THE FRANK DARMOFALSKI (W1FD) SCHOLARSHIP FUND
of the Meriden Amateur Radio Club, Inc.

The Meriden Amateur Radio Club (MARC) is a service organization of radio amateurs (hams) providing communication services to the towns of Wallingford and Meriden Civil Preparedness, the Federal Emergency Management Agency, Red Cross and other community groups.

The club instituted a scholarship in 2006 to honor one of the club founders, Frank Darmofalski, W1FD, and will be awarding a deserving student in the Meriden or Wallingford schools a scholarship in his honor. The amount of the award varies each year and would be a minimum of $250.00.

The scholarship is awarded to those students who have followed a Communication, Electronic and related STEM curriculum in the secondary school and plan to continue their studies in college. We encourage all interested students to download an application from this web-site. Applications shall be considered confidential material and only members of the scholarship committee may review them.

Applicants Requirements:
*Must be in an accredited institution beyond high school and be enrolled in a STEM tract of a curriculum in high school.
*Transcripts should be attached
*Preference is given to students in electronics or enrolled in one of the STEM fields of study.
*Open to all regardless of race, religion, sex or national origin. Must be a U.S. citizen.

Awards shall be based upon academic grades, financial need, leadership qualities, area of study, public service activities and electronic projects.

The scholarship program is open to students in the towns of Meriden and Wallingford, CT. One or more students shall be awarded a scholarship based upon the number available. Exceptions to the Meriden or Wallingford town rule will be made for MARC members’ children or grandchildren.

Applications should be returned by April 15th to the MARC P.O. Box.


Revision: March 14, 2022

MARC INC. SCHOLARSHIP APPLICATION

MERIDEN AMATEUR RADIO CIIJB INC.
P.O BOX 553
MERIDEN CT 06451
 
THE APPLICATION SHOULD BE PRINTED OUT AND MAILED TO THE ABOVE ADDRESS WITH TRANSCRIPTS ATTACHED.

PLEASE PRINT CLEARLY ALL INFORMATION.    DATE _________________

NAME_____________________________________________________ CALL SIGN ____________________
  (LAST FIRST MIDDLE)

HOME ADDRESS
______________________________________________________________________
STREET
_______________________________________________________________________
CITY/STATE/ZIP

PHONE # _(_______)___________________________________
 AREA CODE NUMBER
FATHERS NAME (LAST)_________________________________ (FIRST)_____________________ (DECEASED)

MOTHERS NAME (LAST)________________________________ (FIRST)_____________________ (DECEASED)

SCHOOLS ATTENDED (HIGH SCHOOLS OR ABOVE) MOST RECENT FIRST
_______________________________________________________________________________________________

_______________________________________________________________________________________________

NAME DATES ATTENDED DEGREE OR DIPLOMA

DATE OF GRADUATION ______/________/__________  CLASS RANK ___ OF ________

COLLEGE/SCHOOL/UNIVERSITY AT W\HICH YOU HAVE BEEN ACCEPTED OR ENROLLED:
_______________________________________________________________________________________________

ADDRESS ______________________________________________________________________________________

MAJOR FIELD OF STUDY _________________________________________________________________________

HIGH SCHOOL HONORS OR DISTINCTIONS _________________________________________________________

_______________________________________________________________________________________________


EXTRACURRICULAR AND COMMUNITY ACTIVITIES_________________________________________________

_______________________________________________________________________________________________

_____________________________________ __________________________________________________________

_______________________________________________________________________________________________



LIST ALL RADIO ORGANIZATIONS WITH WHICH YOU ARE OR HAVE BEEN ASSOCIATED WITH:

_______________________________________________________________________________________________

_______________________________________________________________________________________________


LIST ANY HOBBIES _____________________________________________________________________________

_______________________________________________________________________________________________

_______________________________________________________________________________________________


 WHAT PERCENTAGE OF YOUR EDUCATIONAL EXPENSES ARE TO BE PAID BY:

YOUR FAMILY _____%, YOURSELF ____% SCHOLARSHIPS/GRANTS ____% LOANS ______%

WHAT DO YOU ESTIMATE YOUR TOTAL EDUCATIONAL COST FOR NEXT SCHOOL YEAR? ____________

TUITION & BOARD ___________ BOOKS & SUPPLIES ___________ MISC __________

PRESENT EMPLOYMENT _________________________________________________________________________

ANSWER ONLY IF FINANCIALLY DEPENDENT ON PARENTS:
PARENTS HOME: RENTED__________ OWNED_________ BEING PURCHASED ________________

ESTIMATED GROSS ANNUAL INCOME OF PARENTS _____________________

NUMBER OF SIBLINGS ______________________ NUMBER IN COLLEGE __________________

WHAT IS YOUR GRADE POINT AVERAGE? ____________
 
ARE YOU OR ANY OF YOUR FAMILY A MEMBER OF THE MERIDEN AMATEUR RADIO CLUB? _____________
 
APPLICANT MUST SUBMIT A WRITTEN STATEMENT OF 250 WORDS OR LESS EXPLAINING WHY THEY SELECTED THE PROGRAM OF STUDY AND WHAT THEY PLAN TO DO WHEN THE PROGAM IS COMPLETED.      
I HEREBY ATTEST THAT I UNDERSTAND THE AWARD TERMS AND THAT THE FOREGOING INFORMATION PROVlDED BY ME IS TRUE TO THE BEST OF MY KNOWLEDGE. IF I AM GRANTED A SCHOLARSHIP BY MARC INC. I WILL PERMIT MY NAME TO BE USED FOR PUBLICITY RELEASES TO FURTHER THE AIMS AND PURPOSES OF MARC INC.

   
 STUDENT SIGNATURE ______________________________________________ DATE ________________  

 SIGNATURE OF PARENT/GUARDIAN _________________________________ DATE _________________