PERSONAL INFORMATION Your Name (required) Home Address: Street (required) City, State (required) Zip code (required) Birthday (required) Home Phone Cell Phone (required) Your Email (required) Parent/Guardian’s Name (required) Home Phone Cell Phone Email (required) PARISH INFORMATION Parish (required) Pastor (required) Parish Address: Street (required) City, State (required) Zip Code (required) EDUCATIONAL BACKGROUND High School Presently Attending: Name (required) Address (required) Years Attended Elementary School Attended: Name (required) Address (required) Years Attended Do you know anyone that is currently in, or was in the Pierre Toussaint Scholarship Program? If yes, who & how do you know them? How did you find out about the program? Who suggested you apply? ADDITIONAL REQUIRED INFORMATION (you can either type in, upload, or mail in your submission)Option 1. Upload Responses Option 2. Type Responses Below 1. Please list and describe any extra-curricular activities that you have participated in while attending high school. State any offices held, the length of your membership and any awards or special recognitions you may have received. 2. Please list and describe significant contributions you have made to your church and/or community organizations and any civic awards or special recognition you have received. Indicate any positions you may have held. 3. To what colleges, trade schools or post-secondary training programs have you applied? (Please indicate if you’ve been accepted at any of the indicated schools as of the date of your application). 4. Please list academic awards or honors you may have received during high school or expect to receive upon graduation. 5. Indicate your career interests. ESSAY (you can either type in, upload, or mail in your submission)In an essay of approximately 300-500 words (typed, 12-font and double spaced), discuss one of the following questions or topics, keeping in mind that, although your essay should demonstrate some knowledge or familiarity with the life of Venerable Pierre Toussaint, it should aim to provide the reader with a greater insight into who you are and how you think.1. In Matthew 20:28, Jesus says that: “the Son of Man did not come to be served but to serve, and to give his life as a ransom for many.” With at least one concrete example, discuss what you think Jesus meant by this and whether or not you think Venerable Pierre Toussaint embodied and lived out this statement in his life. Then address how this statement is (or can be) reflected in your own life.2. What do you think it means to be a “man or woman for others?” Do you consider yourself to be such? Why or why not? Would you consider Venerable Pierre Toussaint to have been such? Why or why not? Discuss, providing at least one example from his life and yours.3. Many would consider Venerable Pierre Toussaint to have been a very generous and forgiving person. Would you agree or disagree with that? Would you consider yourself to be such? Explain/discuss, providing an example(s). Option 1. Upload Essay Option 2. Type In Option 3. Mail to: Pierre Toussaint Scholarship Fund Archdiocese of New York 1011 First Avenue, 7th Floor New York, New York 10022