OPTIMIST CLUB OF ERIE 

SCHOLARSHIP APPLICATION

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Application for scholarship- Erie Optimists

Print Form, Fill Out Completely, and Mail Back To:

Optimist Club of Erie   P.O. Box 311 Erie, Colorado 80516  

 

(PLEASE PRINT CLEARLY)

APPLICANT’S NAME:___________________________________________________________

HOME ADDRESS:______________________________________________________________

PHONE NUMBER(S):___________________________________________________________

HIGH SCHOOL:____________________________    GRADUATION DATE: _______________

PARENT(S)/GUARDIAN(S) NAME: _______________________________________________

POST SECONDARY/COLLEGE/VOCATIONAL/TECHNICAL SCHOOL  YOU PLAN TO ATTEND:_____________________________________________________________________

HAS ENTRANCE APPLICATION BEEN SUBMITTED?________________________________

IF SO, HAVE YOU BEEN ACCEPTED?_____________________________________________

GPA REQUIREMENT:

Attach official transcript (most current).  Minimum 3.0 cumulative High School GPA required for eligibility.

ESSAY REQUIREMENT:

Attach an essay of no more than 500 words addressing the following topics:

  • Personal philosophy regarding service to your community, school and friends.
  • College and career goals.  Include specific field you intend to pursue and why.
  • High School Activities/Honors (school, community, etc.)
  • Community Service Activities.  Tell how you and those you served benefited.

REFERENCE REQUIREMENT:

Attach TWO letters of reference.  Include one submitted by an educator and another written by an adult in your community who is familiar with your volunteer activities.

NOTE:  ALL APPLICATIONS MUST BE RECEIVED OR POSTMARKED  BY MARCH 1ST                                 FOR CONSIDERATION.  INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED.

I certify that all the information I have provided in support of this application is complete and correct to be best of my knowledge.

__________________________________________ 

Signature                                                    Date

Optimist Club of Erie   P.O. Box 311 Erie, Colorado 80516  

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