A scholarship for young men
who have lost both parents
This scholarship, in honor of a promising young man who died at age 22, is for a young man who has lost his mother
AND father (both). Also eligible is a young man who has lost his mother AND does not have a father available to him. It is
for students currently enrolled in or having been accepted to a New
England college or university. The amount is variable depending on the funds available, $500-$5,000.
Due to limited administrative personnel, and the many applications we receive, only scholarship recipients will be notified
within sixty days of receipt of application.
Please answer the following questions and submit a brief essay (one
page or less) about yourself. Questions may be answered within the essay or separately. Picture is optional,
as are any other support materials.
2- Age when mother died AND
when father died or became unavailable
3- Education and education plans if applicable
5- People in your life currently serving as “surrogate parents.”
Personal and financial support system
7- Personal and career goals
of yours that you value
9- Where do you plan to be living next year?
Your email and/or materials you mail will serve as your application. Applications and questions can be sent to firstname.lastname@example.org
or mailed to: Iris-Samuel Rothman Scholarship P.O. Box 620643 Newton, MA 02462 617-686-3556
The parent organization of Iris-Samuel Rothman Scholarship is It's Who's On The Bus That Counts, a non-profit organization.
Optional: Where did you hear about the iris-samuelrothmanscholarship.org?
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please let us know by sending us an email at email@example.com. If you supply us with your postal
address on-line you will only receive the information you requested and for which you provided us your address. If you supply
us with your telephone numbers we will only use this to contact you if there is a question about your scholarship application.
If our information practices change at some time in the future we will update the policy changes on our website to
notify you of these. If you are concerned about how your information is used, you should check back at our Web site periodically.
If you feel that this site is not following its stated information policy, you may contact us at firstname.lastname@example.org
For more information, please email, email@example.com.