Application

Scholarship Application Form

The $10,000 Lena Romano Memorial Scholarship is open to graduating seniors of Old Forge High School pursuing higher education in any field of study. Complete all required fields and submit your application by May 5th.

Personal Information

Full name*

Email Address*

Phone*

Date Of Birth*

Home Address*

Educational Background

High School/College*

Year of Study/Grade Level*

Major/Field of Study (If applicable)

GPA (Grade Point Average)*

Where do you hope your education takes you?

Tell us about your plans after graduation — your intended field of study, career goals, and what drives you toward that path.

Extracurricular & Community Involvement

List any extracurricular activities, leadership roles, community service, or volunteer work you have participated in. This may include school clubs, sports, work experience, or involvement in your community.

References

Name and contact information for two references (e.g., teachers, counselors, coaches, or mentors).

Essay Question

“Lena Romano lived forty years defying the odds — not just surviving, but showing up for others with kindness, humor, and unwavering strength. Share a time in your life when you faced a significant challenge or supported someone else through theirs. What did that experience teach you, and how has it shaped who you are and who you hope to become?”

Additional Information

Is there anything else you’d like us to know about your story, circumstances, or goals?

Attachments

Upload a copy of your most recent transcript (required)

Supports jpeg, jpg, gif, png, and pdf. Moreover max upload size 15 MB.

Upload a letter of recommendation (optional but encouraged)

Supports jpeg, jpg, gif, png, and pdf. Moreover max upload size 15 MB.

Certification

I certify that all information provided in this application is accurate and true to the best of my knowledge.