HomeMy WebLinkAboutCarl and Maureen Valente Scholarship Application-fillable
Carl F. and Maureen G. Valente Public Service Fund
Scholarship Application
This scholarship has been created to assist students interested in a career in public service by offering
financial support for graduate academic programs for Lexington residents who are pursuing a graduate
course of study in public administration or a related major.
The scholarship will be up to $5000 depending on whether the student is pursuing a full-time or part-time
course of study. Preference will be given to women and individuals who are otherwise under-represented
in Lexington’s municipal workforce.
1. Student’s Name __________________________________________________________________
2. Home Address ___________________________________________________________________
3. List the schools you have attended:
School Dates Attended GPA/Maximum Cumulative/ All
Semesters
4. Extracurricular Activities (include sports, clubs, offices held in school)
___________________________________________________________________________________
___________________________________________________________________________________
5. Community Activities (include school, volunteer and community activities)
___________________________________________________________________________________
___________________________________________________________________________________
6. Which graduate school will you/do you attend? __________________________________________
(over)
7. What is your anticipated degree AND why did you choose this major?
_________________________________________________________________________________
_________________________________________________________________________________
________________________________________________________________________________
8. Applicant’s Brief Employment History:
Company/Organization
Position Held
Dates Employed
9. Please supply three personal references - other than relatives (i.e., teachers, business associates,
long-time personal friends):
Name Relationship Home Phone Work Phone
10. Please attach a brief statement (500 words or fewer) explaining your public sector career interests once
you have completed your graduate degree.
I certify that the information I have provided is true and correct.
____________________________________________________ ______________________
Applicant’s Signature Date
____________________________________________________________________________
Mailing Address City State Zip Code
_________________________________ _____________________________
Cell Phone Alternate Phone
____________________________________________________________________________
E-Mail Address
Please send completed application to: Town of Lexington, Human Resources Department, 1625 Massachusetts
Avenue, Lexington, MA 02420 no later than February 28, 2022.