Oregon Sports Hall of Fame and Museum

MacTarnahan Scholarship Program 2017

SCHOLARSHIP APPLICATION

This organization awards up to six $3,000 scholarships to Oregon high school seniors graduating in the year 2017. Recipients are chosen on the basis of financial need, athletic accomplishment, academic achievement and community involvement. Minimum academic requirements: GPA of 3.3, SAT of 1000 or ACT of 20. Scholarship funds must be used at an institution of higher education within Oregon.

Mail your application by May 21, 2017 to:

Oregon Sports Hall of Fame & Museum / Attn: Scholarship Chairman

4840 SW Western Ave #600 / Beaverton, OR 97005

Questions: Contact Joel Roth at 503.227.7466 or

Name ____________________________________________________________________________________

Address __________________________________________________________________________________
City ________________________________________________________ Zip __________________________

Telephone ________________________________________________ SSN#__________________________
E-mail ____________________________________________________________________________________

Name and address of high school

__________________________________________________________________________________________

College or University you plan to attend in Oregon

___________________________________________________________________________________________

Application Items of Note:

· FINANCIAL NEED:

Please include a copy of your Student Aid Report (SAR) that provides the Expected Family Contribution (EFC) number. These are obtained by filing the Free Application for Federal Student Aid (FAFSA) form with the federal Department of Education.

Expected Financial Contribution Number (from the FAFSA Form) ______________________________________ Family’s Federal Adjusted Gross Income (from 2016, Form 1040) ______________________________________ Number of Dependents (from 2016, Form 1040)_____________________________________________________ Number of family members including applicant (if different from Form 1040) __________________________ Optional: Attach an explanation of any other specific financial problems that you believe are not adequately addressed by the SAR and your family’s adjusted gross income.

· ATHLETIC ACCOMPLISHMENTS:

Please list all accomplishments and sports played in chronological order by grade (on separate page)



· ACADEMIC ACHIEVEMENTS:

Please list all accomplishments in chronological order by grade (on separate page)
GPA _________________________ (include copy of transcript)
SAT/ACT _____________________ (SAT –Math, Reading, Writing) (include copy of form from testing agency)

· COMMUNITY SERVICE: Please list in chronological order, e.g. church, non-profit, volunteer, youth. (on separate page)

· WORK EXPERIENCE: Please list in chronological order with description on your job, work and results. (on separate page)

· LETTER(S) OF RECOMMENDATION: Letters from a coach, teacher, parent, etc.

Application requirements and attachments; Please include:

· SAR Report

· Official Transcripts

· SAT/ACT Form

· Athletic Achievement List

· Academic Achievement List

· Community Service List

· Work Experience List

· Minimum: One letter of Recommendation (Include as many as applicable)

· Personal Letter (Maximum one page) on why applicant should win scholarship

· Recent Photo & Biography: Minimum 150 words, max 300 words

PLEASE LIMIT APPLICATIONS TO A MAXIMUM OF 15 PAGES AND SIMPLY STAPLE THE PAGES TOGETHER. BINDERS OR NOTEBOOKS ARE NOT NECESSARY. PLACE PHOTO IN SEALED ENVELOPE AND STAPLE WITH MATERIALS.

www.oregonsportshall.org

4840 SW Western Ave #600

Beaverton, OR 97005

503-227-7466