Form C4

Form C4 should be completed if you are applying for the Jesse J. and Angela Bavaresco Memorial Scholarship - $1,500 Requirements: You must be a graduating senior of the Omaha Public Schools and will pursue a post-secondary education. You must have at least a 3.5 grade average. Preference will be given to applicants with an Italian ethnic background.
Last Name:*
First Name:*
Middle Initial:
Email Address:*
Please give substantiating information on your Italian ethnic background:*
Confirmation Code: Enter the code shown in the box before clicking on submit.
	Note: Fields marked by an asterisk (*) are required.