SCHOLARSHIP APPLICATION FORM

Due April 15, 2008

(Please complete this form in your own handwriting)

The FOSTER ODOM SCHOLARSHIP is a $500.00 scholarship for the THIRD QUARTER of the FRESHMAN year of college. The scholarship will be awarded on the basis of:
              1.        Need
              2.        Community Service
              3.        Scholarship
              4.        Essay
The scholarship will be awarded at Class Night. Please mail your application to:

                 W.C. Hickerson
                 Star Rout
                 Arlington, OR 97812

Deadline: April 15, 2008

Name of Applicant:

Address: Phone #:

Mother’s Name: Address:

Father’s Name: Address:

Brother’s and Sister’s names and ages:

Current High School GPA

Activities and organizations in which you are an active member:

1. 2.

3. 4.

5. 6.

Community service you have participated in (briefly describe):

List your work experience in sequential order:

Date(s):

College or school you will attend:

Planned major field of study:

Planned date of college entrance (fall, winter, etc.) and year:

What information and facts are pertinent to your financial need?:

Your ability to express yourself and to organize your thinking is important. Write a paragraph in which you set forth your own reasons for seeking a higher education. If additional space is needed, use the back of this application:

Please include with your application two Letters of Recommendation, one person from your community and one from a person from Arlington High School.

I hereby guarantee to repay the amount advanced to me by the FOSTER ODOM SCHOLARSHIP if I fail to attend school.

Date: Signature: