F. MICHAEL SACCA SCHOLARSHIP APPLICATION
C/O OCEAN CITY VOLUNTEER FIRE COMPANY
P O BOX 27
OCEAN CITY, MD 21843
NAME:_________________________________________________________________
          (Last)                                    (First)                            (Middle)

DATE OF BIRTH:______________________PLACE OF BIRTH:____________________

CURRENT ADDRESS:______________________________________________________

CITY:___________________________ STATE:______________ ZIP:_____________
PHONE (H)_________________________ (W)________________________________

PREVIOUS ADDRESS:_____________________________________________________

CITY:___________________________ STATE:______________ ZIP:_____________

PREVIOUS ADDRESS:_____________________________________________________

CITY:___________________________ STATE:______________ ZIP:_____________
OCCUPATION
EMPLOYER_______________________________PHONE_________________________

EMPLOYER ADDRESS:____________________________________________________

CITY_______________________STATE_______________ZIP____________________

YEARS EMPLOYED__________________________

LIST ON SEPARATE PAGE

HIGH SCHOOL ADDRESS AND MAILING ADDRESS IF DIFFERENT
DATE OF GRADUATION
SCHOLASTIC ACHIEVEMENTS AND HONORS
HIGH SCHOOL ACTIVITIES
COMMUNITY SERVICE ACTIVITIES
COLLEGE/UNIVERSITY ATTENDING AND ADDRESS

REQUIREMENTS:

  1. AN ESSAY EXPLAINING WHY YOU ARE APPLYING FOR THIS SCHOLARSHIP. THIS IS TO BE TYPED AND DOUBLE SPACED.
  2. THREE (3) TYPED LETTERS OF REFERENCE
  3. AN OFFICIAL CURRENT TRANSCRIPT
  4. A COPY OF ACCEPTANCE LETTER FROM COLLEGE/UNIVERSITY
  5. A COPY OF CLASS SCHEDULE OR LIST OF CLASSES
  6. A COPY OF DRIVERS LICENSE.
SIGNATURE:____________________________________________________________

DATE:_________________________________________________________________

Deadline, July 10th, 2006
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