Name: E-mail:
Street Address: Unit / Apt. #: City, State Zip:
School's name:
Home: School:
Present year of study: Freshman Sophomore Junior Senior
I am majoring in Latin, Greek, or Classical Studies. Yes
I am a member in good standing of NSCL. Yes Approx. date joined:
SCL activities to which I have contributed my time:(State whether on the national, state, or local level)
Special achievements, honors, scholastic or extracurricular:
What is the approximate total yearly expenditure for your college tuition?
What is the approximate total yearly expenditure for your room and board?
Please enter approximate percentage each party contributes.
Self Parents Both Other
Approximate self-earned income:
Approximate income of parents:
Number of siblings in college next year:
from other scholarships: from loans: from other sources (please specify):
No Yes
If Yes, explain how:
Please list here other facts regarding your financial status which you feel should be considered in evaluating your scholarship application:
By pressing Submit, you are swearing that the information provided is accurate. You will also send, by July 1, an official transcript of your college grades through this year to:
Mr. Jeff Coker 11345 Torino Way Reno, NV 89521