This scholarship is named after Mary Lynch for her exemplary work in the field of education with the NOVA5 Chapter of the Pioneers.  She is past Chapter President, Regional; Life Member Representative, Life Member Representative, Council President and Education Chairperson.  Mary was instrumental in distributing books and dictionaries to many schools in the New York City area.  A scholarship of $1,000 will be awarded to the winning student for the 2020-2021 school year.

Last Name	*	First Name*
Mailing Address:
Street	*
City	*	State*- - Choose One - - Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
Zip	*	Daytime Tel Number*
Email Address	*
Date of Birth
Month	*	Day* Year* Gender*
Are you the first person in your family to go to college?	*	YES NO
Name and location of High School attending	*
Provide any test scores, such as your official SAT, ACT, or other academic measures.
Test and Score		Date
Test and Score		Date
Test and Score		Date
Cumulative Grade Point Average (GPA)	*
Attach proof of GPA. Your most recent official school transcript is required.
List any academic honors, awards and membership activities while in high school
List your hobbies, outside interests; extracurricular activities and school related volunteer activities.
List your non-school sponsored volunteer activities in the community
What college will you be attending in the fall of 2020?	*
parent(s) or legal guardian(s) Name(s)	*
parent(s) or legal guardian(s) Street	*
parent(s) or legal guardian(s) City	*
parent(s) or legal guardian(s) State	*	- - Choose One - - Alabama Alaska Arizona Arkansas California Colorado Connecticut D.C. Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming
parent(s) or legal guardian(s) Zip	*
parent(s) or legal guardian(s) Phone #	*
Do you have a family member who is a Pioneer of the Nova 5 Chapter (Verizon)?	*	YES NO
Name
Retired		YES NO
Write an essay (500 words) describing how volunteering has shaped who you are today and how community service has enriched your life. Also discuss in your essay any challenges or obstacles you dealt with and how this will help you succeed in college and beyond.	*
Security Code	*