Student Information

First Name *

Last Name *

MI

Address 1 *

Address 2

Phone *

Email Address *

City *

State *

Zip Code *

Race/Ethnicity *

Academic Records

High School *

City *

State *

GPA *

ACT

SAT SCORE *

Please list any awards or honors that you have received. *

Please list any sports, extracurricular, or community service activities you have participated in. *

How old were you when your parent/guardian passed from cancer? How do you think that difficult situation shaped who you are? *

0/500 words

What do you think is one of biggest problems in the world today, and how do you see yourself working to fix it? *

0/500 words

Explain a family, social or school situation, in which your leadership made the difference. What was accomplished? *

0/500 words

How would the money from this scholarship help you achieve your goals? *

0/500 words

Please upload the latest version of your High School Transcript *

Please upload one recommendation letter from a former or current teacher. Make sure she/he includes contact information, like an email address or phone number. *

Students must be residents of Brooklyn, NY, and be a registered or graduating student at a public or private high school in Brooklyn, NY. Winning student agrees to allow Pasta Louise restaurant to post their name and photo in connection to the scholarship. Winning student is also invited to dine at Pasta Louise with up to 3 family members as part of the winnings. Application deadline is May 15. Winner will be announced on June 15.