Moloian Family Foundation
You may contact us, or send scanned PDF versions of your application (preferred) via email at: info@moloianfamilyfoundation.org
Scholarship Application
We will be accepting applications for the 2022 Scholarship
from February 1-March 31, 2022
(You may use your browser print function to print out this application and complete all of the information below. Applications received after the priority date may be considered if funds are
available.)
Name: _______________________________
Address: ______________________________
City, State Zip: _________________________
Email : _________________________________
Text # : _________________________________
Next Semester do you plan on attending Full-time or Part-time? ______
What is your class level (Freshman, Grad etc.)? __________________
What do you want to major in? _______________________________
Submit the following information with the application:
Signature and Additional Information:
The above information and attached documents are true and correct to the best of my knowledge. I give my consent to share any information regarding my demographic, academic, financial information
and/or foundation scholarship funds I am awarded that may be pertinent to the MFF Foundation Scholarship Committee and donors for their consideration of scholarships.
SIGNATURE:
________________________________________________________
DATE: _____________________________________________________________
Submit completed applications to: Moloian Family Foundation, PO Box 4013, Thousand Oaks, CA 91359 by the deadline. Application not postmarked by the deadline may not be considered.
www.moloianfamilyfoundation.org