SCHOLARSHIP APPLICATION

MAKARIOS SCHOLARSHIP FUND, INC.,

Theodore and Wally Lappas Award

13 E. 40th Street, New York, NY 10016

A. Purpose and Background

The Theodore & Wally Lappas Award is given as a special award of the Makarios Scholarship Fund, Inc. Its purpose is to recognize and provide monetary support to needy Greek Cypriot students of high academic standing in their pursuit of a higher level of education - college or university degrees in the United States. The Award is named after a man and his wife, who were great friends of Archbishop Makarios III. Mr. Lappas came to the United States from Cyprus at the age of 17, with less than a high school education and with no family or friends here. He, and his wife Wally, who arrived in this country from Germany, at the age of 21, established a flourishing real estate business and are the major contributors to the Scholarship Award.

B. Eligibility Requirements

To be eligible for the Theodore & Wally Lappas Award, the following stipulations must be met:

1. Applicant must be a Greek Cypriot born on the Island of Cyprus with a permanent residence on the island and a citizen of the Republic of Cyprus. (please attach copies of a birth certificate, nationality status).

2. Applicant must be currently enrolled or will be enrolled in September of the year of application, as a full-time student in a U.S. College or University pursuing a degree in higher education. Letters of acceptance, proof of enrollment, copies of diplomas and other information and any other verifying documentation as well as name and address of educational institution should be submitted with the application. All scholarship awards will be paid directly to this institution in the name of the recipient.

3. Applicant must be of high academic standing at his/her high school, college, or university. Appropriate documentation and official transcripts from applicant’s educational institutions dated no earlier than 2 months prior to April 30, must be submitted.

4. Applicant must submit appropriate documentation regarding financial need and all sources of financial aid. Financial need, if demonstrated, will be an important factor in determining the granting of the award and its size

5. Applicant must submit 2 letters of recommendation from non-family members with at least two from his/her educational insti

tution, (dean, advisor, teacher, professor).6. Applicant must submit two recent photographs of him/her self (passport size is desirable). Applicant consents that photographs may be published if he/she is an award recipient.

6. Applicant must submit two recent photographs of him/her self (passport size is desirable). Applicant consents that photographs may be published if he/she is an award recipient.

7. Applicant should include a short resume indicating accomplishments (education, community, professional and business),

academic and professional goals as well as other activities. (See Section VI of the application).

C. Additional Requirements, Stipulations and Information

1. Applicant must submit all stipulated documentation in complete form as described above, on or before April 30th.

Any missing materials not received by that date will automatically disqualify the applicant.

2. The Theodore & Wally Lappas Award may be granted for one or more years to a given recipient. Should an applicant be considered for, or granted an Award for more than one year, he/she must submit a new complete application as per instructions above. Granting of an award for more than one year is not automatic and in no way obligates the Fund to continue such award. The awarding, continuation or discontinuation of the Theodore & Wally Lappas Award, or the dollar amount is at the sole discretion of the Award Committee and Board of Directors with no recourse by the recipient(s) or their educational institution(s).

3. The Board and the Committee for the Theodore & Wally Lappas Award retains the right, without recourse, by the applicant/recipient or educational institution to terminate the distribution of scholarship awards/grants as a result of such factors as misinformation, educational problems, misdirection of funds, death of applicant, fund depletion, failure of applicant/recipient to meet requirements.

The undersigned applicant understands and agrees to the terms and conditions stated herein for the granting of the Theodore & Wally Lappas Award as indicated by the applicant’s signature below and on the attached completed Application form and that all documentation submitted is correct and valid and can be used, stored, reviewed and verified at the Award Committee’s and Board’s sole discretion. This form along with the Application and specified documentation is required to be returned to the Makarios Scholarship Fund, Inc., Theodore & Wally Lappas Awards, 13 E. 40th Street, New York, New York 10016 on or before April 30th of the application year. All information submitted by and on behalf of the applicant will be treated with appropriate confidentiality subject to necessary verification by the Award Committee and Board of Directors of the Cyprus Children’s Fund.

Applicant’s Name _______________________________________Date____________________

Please Print

Applicant’s Signature _______________________________________Date_____________________

Please sign

Applicant’s Address ________________________________________________________________

(Edition 10/99)

MAKARIOS SCHOLARSHIP FUND, INC.,

Theodore and Wally Lappas Award

13 E. 40th Street, New York, NY 10016

Application

This application must be submitted in a typewritten form

I. Applicant Name: _______________________________________________________________________________________________

Last First Middle

Permanent Address in Cyprus______________________________________________________________________________________

Telephone No._________________________Place of Birth___________________________Date of Birth__________________ ______

Address in USA_________________________________________________________________________________________________

Citizen of ______________________________________________________________________________________________________

(attach copy of nationality and/or citizenship papers)

Note: You must be a Greek Cypriot, with a permanent residence on Cyprus.

Are you employed? [ ] Yes [ ] No

If yes:________________________________________________________________________________________________

Name and address of employer:

Telephone Number:________________________ Salary: $_______________________

Marital Status: Single [ ] Married [ ] Spouse’s Name:________________Spouse’s Annual income_____________

Spouse’s Occupation: ____________________________________________

II. Applicant’s Family

A. Father’s Name______________________________________________________________________________________________

Last First Middle

Alive?_________Deceased?__________ Father’s place of Birth__________________

Father is citizen of____________________________________

Country

Father’s Address__________________________________________________________________________________

Telephone Number:________________________

Refugee status Yes [ ] No [ ] If yes, please given town or village of origin before 1974

Occupation: ___________________________

Employer’s Name and Address:___________________________________________________________________________________

Employer’s Telephone Number_______________ Annual Income of Father: $_____________________________________________

B. Mother’s Name _____________________________________________________________________________

Last First Middle

Alive? ______Deceased? _______ Mother’s Place of Birth__________________________________________________________

Mother is Citizen of _________________Address if different from father’s____________________________________________

Country

Refugee? Yes [ ] No [ ] If yes, please give name of town or village before 1974_________________________________________

Occupation:______________________________Mother’s Annual Income: $_________________________________________

Employer’s Name and Address___________________________________________________________

C. Brothers and Sisters (use additional pages if needed)

1. Name_________________________________________ 3. Name_____________________________________

Last First Middle Last First Middle

Age?_______Alive?_________Deceased?_____________ Age?________Alive?________Deceased?___________

Level of Education Achieved?__________________ Level of Education Achieved?_____________________

2. Name___________________________________ 4. Name______________________________________

Last First Middle Last First Middle

Age?_____Alive?_______ Deceased?____________ Age?_______Alive?_______Deceased?____________

Level of Education Achieved?__________________ Level of Education Achieved?____________________

III. Sources of Financial Aid

Please provide specific information about all sources of financial aid from inheritance, self, parents, spouse, investments, relatives,

educational institutions, organizations, loans or other individuals et al. Give name, address, telephone number and relationship,

i.e. grandparent, uncle, friend, etc. as well as dollar amount and if applicable, length of grant or award (use additional pages if needed).

A. Self, Family, Relatives

(a) Name_____________________________________ (b) Name:____________________________________________

Address:_____________________________________ Address:______________________________________________

_________________________________ _________________________________________

Telephone Number:________________________ Telephone Number:________________________________

Relationship to applicant:___________________ Relationship to applicant:___________________________

Amount per Year $__________Year(s)_________ Amount Per Year $_____________ Year(s) ___________

B. Awards, Scholarships, Grants, Loans

Amount Per Year__________Total $______________

IV. Educational Background

Please include copies of diplomas, certificates, letters of acceptance and/or matriculation as well as official transcripts from all educational institutions listed:

High School Name and Address:____________________________________________________________________________

Diploma:_______________________________Year of Graduation:____________Class Standing:_______________________

Names and Addresses of contact person(s), principal, advisor_____________________________________________________

______________________________________________________________________________________________________

IV. Educational Background (continued)

Undergraduate Institution:

Name and Addresss:________________________________________________________________________

________________________________________________________________________

Degree received or expected __________________________________________________________________

Year of Graduation:___________Class Standing:_______________Field of Study:_______________________

Names and Addresses of contact person(s) i.e., dean, advisor, financial officer, etc.

(please list below)

Graduate Institution:

Name and Address:__________________________________________________________________________

__________________________________________________________________________

Degree Received or Expected:__________________________________________________________________

Year of Graduation:__________Class Standing________________Field of Study:_________________________

Names and Addresses of contact person(s), i.e., dean, advisor, financial officer, etc.

(please list below)

V. Cost for one (1) full year of full-time attendance.

1. Tuitition $_____________________

2. Room and Board at College or University (if applicable on a yearly basis) $_________________________

3. Total Expected Yearly Expenses $___________________________________________________________

sum of above

List employment within or outside the named educational institution and the dollar ($) amounts expected.

VI. Applicant must write below a short resume indicating accomplishments (education, community, professional and business) as well as academic and professional goals, memberships in organizations, associations, and clubs and any other pertinent information. Use additional blank pages as necessary which should be attached and made part of this application.

VII. Applicant certifies, by his/her signature below, that the information submitted in and for this application for the Makarios Scholarship Fund, Inc., - Theodore and Wally Lappas Award - is true and accurate and that the applicant has personally prepared and authored all documentation required, excepting those letters of recommendation, diplomas, transcripts, etc. ,which have been secured from authorized sources, and agrees to the terms and conditions regarding the Theodore and Wally Lappas Award stipulated by instructions, eligibility, etc., which has been signed by the applicant and made a part (attached) of this total application and returned to the Makarios Scholarship Fund, Inc., Theodore & Wally Lappas Awards at 13 East 40th Street, New York, NY 10016 on or before April 30th of the application year.

Applicant’s Signature:_________________________________________ Date:___________________________________________

WITNESS: (Please have a witness sign this application).

Witness Name:_______________________________________________ Date:____________________________

Witness Signature:____________________________________________ Date:____________________________

Witness Address: _________________________________________________________________________________

Witness Telephone No.: ( )