Lamp Oil Special Use Endowment Award Application

Name:______Email Address:______

Address:______Phone Number:______

______

______

Your present educational level:______

If you are employed, please share the nature of your work:

______

______

______

______

How did you learn of the Lamp Oil Special Use Endowment Award: ______

______

The purpose of the Lamp Oil Award is...

A lamp is a symbol of learning and enlightenment gained from education and experience. Lamp oil is necessary to keep the lamp burning. The Oil Lamp Award is given to provide a measure of fuel to enable the recipient to pursue knowledge and experience. The recipient will be able to further education to satisfy a curiosity, to explore a new horizon, to improve a skill or to be enlightened through service to mankind. This gift may be awarded to an individual connected to the PoncaPublicSchool district of any age who desires to grow academically, professionally, or spiritually.

How did you decide to pursue the educational experience which was funded?

What do you hope to gain by completing this experience?

How much are you applying for?______

What is the total cost of your project?______

Are other funding sources available to you?Yes______No______

Do you have other funding commitments? Yes______No______

If you answered yes to either question, please explain other sources and amounts.

Will you be able to do this without our funding support? Yes______No______

Will you report to us on completion for publicity use?Yes______No______

Why should the PCEF Board of Directors choose to fund your project rather than the

other equally qualified applicants?

What are your personal and professional goals for the next five years?

What are your hobbies and interests?

All information on this application is complete, true, and accurate. I understand that any information given falsely or withheld may make me ineligible to receive this award. Should my plans change prior completion of this project, I will return the award money to the Ponca Community Educational Foundation, Inc.

Applicant Signature:______Date:______

DUE DATE:March 15thof the award year

Please return completed application, cover sheet, a wallet size picture, and proof of

enrollment or project fee payment to:

Board of Directors

Ponca Community Educational Foundation, INC.

Box 568

Ponca, NE 68770

Information may be submitted on-line to:

Lamp Oil Special Use Endowment Award

Cover Sheet

Name: ______Email Address:______

Address:______Phone Number:______

______

______

Your present educational level:______

If you are employed, please share the nature of your work:

______

______

______

The purpose of the Lamp Oil Award is...

A lamp is a symbol of learning and enlightenment gained from education and experience. Lamp oil is necessary to keep the lamp burning. The Oil Lamp Award is given to provide a measure of fuel to enable the recipient to pursue knowledge and experience. The recipient will be able to further education to satisfy a curiosity, to explore a new horizon, to improve a skill or to be enlightened through service to mankind. This gift may be awarded to an individual connected to the PoncaPublicSchool district of any age who desires to grow academically, professionally, or spiritually.

How did you decide to pursue the educational experience which was funded?

What do you hope to gain by completing this experience?

What are your personal and professional goals for the next five years?

What are your hobbies and interests?