Post High School
OMRO AREA SCHOLARSHIP AND EDUCATION PROGRAM
LOCAL SCHOLARSHIP APPLICATION FORM
Applications Due February 24, 2017
Type or print legibly – Answer all questions
Name
Address City
Zip Code Phone Number Date of Birth
1. Name of father /guardian:
Address: Occupation/Company:
2. Name of mother/guardian:
Address: Occupation / Company:
3. Parents divorced? Mother deceased? Father deceased? Other status?
4. Number of children claimed as dependents on income tax form? List ages:
5. Are you a non-trad student (started college at least a year after high school)? Y N
6. Number of family members attending college (including yourself):
7. Postsecondary school you plan to attend next year:
8. Major/minor:
Activities
List your top 6 school and community (including employment) activities over the past 5 years. List the years in which you participated and the offices held, honors, awards, etc.
Activity
/Year(s) 2014, 2016
/ /Offices/Honor/Awards
*Please attach a college transcript to the application
Please write a 200-350 word essay in the space below that touches on the following points:
· Describe why you are deserving of this scholarship.
· What is your professional goal after graduation from a post-secondary school?
· Describe how you have given back to the community as a volunteer and/or as an employee.
· Please list any information that will help the committee judge your merits as a financial aid applicant.
I certify the above information to be true, correct, and complete. I understand that all the information will be confidential. (Original signature is required – Do not type signature)
______
Student Signature Date
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Please indicate by placing a checkmark before any or all of the scholarship(s) that you feel you are qualified for or interested in:
Omro Area Scholarship and Education Foundation
Omro Thrift Store
Strehlow Family
Clark Family
Completed applications need to be printed and returned to the high school guidance office by
Friday, February 24, 2017
Send applications to: Dianne Rosenthal, Guidance Secretary
Omro High School
455 Fox Trail
Omro, WI 54963