OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Eligibility Criteria
· Applicant must be a member in good standing of the Omaha Hockey Club High School
Club Hockey League
· Applicant must be a senior attending an accredited post-secondary institution
· Applicant must be attending the accredited post-secondary institution on a full time status
(as outlined by the institutions full time requirements).
· Applicant must submit a two page essay (1.5 spaced) outlining "How Ice Hockey Has Had
An Impact In My Life."
· Applications are due no later than March 31st, 2015.
· Applications are to be turned into the OHC Administrative Office or mailed to:
OHC High School Club Hockey Education Foundation
Attention: Grant Administrator
15127 Lake Street
Omaha, NE 68116
· A completed application will include the following documents:
1. Education Foundation Grand Application
2. Essay
3. Academic Summary as outlined on the application
4. Official School Transcripts
5. Any additional materials you feel will support your application
6. Minimum 3 Recommendations
· Employer
· Coach
· Personal
· Educational Instructor
Personal Data:
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Name: Social Security #:
Present Address: Street City State Zip
Telephone #
Residence Work
Permanent Address: Street City State Zip
Telephone #
Residence Work
Employment Data:
Present Employer:
Address: Phone #
Position/Duties:
Date Started:
Any prior work history you wish to add:
Please Respond To The Following:
(If additional space is needed to answer, please finish on the back of this page.)
High School Scholastic Achievements (Grades, Honors, ETC.):
High School Extra Curricular Activities:
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Education and Career Goals/Plans:
Past Participation in Hockey/Future Participation Goals:
What other financial assistance &/or scholarships do you expect to receive:
What is your parent’s annual income:
Give the names and ages of all of your siblings. Do any of them play hockey, and if so, which one(s)? Do any of them currently attend college or plan to attend college?
Community Involvement:
Special Interests:
Educational Data:
Name and address of High School:
Class Size: Class Rank: Upper 1/3 Grade Point Avg: Middle 1/3
Lower 1/3
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Honors Achieved:
SAT Score:
ACT Score:
Name of High School Principal: Signature:
Name of Guidance Counselor: Signature:
Course of Study in High School:
General Preparatory
General
Business
Technical
Date of Graduation: / /
Are you presently applying for admission to a College/University? YES or NO (circle one)
If yes, Where?
Have you been accepted?
Describe course of study or Curriculum desired:
Please list three (3) references you would allow us to contact in regard to your grant application: Name Address Ph# Position/Title Yrs Known
1.
2.
3.
Please attach a complete academic summary, official school transcripts and any other materials which you would want the committee to consider with your grant application. Materials will not be returned.
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Employer Recommendation
Applicant’s Name:
Supervisor
Number of hours per day applicant is working/has worked under your supervision
Describe his/her duties
Please evaluate the applicant in the following areas with the following scale.
Excellent = 1 Above Average = 2 Average = 3 Below Average = 4
1. Self Motivation
2. Cooperation
3. Dependability
4. Ability to work with others
5. Leadership potential
6. Responsibility
6. Work Ethic
7. Initiative
8. Completes projects fully, properly and in a timely manner
9. Responsibility
10. Honesty
Remarks
I would/would not (circle one) hire applicant again
Signature Title Date
Business Name
Address
Phone Number
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Personal Recommendation
Applicant’s Name:
Your Name:
Address:
Phone #
How long have you known the applicant?
How did you meet him/her?
Have you worked with him/her in any capacity; such as Scouts, Church, Yard/Snow, Babysitting, ETC.? Yes No (circle one). Explain if yes:
Please evaluate the applicant in the following areas with the following scale.
Excellent = 1 Above Average = 2 Average = 3 Below Average = 4
1. Self Motivation
2. Creativity
3. Cooperation
4. Dependability
5. Responsibility
6. Family Relationships
7. Honesty
8. Loyalty
9. Getting along with others
10. Leadership potential
11. Work Ethic
12. Attitude
Remarks
Signature Date
OMAHA HOCKEY CLUB HIGH SCHOOL CLUB HOCKEY EDUCATION FOUNDATION GRANT APPLICATION
Instructor Recommendation
Applicant’s Name:
Instructor’s Name: School:
Phone # Course(s)
Grade Level
# Of Hours per day
Ranking in class (scale of 1-10)
Please evaluate the applicant in the following areas with the following scale.
Excellent = 1 Above Average = 2 Average = 3 Below Average = 4
1. Self Motivation
2. Scholastic Achievement
3. Creativity
4. Cooperation
5. Dependability
6. Responsibility
7. Attitude
8. Initiative
9. Extracurricular involvement
10. Work Ethic
11. Getting along with others
12. Leadership potential
13. Honesty
14. Completes assignments fully, properly and on time
Remarks
Signature Date