Louis C. Biondi Scholarship Application
Complete the form below and then print, sign and send it to the Scholarship Committee by February 1st.
Name Date
Street City State Zip
Home phone Cell phone Date of Birth
Email address Social Security #
Name and Address of sponsoring parent or grandparent (If deceased, give approximate date of death)
Date MM/YY
School attending in the Fall
(must be an accredited college, university, professional or vocational school or conservatory)
Current High School School Office Phone
Street City
Major principle studies you want to pursue
List work experience and extracurricular activities
Send all materials to:
The Fratellanza Scholarship Committee c/o Mr. Rich Adams, 3524 Rubin Dr. Oakland, Ca 94602
I certify that the above information is true. I understand that all the information submitted to the Fratellanza Club will remain confidential
Signed ___________________________ Date _________ Incomplete Applications will not be accepted
Office Use Only : Application date received _________ All documentation received _____