College Scholarship

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- College Scholarship Application
  
  Regina graduating seniors must complete the application below no later than April 15, 2025, to be considered for college scholarships.
- The maximum number of form submissions has been reached. This form is currently not available.
  
  Personal Information
  
  Today's Date REQUIRED Please fill out this field. Please enter a date.
  
  First Name REQUIRED Please fill out this field. Please enter valid data.
  
  Last Name REQUIRED Please fill out this field. Please enter valid data.
  
  Address Please enter valid data.
  
  Address Line 2 Please enter valid data.
  
  City Please enter valid data.
  
  State
  
  Zip Please enter a zip code.
  
  Country Please enter valid data.
  
  Email REQUIRED Please fill out this field. Please enter an email address.
  
  Phone Number REQUIRED Maximum 20 characters Please fill out this field. Please enter a phone number.
  
  Cumulative Grade Point Average (GPA) if applicable Please enter valid data.
  
  Community Sponsored Activities
  
  School Sponsored Activities
  
  Church Sponsored Activities
  
  List demonstrated leadership, scholarship, and compassion qualities throughout your high school years.
  If you wish to be considered for the Kathleen Dore Scholarship for Women Leaders
  
  State why you chose to attend a Jesuit college.
  If you wish to be considered for the Brendan Fisher Memorial Scholarship
  
  Write an essay about overcoming a non-financial personal challenge.
  if you wish to be considered for the Robert H. and Marian Gaffey Scholarship
  
  Please state why you feel the Scholarship Committee should award this scholarship to you.
  Please limit your response to 300 words preferred.
  
  College, university, or vocational program you will attend.
  Verification of enrollment must be presented to the Foundation office if you are awarded a scholarship.
  Please enter valid data.
  
  Planned Major Please enter valid data.
  
  Financial need is shown by qualifying for Regina's Financial Aid through the School Tuition Organization (STO) of Southeast Iowa. Please check the box below to signify agreement of the following statement. Check the box if your family utilized Financial Aid through STO of Southeast Iowa this year and authorize Regina to acknowledge receipt of financial aid towards tuition.
  
  Regina Faculty Recommendation (if you wish to be considered for the David Braverman Scholarship)
  
  Name of faculty who will provide letter of recommendation. Please enter valid data.
  
  Please mail recommendation letter to Regina Foundation, 2140 Rochester Avenue, Iowa City, IA 552245, deliver to Regina Foundation office, or email to f[email protected].
  
  Submit
  
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Regina Faculty Recommendation (if you wish to be considered for the David Braverman Scholarship)