Olympic High School
Class of 1985
Scholarship
The Olympic High School Class of 1985 developed a unique senior gift. They established a permanent scholarship fund awarding Olympic High School seniors since 1986. Scholarship recipients should be seniors who are well rounded academically, socially, and in citizenship.
Amount: The scholarship is for the amount of $300.00.
Criteria: (1) All applications must be received by the OHS Student Service Center by
Wednesday, June 1, 2005.
(2) This scholarship is to be used for tuition and will be paid directly to the recipient’s college/university Winter Quarter 2005.
(3) IT IS THE RECIPIENT’S RESPONSIBILITY TO NOTIFY THE SCHOLARSHIP COMMITTEE OF THEIR COLLEGE/UNIVERSITY AND THE ADDRESS THE SCHOLARSHIP FUNDS ARE TO BE MAILED.
Julie Gillies (360) 662-2672 julieg@cksd.wednet.edu
Lynn Beeman (360) 779-4629 lmbeeman@earthlink.net
Application Instructions:
Complete this form and return it to OHS Student Service Center.
1. Student Information
Name: Date:
Address:
City: State: Zip:
Telephone Number:
Email Address:
Birthdate: Male: Female:
Social Security Number:
Grade Point Average (attach transcript):
Applicant’s Rank in Class: of
2. Parent/Guardian Information
Father’s/Guardian’s Name:
Father’s Occupation:
Place of Employment:
Mother’s or Guardian’s Name:
Mother’s Occupation:
Place of Employment:
Name and Age of other children in home:
Family combined annual net income: $
2. Student’s Personal Financial Status
Are you employed? Yes No
If yes, how many hours a week do you work?
Your annual income from employment $
Describe the type of work you perform:
Will you pay room and board or live at home?
How do you plan to finance your post-high school education?
3. Future Plans
What is your planned course of study?
What college or vocational institution do you plan to attend?
What are your career goals at this time?
4. School and Community Service
b. List academic achievements (i.e. awards, scholastic accomplishments):
c. List any leadership positions you held:
d. List any community involvement (i.e. civic, church, volunteer):
5. Personal Statement
a. What else do you think would be important for members of the scholarship selection committee to know about you?
b. Below, state briefly why you desire this scholarship, your educational objectives, and any pertinent facts of which the scholarship selection committee should be aware in considering your application.
(Student’s signature) (Date)
(Parent’s signature) (Date)
Wednesday, June 1, 2004 into the
OHS Student Service Center.