Monroe Noon Optimist Scholarship

Scholarship awarded to one deserving senior.

Student must attend a Wisconsin Tech School.

The amount of scholarship is $250.00 payable the 2nd semester after successful completion of the 1st
semester and proof of enrollment for 2nd semester.

Name:
Parent's Name(s):
Father's Occupation:
Mother's Occupation:
How many children in your family?
Phone #

What are your career plans?

Where will you attend school?

How did you select this school?

Have you been accepted? Course of Study:

How do you plan to finance your education?

What volunteer work or extracurricular activities have you been involved with in our community and how will
this impact your future?

Have you ever been a Junior Optimist or a member of the Octagon Club?

The information on this application is true and complete to the best of my knowledge.

Student's Signature:
Date: