The Kavanagh Education Trust

Renewal Form for Kavanagh Trust Grants

This form is for prior applicants who have already received a grant from the Trust. New applicants should fill out the new applicant form.

I. PERSONAL

First Name: Last:
Address:
City:State:
Zip:
Phone:Email:
Date of birth (MM/DD/YYYY):
Please also provide your SSN separately by reaching out to one of the trustees.
Religion:Sex:
Marital Status:Children:
Father's Name:Father's Occupation:
Father's Employer:Phone:
Mother's Name:Mother's Occupation:
Mother's Employer:Phone:


II-A. EDUCATION

Current School:Location:
Year of Study:Grad. Date:
Major:Minor:
GPA:GPA In Major:
Degree Sought:
School at which you will spend the grant:
Please send a current transcript with this application. To obtain a mailing address for this information, please contact one of the trustees after submission of this form.


II-B. GRANTS

List all grants you have received from the Kavanagh Education Trust and how the grant was spent. Additionally, state how the receipt of the grant has assisted you in furthering your education.


II-C. CHANGES IN YOUR LIFE

Please describe any major changes in your life since your original application, including but not limited to your health, family, finances, employment, schooling, etc.


III. FINANCIAL

School you plan to attend:City and state:
Planned enrollment date:Planned graduation date:
Anticipated enrollment:Explain:
Your expenses (actual or best estimate):
Tuition:
Room:
Board:
Other (explain):
Total expenses:


Grants / scholarships / financial aid (do not include loans or family support):
Grants:
Scholarships:
Awards / prizes:
Other (explain):
Total financial support:

Total need (amount expenses exceed financial aid):


To the best of my knowledge, the information contained in this application is accurate and complete.
Name:Date: