Please type in all information and click Submit at the bottom of the screen. After you have clicked Submit, a print version of your application will display. You must  print, sign and send the print version with the requested documentation to:

N.Y.C. Department of Citywide Administrative Services
The Hundred Year Association of New York Awards Program
1 Centre Street, 21st Floor South, Room 2130, New York, N.Y. 10007

All applicants are required to have at least one parent be an employee of the City of New York. Please attach a short essay to the application form you print out in which you discuss how your parent’s experience as a New York City public servant has shaped your future goals. Your comments should not exceed one typewritten or handwritten page.

All applications will be reviewed for eligibility and verification by the New York City Department of Citywide Administrative Services. Finalists will be selected according to the following criteria:
  1. Scholastic achievement, leadership and commitment.
  2. Record of school and community activity and service.
  3. Score on the SAT or ACT examination.
  4. Acceptance and planned attendance; or continued attendance at a college or university.
  5. Financial need.
  6. Other information which The Hundred Year Association of New York Awards Committee may require or deem pertinent.

The Hundred Year Association of New York Awards Committee will determine the winners following a personal interview with each finalist.

Note: Applicants must submit a completed hard copy application along with all required supporting documentation to be eligible for consideration for a College Scholar Award. An online application alone will not be accepted. Packages that are missing documentation will not be considered for an award.

Users must have  Adobe Acrobat Reader  installed in order to print their hard copy application forms. 

This site is optimized for at least a 1024x768 resolution.
1. Student Information.
Student SSN:
 
Student Last Name:
 
Student First Name:
Home Address Street:
City:
State:
Zip:
 
Home Phone:
Cell Phone:
E-mail:

 
 
2. Student Type.
I am currently a
  For High School Students only   For College Students only
   
Year of Graduation:


College Student Status:




if previously graduated, what year:  
Year of High School Graduation:
3.High School Information.
New York City Districts:   High School Names:   
School Name:
Check the box if your school is not on the list and type it in the School Name field at left:
School Address Street: City:
State: Zip:
Class Rank: Total S.A.T. Score: 
 
GPA Score:
(numeric or Alphabetical)
  Total A.C.T. Score:
 
4.College Information.
College Name: City: 
College Address Street: Zip:
 

State: College GPA Score:   
5. City Employee Parent/Guardian Information.
Last Name:
First Name:
Home Address Street:
City:
State: Zip:
Home/Cell Phone:  

Work Phone:   
E-mail (Personal):


 
E-Mail (Work):

 

employee Current Job Title:
 
Employee ID #:    

Current Agency:

Current Agency Code:  
Are you a full-time employee?
  

City Service Entry Date:
(mm/dd/yyyy):
 

 
  
 
6. Family Income (Year Ending 2014).
 Gross Salary (City Employee):  
 Gross Salary (Other Parent or Guardian):
Other  Income Contribution:     
Calculation is mandatory:  
Calculated Total Family Income
(must not exceed $110,000.00):


 
Total Financial Aid and other funding for  2015:
List Funding Type(s) and amount(s), if any:
7. CAPTCHA.
Please type the five characters exactly as you see them in the box to the right of the data entry field. Entries in the CAPTCHA data entry field are case-sensitive and must exactly match the characters in the box:  

If you cannot see it clearly press button:


    
 
 
 If you experience technical problems using this form click  Technical Support