1 Start 2 Complete Sponsored by East Providence Recreation Dept. Eligibility: EP Resident Graduating High School Senior * Yes, I meet the eligibility requirement (I am an East Providence Resident & Graduating High School Senior majoring in Recreation, Physical Education, Fine Arts or Public Service First and Last Name: * Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1998199920002001200220032004200520062007200820092010201120122013201420152016201720182019202020212022202320242025 Street number, Street Name, City/Town & Zip Code * Telephone * E-mail address: * Parent (s) Name (s) and Occupation (s) * Sibling (s) living at home and ages: * Total Gross Income from parent(s) * College/University * Addmission Date: * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year202120222023202420252026202720282029 Major/Curriculum: * Name of High School: * High School Rank * SAT SCORES * GPA * Special Awards: * Extra-Curricular Activities: * Hobbies: * Are you employed? * Yes - if "yes" please answer question below (place of employment) No Place of Employment: Please attach a 300-500 word, typed essay stating your career goals and why you should be considered for this award. * Files must be less than 2 MB.Allowed file types: gif jpg jpeg png txt pdf doc docx ppt. Application Deadline: 4PM - Monday, May 15, 2023