication, used gestures, implemented visuals etc.):

Please contact: hello@thefriendshipjourney.org for any accommodations.

PARENT(S)/GUARDIAN

Please provide information about your parent(s) or guardian with whom you reside.

First Name *

Last name *

Address *

Address

City

State/Province

Zip/Postal

Phone *

Email *

Relationship to Student *

e.g., Mother, Father, Aunt, Grandparent, Guardian, etc.

HIGH SCHOOL (For High School Seniors)

Please provide information about your high school.

High School Name *

City *

State *

Zip *

Phone *

GPA *

Anticipated Date of Graduation / Date Graduated *

Additional considerations / accommodations

WHAT'S NEXT?

Please provide information about the college, community college, university, trade school, institute of technology, seminary, vocational program, employment or other approved program that you will be attending or in which you are currently enrolled.

Name of College / University / Employer / Program *

City *

State *

Zip *

Start Date *

Anticipated Graduation / Completion Date *

Field of Study (if known) *

If pursuing vocational opportunities, employment or other program, please include the name and your role

TELL US MORE

How long have been involved with The Friendship Journey *

Please share all programs, experiences, events and/or leadership roles you have been part of with The Friendship Journey *

Jaime Guttenberg & Gina Montalto were passionate and generous student volunteers with The Friendship Journey who believed in giving back to their community. Please share any community service / philanthropic activities you have been involved with during your high school career. Include your role, how long you have been involved and anything else you would like us to know about your service. Please include your time with The Friendship Journey and any other school, religious, philanthropic, or leadership organizations. *

What are your plans after high school? How will you continue to implement the values of kindness, empathy and compassion that were important to Jaime & Gina? *

Tell us your favorite memory with The Friendship Journey. *

SHORT ESSAY

The Friendship Journey’s motto is “Share the Path With a Friend.” Jaime and Gina continue to guide us on our paths. How will you continue to share your journey with your friends of all abilities beyond high school? How has your experience with The Friendship Journey shaped your perspective? Please limit your response to 800 words. *

CERTIFICATION AND SIGNATURE

I hereby certify and swear that all of the information on this form is true and complete to the best of my knowledge. If asked by an authorized official of The Friendship Initiative, Inc d/b/a The Friendship Journey, I agree to give proof of the information that I have given on this form. Falsification of information may result in termination of any scholarship granted and required repayment of any award paid on behalf of the applicant. It is understood that this application becomes the property of the Friendship Journey.

Applicant's Signature *

Typing your name above will be your signature

Date *

Parent or Guardian's Signature (if under age 18)

Typing your name above will be your signature

Date

SURVEY (Optional)

Please check the boxes to indicate the most likely use for your scholarship funds. You may check more than one.