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The $4,000 award will be distributed in yearly increments based on the awardee’s educational plan. Verification of continuing education will required at the beginning of each academic year.

Applications are currently closed

To qualify you must:

Be a current high school senior on track to graduate in June 2024
Be continuing your education beginning Fall 2024 (college, university, trade school or other)
Currently live OR go to school in the ‘Target Area’ (see map at bottom of the home page)
Have demonstrated a commitment to improving your community (through involvement in school, home, faith center, neighborhood groups, or as an individual)

Completed applications must include:

Completed and signed application form (including typed short-answer questions)
Official School Transcript
Acceptance Letter from proposed institution of study
Two Letters of Recommendation (MUST be submitted directly by recommenders)

Completed applications and recommendations due Sunday, April 28, 2024.

Recommendations must be emailed directly from recommender to sdahleh@goldenberggroup.com and received no later than Sunday, April 28, 2024.

If you have any questions about the application, eligibility, or award itself, please contact Samar Dahleh at sdahleh@goldenberggroup.com or 267-896-3748.

Applicant Information:

Name *

First

Last

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Email *

Phone *

If "Other" please state here.

Preferred Pronouns *

He/His
She/Her
They/Them
Other

If "Other" please state here.

Expected High School graduation Spring 2024? *

Reside within target area? *

Attend high school within target area? *

NOTE: Applicants must live OR attend school in target area and must be a resident of the City of Philadelphia. See map on home page for area boundaries.

If "Other" please state here.

Cumulative Grade Point Average *

A
B
C
D or below

If your GPA is less than a B, please explain why below.

Primary Parent(s) or Guardian(s) Information:

If parents/guardians have separate addresses or phone numbers, please provide information for only the parent(s) or guardian(s) you would like us to contact.

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Primary Parent(s) or Guardian(s) Information:

Name

First

Last

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

High School Transcript

Click or drag a file to this area to upload.

Please upload a copy of your most recent high school transcript here.

Acceptance Letter

Click or drag a file to this area to upload.

Please upload of a copy of the acceptance letter to the institution you plan to attend in the Fall 2023.

Eligibility

Please initial the following:

I am currently a high school senior (12th grade) and am on track to graduate at the culmination of the 2023/2024 academic year. I have been accepted and/or am already enrolled in an institution to further my education in the Fall of 2024.

Initial here *

If selected, I will use the award toward my educational expenses in the coming years. Checks will be made out to the institution of higher learning I attend or made out to me personally to cover education-related expenses outside of tuition. (A member of the PWTC Scholarship Committee will discuss this with you if you are selected as an awardee.)

Initial here *

Applicant Signature *

Date *

Essay Questions

Please answer all essay questions below. Answers MUST BE TYPED. Suggested length for each question is approximately 500 words. Reminder: This award is specifically for those who have demonstrated a commitment to community and plan to continue positively impacting their community in the future.

1. The word “community” has many meanings. It can refer to a neighborhood, a school, or a group of people with shared beliefs or life experiences. Think about the different communities of which you are a part. How do you show up as a leader in these spaces?

Answer essay question #1 here *

2. Describe a long-term goal you envision for yourself. Explain what steps you have already taken or plan to take to reach that goal. How will furthering your education help you get there?

Answer essay question #2 here *

3. Reflect on a specific instance in your life when you encountered a significant challenge. This could be a personal, academic, or extracurricular challenge that tested your resilience, determination, and problem-solving skills. Describe the circumstances surrounding this challenge, its impact on you, and what you learned from this experience.

Answer essay question #3 here *

OPTIONAL: Please list additional information you believe may impact the committee’s decision. How do you stand out from your peers?

Answer optional question here

Letters of Recommendation

Please provide two letters of recommendation. At least one letter must be from a teacher or school counselor. Letters must be sent from recommender directly to Samar Dahleh at sdahleh@goldenberggroup.com.

Statement of Truth

1. The information submitted on this application is true, accurate and complete to the best of my knowledge.
2. I understand that a representative of the Park West Town Center Community Scholarship Committee may ask me to confirm or verify the information I’ve disclosed in this document during the application process.
3. I understand that if any of the information on this application is determined to be incomplete or untrue, at the sole discretion of the Park West Town Center Community Scholarship Committee, I will be ineligible for consideration of the award.

Applicant Signature

Date