Name & Contact Information
First Name (*)
Invalid Input
Last Name (*)
Please enter your last / family name
Address (*)
Please enter your address
City (*)
Please enter the name of your city, town, village or other location
State or Province (*)
Select Your State or Province Alabama Alaska American Samoa Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Federated States Of Micronesia Florida Georgia Guam Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Marshall Islands Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Northern Mariana Islands Ohio Oklahoma Oregon Palau Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virgin Islands Virginia Washington West Virginia Wisconsin Wyoming Alberta British Columbia Manitoba New Brunswick Newfoundland And Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Other
Please select your state or province
ZIP or Postal Code (*)
Please enter your ZIP code or postal code
Country (*)
Country Canada United States
Please enter your country
Primary Telephone
Invalid Input
Other Telephone
Invalid Input
Email Address For Emails From Cymdeithas Madog
I Prefer To Be Contacted By: (*)
Email Surface Mail
Invalid Input
Scholarship Information
Please Indicate Some Of Your Interests, Hobbies, Or Leisure Time Activities (*)
Please let us know of some of your hobbies or interests
Please Indicate Your Reason(s) For Requesting A Scholarship (*)
Please let us know why you are requesting a scholarship
Why Are You Interested In Studying Welsh (*)
Please let us know why you are interested in studying Welsh
Have You Ever Received A Scholarship From Cymdeithas Madog
No Yes
Invalid Input
When Did You Receive The Last Scholarship And What Kind Was It
Invalid Input
Scholarship Request
Cymdeithas Madog is able to offer several types of scholarship in 2019. Please read the qualifications for each before applying
The Naomi Mergenthal Memorial Scholarship :
Applicants must be 22 or younger, and have not won this award previouslyThe Barckley Scholarship The Ontario Welsh Festival Scholarship : Applicants must be 25 or youngerCymdeithas Madog Partial Scholarship : Anyone wanting financial assistance may apply, including those who may have received a scholarship from Cymdeithas Madog previously.Matching Scholarship
Check The Scholarship(s) For Which You Are Applying (*)
The Naomi Mergenthal Memorial Scholarship The Gwen Barckley Scholarship The Ontario Welsh Festival Scholarship Cymdeithas Madog Partial Scholarship Matching Scholarship
Please indicate for which scholarships you are applying
If you are applying for a matching scholarship, please indicate the name and address of the organization and of the contact person who will be writing the letter pledging funds on your behalf
Invalid Input
Please read the following questions carefully and then indicate whether you understand the appropriate procedures to follow:
I Have Read The Frequently Asked Questions Page (Or The Scholarship Information Brochure) And The Instructions Above And Will Comply With The Procedures Explained Therein
No Yes
Invalid Input
I Understand That A Letter Of Recommendation Must Be Sent To The Scholarship Coordinator By March 31, 2019, In Order For My Application For Scholarship To Be Considered
No Yes
Invalid Input
If I Am Applying For A Matching Scholarship, My Sponsoring Organization Will Send The Letter Of Recommendation Confirming The Amount Of Money Pledged On My Behalf:
No Yes
Invalid Input
I Understand That I Must Register For Cwrs Cymraeg And Send A Deposit of $100 USD To The Cwrs Registrar By March 31, 2019 In Order For My Application For Scholarship To Be Considered
No Yes
Invalid Input
Submit Scholarship Form
Previous Page Submit Scholarship Form
