2024 Katina John Malta Scholarship
Application Checklist
Please print your name: _______________________________. Use this Checklist to makesure all parts of your application have been completed. Submit this Checklist as the top page ofyour completed application and with all the necessary documents, and send the whole package to:

Malta Scholarship Committee
Greek Orthodox Archdiocese of America
8 East 79th Street
New York, NY 10075

All the Checklist items below must be included with yourcompletely filled-in application (all 3 pages) for proper processing
by the Scholarship Committee. If there are any missing pieces
your application will not be considered by the committee.

Checklist:

The following items must be enclosed with your application:

 Official Transcript(s) Include High School transcripts and if already at college, any current college transcripts
plus SAT and/or ACT testing records.

 A Letter of Acceptance(For those entering college in Fall 2024.)

OR Proof that you are a full-time student(If you are already attending a college or university.) Copies of Federal Income Tax Returns - Your parents’ return and your return if you worked.
 A copy or transcript of your Baptismal or Chrismation Certificate
 Proof of Permanent Residency (i.e., Birth Certificate, Naturalization Certificate, orPermanent Residency Certificate
 Three (3) Letters of Recommendation - They should be from: 1) a Teacher/Professor, 2) an Employerand 3) an Orthodox Clergyman (required). The letters should address: a) your academic record, and b) yourextracurricular activities, such as community service or parish activities.

 An Essay - Your essay (one page maximum) should address the reason(s) you are applying for this scholarship andhow your planned studies, with receipt of this scholarship, will help you serve the Church and/or the community at large.

 A brief resume (2-page maximum), including the following information:
 Honors and Awards (only most significant honors/awards—academic and others; date received)
 Language(s) (including proficiency levels)
 Special skills (any skills, abilities, or appropriate experiences you feel better qualify you for this scholarship) Extracurricular information: activities, esp. at church; volunteer/community service; special programs; paidor unpaid employment and/or internships. Please include name(s) of organization(s), years of involvement with each,brief description of program, service or work responsibilities. For employment and internships please list hours/week.

Have you completed this Checklist and reviewed that all of the items required are included withyour scholarship submission? Have you signed the application/release form?
Both your signature and your parent’s or guardian’s signature are required.

Deadline for submission of applications: May 17, 2024
Malta 2024

Greek Orthodox Archdiocese of America
2024 Malta Scholarship - Application Instructions

Attached is a Checklist and Application for the 2024 Malta Scholarship. Please
read the following instructions very carefully. Candidates must submit a completed application andall required documentation to the Scholarship Committee by the due date in order to be considered
for a scholarship. One or more scholarships of $1,000 will be awarded.
The application is three pages long and must be filled out in its entirety. All of the required
documentation also needs to be included with your submission (see list below and theChecklist for details). Make sure you include the Checklist as the top page of your completedapplication. Please print clearly. The deadline for submitting your completed application isMay 17, 2024.
It is the responsibility of the applicant to ensure that his/her application is complete.
As designated by the donor, selection of the recipients will be based on the following criteria:• Candidates must provide evidence of true financial need.
• Preference will be given to candidates who are orphans (one or both parents).
• Candidates must be of the Eastern Orthodox faith, within one of the jurisdictions of the“Assembly of Canonical Orthodox Bishops of North and Central America” (seeapplication for a detailed list). Applicants must also provide evidence of being involvedin church and parish activities.
• At the time of application, candidates must be high school seniors and beginning theirundergraduate degree program in the fall of 2024 or already a full-time matriculated
student committed to serious study on a full-time basis in an undergraduate
degree program at an accredited college or university.
••

Candidates must be citizens or permanent residents of the United States. Proofof permanent residency is required i.e. copy of Birth Certificate; NaturalizationCertificate; Permanent Residency Documents.

Candidates must have achieved and must provide proof of a combined SAT minimumscore of 1000. If the SAT were not taken, another measure used by the academic
community, for example the ACT, should be substituted.

• Applicants must have maintained a minimum grade point average of at least a B, 80,
or 3.0 through high school and must submit their high school transcripts as proof.
• Students already enrolled in college must submit both current college transcripts, aswell as their final high school transcripts, including SAT (or ACT) test scores.
• Students should be undertaking studies in the sciences, business or the arts.
• Candidates must submit a fully completed application to the Scholarship Committee. The
application is three pages long, and all sections must to be filled out. Please print clearly.
1• Your submission must also include all the required documentation as highlighted on theChecklist and listed below. Make sure your application submission includes thefollowing documents (additional details available on the Checklist):
1. Official transcripts from high school and college (if applicable).
2. Letter of acceptance (for those entering college) or proof that you are afull-time student (for those already attending college). i.e., tuition
statement, letter from registrar, etc.
o Copy of financial statement from the Bursar’s Office, stating student’s
outstanding tuition and fees (***NOTE: Scholarships will not cover Room& Board, just tuition).

3. Copies of the most current Federal Income Tax Returns (your parents’return and your return if you did paid work).
4. Copy of debt schedule (if applicable) stating any accrued liability ofthe student.
5. A copy or transcript of your Baptismal or Chrismation Certificate.
6. Three (3) Letters of Recommendation (one must be from an Orthodox
Clergyman).
7. An essay (topics are listed on the checklist).
8. A brief resume (2 pages maximum), including information about yourself,
as detailed on the checklist.
9. Proof of permanent residency, such as a birth certificate, naturalization
certificate, or permanent residency certificate.
NOTE: All tuition scholarship awards will be paid directly to the college oruniversity being attended!!

Use the checklist to make sure you have included every item in your submission.
Recommendation letters can be sent directly to the committee from the individuals writing them or you cancollect them and submit them with the rest of your documents. In either case, the applicant is responsible
for ensuring that these letters, as well as all pieces of your application, are received by the committee.
The candidate should be available for a telephone interview at the Committee's discretion.

If there are any questions, please e-mail us at scholarships@goarch.org
Completed applications (with all the required documentation) should be sent to:
Malta Scholarship Committee
Greek Orthodox Archdiocese of America
8 East 79th Street
New York, NY 10075

Scholarship submissions must be postmarked by the DEADLINE: MAY 17, 2024
2

2024 Katina John MaltaScholarship

Applicant Information

2024

Applicant’s Instructions: Please complete all sections of this application (there are three pages); print clearly; sign it(you & your parents), and return it together with all required documents, as noted in the Instructions and the Checklist.
(Please include the Checklist). Please note that incomplete applications will not be considered for an award.

 Please send your completed application and all required documents to: Malta Scholarship Committee, Greek Orthodox
Archdiocese of America, 8 East 79th Street, New York, NY, 10075. The application deadline is May 17, 2024.
2. E-mail Address

1. Applicant’s Name (First, Middle, Last)___________________________________________
3. Mailing Address

4. Telephone Numbers (include area codes):Daytime (Street/P.O. Box))

Evening (---

5. Citizenship: (proof required; see Application Instructions)

CityorState

U.S. CitizenZIP Code

Permanent Resident of the U.S.?

E-mail6a. Date of Birth (MM/DD/YYYY) ______________________
6b. Place of Birth __________________________________

7. Education

8. Test Scores and Dates

7a. Enrollment Status for 2024-2025 (Check applicable boxes):orAccepted for full-time study (to begin Fall 2024)

Already enrolled full-time in an accredited post-secondary
institution; indicate status for 2024-2025 academic year(please check one box below):

 Sophomore  Junior  Senior  Transfer student (Yr. ___ )7b. Name of Undergraduate College/University (must be an accredited
post-secondary institution):_______________________________________________________
Address:________________________________________________________________________________________________________________
7c. Field of Study:

Enter your ACT, SAT I, and SAT II test dates and current highest scores earned, if available. Also list
any planned test dates. If you have taken an exam more than once, record your highest score. For
SAT I, please use your best total score.

8a. ACT__ / __ ___ ___ ___ ___MOYREnglishTest Date

7d. Current Scholastic Standing (last academic year): Actual GPA Score: _______ points out of _______ points(i.e: 3.75 pts out of 4 pts)

Science Reasoning____

8b. SAT I Reasoning Test (without writing)__ / __
MOYR___Verbal___Math____TOTAL SCORE

Test Date

8c. SAT II: Subject Tests
Mathematics – Level I or IC__/______

Test Date

Score

MOYR__/______

Test Date

Score

MOMajor and Minor:

Reading

COMPOSITE SCORE

Mathematics – Level IIC

Degree Program:Math Subscores YR

Third Test__/______

Test Date

Score

MOYR

 Weighted GPA Score: _______ points out of ______ points
Letter Grade Average: _______ Rank in Class: _______ out of _______

MALTA 2024

9. Family Information (Please be accurate and truthful in answering these questions)

9a. Marital Status of Parents: (Check applicable box and if needed, provide a detailed explanation on a separate piece of paper) Married Remarried Single Divorced/Separated  Widowed

9b. Total number of people in your family, including yourself: (Number) ________
9c. List all Dependents, other than yourself, who are supported by your parents: (List all children 21 years of age and younger, and/or children orother relative(s) receiving support from your parent(s))

Full NameAge

School Currently Attending (where applicable)

9d. Special Family Status/Circumstances (If applicable, provide a detailed explanation on a separate piece of paper):Applicant is: an Orphan - one or both parents
 Applicant is married Parents are 65 years of age and over
 Other situation

10a. Parent(s) information
Father’s Full Name

Mother’s Full Name

Address (City and State Only)

Address (City and State Only) Disabled parent(s)11. Parent(s)’ Gross Annual Income
for the past three years(Must be completed if you receive any support fromyour parent(s) and/or are a dependent, and/or theyare contributing to your tuition, room & board, etc.)
2023 $_____,_____.00

10b. Parent Employment Information____________
Father’s Current Occupation_____
No. of Yrs.

____________
Mother’s Current Occupation

No. of Yrs.

Employer:______________________

Employer:______________________________________________

Father’s Previous Occupation_____
No. of Yrs.

Mother’s Previous Occupation

2022 $_____,_____.00

_____

_____

2021 $_____,_____.00
Attach a copy of parent(s)’ most current
Federal tax forms.
13a. Student Gross Annual Income
2023 $_____,_____.00

No. of Yrs.

2022 $_____,_____.00

12. Budget for 2024-2025
12a. Calculation of Expenses
Tuition$_______________.00
Room$_______________.00
Board$_______________.00
Books$_______________.00
Transportation

12c. Sources of Financing
Institutional Scholarships$_______________.00
Non-institutional Scholarships$_______________.00
Government Grants$_______________.00
Student Loans

Other Financial Aid (specify source)$_______________.00

Fees

Other Sources (please specify)$_______________.00$_______________.00

Other Expenses (Please specify)

Parental contribution$_______________.00$_______________.00$________________

13b. Student Hours Worked:_______ hours per week.

 paidor volunteer/ internAttach a copy of your most current Federal tax
forms.
14. Accrued Liability (from debt schedule)
Indicate the amount of student loan debt you haveincurred thus far:$_____________.00$_______________.00$_______________.00

12b. Total Expenses

2021 $_____,_____.00

12d. Total Resources$_______________

15a. Have you applied for the Malta Scholarship
before?
 Yes
 NoYear(s) of Application: ______________
15b. If yes, are you a previous recipient of anaward?

 Yes

 NoYear(s) of Award: __________________
MALTA 2024

16. Other Financial Assistance
Please list below any awards you have or will receive that will assist you financially while enrolled in your degree program.
(These should also be summarized and included in your calculation of resources in number 12c of this application.)
Name of Award

Amount of Award

Duration of Award

17. Jurisdiction: Please indicate which jurisdiction of the “Assembly of Canonical Orthodox Bishops of the United States of America” youbelong/attend. If a member of the Orthodox Christian Fellowship (OCF) at college, please indicate this as well, below.

 Albanian Orthodox Diocese of America

 Orthodox Church in America

 American Carpatho-Russian Orthodox Diocese in the USA Romanian Orthodox Archdiocese in America & Canada

 Antiochian Orthodox Christian Archdiocese of North America

 Serbian Orthodox Church in the United States & Canada Bulgarian Eastern Orthodox Church Ukrainian Orthodox Church of the USA

 Greek Orthodox Archdiocese of America

 Moscow Patriarchate in the USA

Parish name and location:___________________________________________________________________________________________
Parish NameCity, StateFor those already in school, if your college has an Orthodox Christian Fellowship (OCF) and you belong, please indicate this.

 OCF at College/University (SCHOOL NAME)_____________________________________ Location: ______________________________________
CITY, STATE

18. DISBURSEMENT & CONTACT INFORMATION (Provide your school’s specified information below regarding the acceptance of outsidescholarships/donors. Failure to correctly do so may result in significant delay of disbursement and crediting of scholarship funds to your student
account should you be a recipient of an award)
Name of University/College and Scholarship Office/Dept. (U.S. schools only):
Address:
Scholarship Office/Dept. Telephone Number:Student ID Number:Student Account Number (If Applicable):

19. ANNOUNCEMENT INFORMATION
Applicant’s Full Name:
Address:(City and State only)

AUTHORIZATION AND CERTIFICATION
I authorize the Greek Orthodox Archdiocese of America (GOA) to release application information, including copies of my application andmy test scores, to the Malta Scholarship Committee (MSC) or agent thereof. All information is for internal use only and remains confidential.
I agree to have the GOA and/or the MSC or agent thereof to verify any and all of the application information given, including pertinent
personal and financial information. The GOA and/or MSC or agent thereof may contact my employer(s), references, as well as schools cited herein
to substantiate this information. I also understand that I may be required to authenticate the information given by submitting copies of financial aid
application(s), or any other relevant document(s) or statement(s).
I hereby certify that the information provided in this application is accurate and that I am the author of the attached essay. I understandthat if any information is found to be inaccurate or incomplete, the MSC will deny me an award.
If awarded the Malta Scholarship, I authorize the Greek Orthodox Archdiocese of America to publicize my being a recipient (Section No.
19). I further consent to the release of any related disbursement and contact Information in order to facilitate direct payment to the College or
University that I am attending (Section No. 18).
Signature of Applicant _____________________________________________________________ Date ____________________________
Signature of Parent or Guardian _____________________________________________________ Date ____________________________
MALTA 2024