Application Form - Scholarship Grant

Scott Othoson Memorial Scholarship Application
If selected, you will be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.
I. Personal Data:

Tell us about yourself
Full Name

PrefixFirst NameMiddle NameLast NameSuffix
Birthdate:

MonthDayYear
Mobile No. :

Area CodePhone Number
E-mail :
Where the confirmation will be send to
Home Address :

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Optional Informations :

Information regarding gender, ethnic origin and race are optional. The information is requested for post-scholarship report generation only and in no way affects your selection for college scholarship awards. However, providing this information may increase your opportunities for scholarships where donors have asked that priority consideration be given to students meeting certain demographic criteria (such as minority status, parent's place of employment, area of study, etc.)
Gender:
Are you a US citizen?
Ethnic Origin:
Race? (Choose one or more):
Please check veteran status (Check all that apply)
Family Status
Status at the time of application:
Number & Ages of Children
Are you a first generation college student ?
Major Area of Study:
Please indicate what is your major are of study
What is your Career Objective:

0/300
II. High School Information:
Are you or will you be a June 2019 high school graduate?
High School Attended:
Year of High School Graduation or GED:
Most recent cumulative GPA:
High School activities, community activities, volunteer work, honors, offices held:
IV. For Transfer Students Only:
Most recent college attended and cumulative transfer GPA:
V. For Students Currently Enrolled at (School Name) :
Approximate credit hours completed by June 2019:
Current GPA:
School activities, honors, offices held, etc.:
VI. Extras:
(School Name) administers many scholarships designed to offer aid to students that represent unique characteristics. Please check each of the qualifiers below that apply to you. This data may increase your likelihood of qualifying for selected scholarships. Please note, if you are awarded a scholarship based on any of these qualifiers, you will be asked to produce documentation verifying your unique eligibility.
Do you plan to complete your two-year degree with ( )?
Do you plan to transfer to another college and complete a 4-year degree?
Are you a GED recipient?
In addition to a scholarship, would you like to be considered for co-op opportunities (working part-time for tuition support with company relevant to your major)?
Will you be working while attending ( )?
If so, will you work:
VII. Essay
Your essay should be 300-500 words. You should address in your essay: your college goals and choice of major, what you intend to do with your education, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Essay:

0/500
VIII. Applicant's E-Signature
By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.
E-Signature:
Should be Empty:

Scott Othoson Memorial Scholarship Application

I. Personal Data:

II. High School Information:

IV. For Transfer Students Only:

V. For Students Currently Enrolled at (School Name) :

VI. Extras:

VII. Essay

VIII. Applicant's E-Signature