Benton Community Foundation Scholarship Application

Charles F. and Elaine Mellen Sutherland Scholarship Funds

College of Forestry Education Scholarship

College of Public Health and Human Services

The criteria for the Sutherland/Forestry EducationScholarship is as follows:

  • Must be enrolled at Oregon State University
  • Must enrolled in the College of Forestry
  • Preference given to minority students who are US Citizens and/or International Graduate students

The criteria for the Sutherland/Public Health Scholarship is as follows:

  • Must be enrolled at Oregon State University
  • Must enrolled in the College of Public Health and Human Services
  • Preference given to minority students who are US Citizens and/or International Graduate students

Please review prior to submitting your application:

  • Application must be typed.
  • Include most current transcript (Official transcript not required)
  • Complete application and sign where indicated. (Electronic signature accepted)
  • If awarded a scholarship, it must be used for the 2018-2019 academic year.
  • Email completed application to on or before the March 12 deadline. Please put “2018 Sutherland Scholarship” in the subject line. You will receive an email confirmation when your application has been received.
  • All applicants will be notified of their status by May 31, 2018.

APPLICATIONS MUST BE RECEIVED BY 5:00 PM ON MARCH 12, 2018

ALL REQUIREMENTS MUST BE MET, OR APPLICATION WILL NOT BE CONSIDERED.

Late submissions will not be accepted.

Please indicate with an ‘X’ which scholarship you are applying for:

☐College of Forestry Scholarship

Last Name First Name M.I.
Street Address / Phone Number
City / State / Zip code / Email
Ethnicity
Ethnic/Racial Identification you use:
County of Origin:
OSU ID Number:
Currently enrolled in the College of Forestry College
☐Yes ☐No
Currently enrolled in the College of Public Health and Human Services:
☐Yes ☐No
Declared Major:
Expected Graduation Date: / Cumulative GPA:
As of September, 2018 I will be enrolled as a:
☐Full-time Student ☐Part-time Student
☐Freshman ☐Sophomore ☐Junior ☐Senior ☐Graduate Student

☐College of Public Health and Human Services

Extracurricular Activities:

Extracurricular Activities (school/clubs/community involvement). Please share your top three (3) extracurricular activities/volunteer activities and the reason you were passionate about your involvement. Be sure to indicate positions you held and name of club/organization you were involved in.

Activity / School/Club/Organization / Academic Years Participated / Brief Description

Application Questions

Please answer the following questions, attach separate sheets as necessary. Please be detailed in your answers this will be helpful to the selection committee when making their decisions.

  1. Please explain how you decided to pursue your declared major or field of study/training you indicated in the above section. If you are undecided, please explain what you hope to accomplish in the first year of your post high school studies to assist in determining your major/training program.
  1. How will continuing your education post high school contribute to your immediate and long range plans?
  1. Please specify why you are qualified for this scholarship?
  1. Provide us with an overall picture of yourself. This could include, information such as how you demonstrated leadership both in and out of school. Most meaningful achievements and how they relate to your future goals. Awards received, work experience, club activities or other community involvement. (Please do not provide this information in a table format).

Certification & Signature:

By signing and dating this application, I certify that all information I have provided is true. (Electronic signatures accepted)

Signature______Date: ______

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