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Polish National Alliance
of the U.S. of N.A.
What We Offer
Permanent Plans
Single Premium Whole Life
Twenty (20) Pay Life
Life Paid Up at 65
Life Paid up at 90
Term Plans
20 Year Level Term
10 Year Term
Student Term to Age 25
Annuity Plans
IRA Plans
Important Forms
Community
News
Events
Photo Galleries
The PNA Scholarship Award Program
Subsidies
Polish Schools
Dance & Choral Groups
Sports
Zgoda Publication
About Us
PNA Leadership
Values & History
Film & Videos
Life Stories
Career Opportunities
Contact Us
Make A Payment
Menu
What We Offer
Permanent Plans
Single Premium Whole Life
Twenty (20) Pay Life
Life Paid Up at 65
Life Paid up at 90
Term Plans
20 Year Level Term
10 Year Term
Student Term to Age 25
Annuity Plans
IRA Plans
Important Forms
Community
News
Events
Photo Galleries
The PNA Scholarship Award Program
Subsidies
Polish Schools
Dance & Choral Groups
Sports
Zgoda Publication
About Us
PNA Leadership
Values & History
Film & Videos
Life Stories
Career Opportunities
Contact Us
Make A Payment
Search
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Scholarship Application
FRATERNAL BENEFITS
First Name
Last Name
Middle Name
Student ID No.
Message
Permanent Address
City
State
Zip
Phone Number
Email
PNA Lodge No.
Cert. No.
Date of Entry
Name and address of the school you will be attending in the Fall
In the Fall semester, I will be a
Sophmore
Junior
Senior
Attached with my application is my most recent official transcript
Yes
No
Transcript
Cumulative Grade Poing Average (min. 3.0 GPA required)
Estimated Annual Tuition
Applicant's Major
PNA Activities
Debutante Ball
Spelling Bee
Dance Group
Lodge Meetings/Events
Orchard Lake Courses
Lodge/Council Delegate
Other
Other PNA Activities
College Level Polish School and Slavic Courses
Community, Church, Organization, School Activities. List your activities, awards, accomplishments, etc. Please attach letter of reccommendation, copies of awards, etc. if available.
Attachments
Polish Language / School / Scouts / English School
Voluntary Community Services
Have you previously received a scholarship from the PNA
Yes
No
If yes, what year?
Amount
Father or Guardian's Name
Is he a PNA Member?
Yes
No
PNA Lodge No.
Cert. No.
Date of Entry
Mother or Guardian's Name
Is she a PNA Member?
Yes
No
PNA Lodge No.
Cert. No.
Date of Entry
Parental PNA Involvement
Number of children in the family (including yourself)
Name
Age
PNA Member
Yes
No
Cert. No.
Name
Age
PNA Member
Yes
No
Cert. No.
Name
Age
PNA Member
Yes
No
Cert. No.
Name
Age
PNA Member
Yes
No
Cert. No.
Additional information
Additional Supporting Documents
If awarded a scholarship, as a scholarship recipient, I promise to continue my membership, at for at least five (5) years after my award is issued. In the event that I am not a member for five years, I will repay the scholarship in full to the PNA.
This application for scholarship is submitted with full knowledge of the Rules and Regulations governing the program. If a scholarship is awarded, the Recipient is bound to abide by these rules.
Submit
