Oregon Logging Conference Foundation

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Magdalene Hunter
8 years ago
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1 APPLICATION DEADLINE - RECEIVED IN OLC OFFICE BY April 20 MUST BE COMPLETED IN INK OR TYPED - NO PENCILS PLEASE MUST INCLUDE SCHOOL MANUSCRIPTS AND LETTERS OF RECOMMENDATION & REFERENCE ALL QUESTIONS MUST BE COMPLETED Oregon Logging Conference Foundation P.O. Box 10669, Eugene, Or E-Fax APPLICATION FOR STUDENT AID AND APPLICABLE TUITION FEES, BOOKS AND SUPPLIES College for which application is intended Field of Study (Major) 1. Applicant s Name Sex M F Last First Middle 2. Age Birthdate Student ID (if available) Month Day Year 3. Complete mailing address Address (must prov ide) Parents Name Parents Occupation 6. Applicant s Marital Status: Married Single Divorced Separated 7. Number of dependents 8. Home Phone Number 9. Spouse s Name 10. High School H.S. Acumm. GPA 11. Previous Colleges attended College Accum. GPA 12. Dates Attended 13. Are you currently receiving financial aid? Yes No If yes, explain 14. Resident of Oregon: Yes No If no, what state? 15. Are you a citizen of the United States? Yes No If no, give immigration card no. Scholarship Application Page 1 of 5

2 16. Applicant s anticipated college budget for the term(s) listed: (check appropriate terms) Fall Term Winter Term Spring Term Summer Term In filling out the budget below you will need to include ALL income and expenses. You should estimate expenses for the period(s) checked above. As a guide you can use monthly income and expenses and multiply these by three for each term. Income Amount Personal Sav ings through current year Expected summer savings Income of spouse (net) Net earnings during academic period Scholarships, grants, etc. Loans Gifts Parental Support Other (specify) Subtotal Amount needed to balance Total Scholarship Application Page 2 of 5

As a guide you can use monthly income and expenses and multiply these by three for each term.

3 16. Applicants anticipated college budget (continued) Expenses Amount Tuition and fees Books & Supplies Living Expense a. Rent b. Food c. Utilities Personal Expense a. Clothing b. Insurance c. Medical d. Dental e. Recreation f. Personal Supplies Payments on accounts Other (specify i.e. transportation ) TOTAL Scholarship Application Page 3 of 5

Clothing b. Insurance c. Medical d. Dental e. Recreation f.

4 17. Present Indebtedness: Itemize carefully, including all loans and debts over $ Attach an additional page if necessary. AMOUNT CREDITOR ADDRESS CONTRACT DATE DUE DATE PAYMENT PURPOSE 18. While attending college, do you plan to live at home? On campus? Off campus but not a home? 19. Describe briefly below any other information that would be helpful in asse ssing your financial need. Enclose additional pages if necessary. 20. Attach two references, preferably from previous employers. (Number of pages attached ) 21. Please evaluate yourself on each of the following factors from 1 to 5. As a guide use A thru F as a level of adequacy, FACTOR A. Judgement and common Sense: Ability to reach sound decisions, to handle unusual situations, foresight and fair-minded. ACTU AL ACHIEVEMENT LEVEL B. Cooperative and quality of relationships: Ability to get along with people in various capacities, willingness, and loyalty. C. Internal motivations: The self generated spark from within which ignites actions, creates and maintains momentum leading to the accomplishment of the desired result and inspires others D. Technical knowledge: The aptitude to increase technical capacity and become competent in your field of specialization E. Accountability: Willingness and ability to report where one stands, admitting mistakes ( bad news ) as well as achievements ( good news ) Use of time: Punctuality. Planning work time to gain maximum production Scholarship Application Page 4 of 5

Enclose additional pages if necessary. 20. Attach two references, preferably from previous employers. (Number of pages attached ) 21.

5 22. List previous job experience with dates and responsibility levels: 23. Write a short paragraph stating your intent for the scholarship, including aims, goals, and why you feel qualified/justified to receive the scholarship. 24. I hereby certify that: 1. I will be a full time part time student as established by the college. 2. This assistance if granted will be used only to pay cost of education. 3. I promise to promptly inform the Financial Aid office of any significant changes in the information I have submitted as part of this application. 4. The information contained in the application is true and correct to the best of my knowledge. Signature of Application Date Print name Mail completed application to: Oregon Logging Conference Foundation P.O. Box Eugene, Or Scholarship Application Page 5 of 5

I will be a full time part time student as established by the college. 2. This assistance if granted will be used only to pay cost of education. 3.

Application. This application is for: MD RN Other (please specify)

Application. This application is for: MD RN Other (please specify) Application PLEASE ANSWER ALL QUESTIONS. INFORMATION CONTAINED IN THIS APPLICATION WILL BE KEPT IN STRICT CONFIDENCE AND REVEWED ONLY BY THE SAN JOAQUIN COUNTY MEDICAL SOCIETY SCHOLARSHIP LOAN FUND COMMITTEE.