Local Scholarship  

Sponsored by

CLD Pacific Grain LLC

  Due May 6, 2008

The 2004 CLD Pacific Grain LLC Scholarship will be for the amount of $300.00.  It will be based upon involvement of the student within and outside of school.  Educational ability of the student will be also be judged in determining the winner.  The scholarship will be available to seniors who plan on attending a post-secondary school, be it a four-year college, two-year community college, or vocational school.  One recipient each will be selected from applications received from Arlington High School, Condon High School, and Ione High School.

Completed scholarship forms should be given to the counselor by May 6, 2008 so that a winner can be determined by Class Night.  The recipient will receive a check made out to him/her and presented on Class Night. 

If you have any questions, please call the office at 541-454-2751 during office hours, 8:00 a.m. to 5:00 p.m., Monday through Friday.  

CLD Pacific Grain LLC  
PO Box 220
Arlington, Oregon 97812

  CLD Pacific Grain LLC  
PO Box 220
Arlington, Oregon 97812

Arlington High School  
SCHOLARSHIP APPLICATION

Personal Information

Name:

Age:

Address: 

Family Information  

Father’s Name:

Mother’s Name:

Number of Brothers in Family: Number of Sisters in Family:

Secondary Education Information

College or Post-Secondary School you plan to attend:

Major or Field of Study planned:  

References

 Please list 3 persons that would recommend you or your accomplishments.  One must be a person of responsibility within your school system:      

Name                                                         Relationship                                        Phone #
1.
2.
3.

Activities  

Please list the activities you have been involved with during high school.  These can be both school and non-school activities, such as sports, work experience, community service, and church activities.

Your ability to organize your thinking and express yourself in a clear concise manner is important.  Please write a paragraph in which you set forth your own reasons for seeking a higher education in the space provided.

I certify that the information I have put down on this application is correct to the best of my knowledge:

Signature of Applicant:                                                                                            Date: