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

 

  1. List extra-curricular activity involvement (i.e. clubs, sports, music, drama):

 

 

 

 

 

 

 

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)

 

This application must be submitted by

Wednesday, June 1, 2004 into the

OHS Student Service Center.