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