The

2019 Educational Scholarship Award

Application

The recipient of this award must:

• Be a graduating senior of OHS
• Plan to attend a two or four-year college or university, a vocational/technical program, or a
certificate program for the 2019/2020 school year

Application Requirements
The applicant must submit the following no later than Friday, April 1, 2019:
• A completed application, legibly written in ink
• An original personal statement (350-word minimum), which discusses the student’s expectations and
aspirations for college, or selected post-secondary education and beyond. This essay should be used to
explain why attending college or the selected program is important to the student. This may be
handwritten or typed.
• One teacher or guidance counselor recommendation (page 7) to be returned directly by the
recommender to the guidance office
• A completed OHS Guidance Office Reference Form (page 2)

You will be asked to supply your student ID number instead of your name to keep all
information confidential. Only the guidance office will have access to names and addresses
of applicants.

***Only completed applications will be considered***


The 2019 Educational Scholarship Award
Reference Form: For Guidance Office Use Only

Please answer all questions on the application completely and return it to the OHS Guidance
Office.

This page is only for use by the OHS Guidance Office to help identify Award recipients once they
have been selected.

Applications will be judged anonymously by the OHS PSTA Scholarship Committee.

1) Name:
2) Mailing Address:
3) Home phone number:
4) Student ID Number:

Name of Reference:
Organization Affiliation:
Address:
Phone Number:

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The 2019 Educational Scholarship Award
Student Information:
Student ID Number:
Do you plan to attend a (check only one):
vocation/technical program ____
certificate program ____
2 year college ____
4 year college ____

Do you participate in the free reduced lunch program at OHS? Yes/No (circle one)
Additional Information:
Numbers of siblings: Status of siblings (Ages/school/work):
_________________________________________________
_______
Do your parents contribute to the support of anyone other than the immediate family (e.g. grandparents, etc.)?
Please explain:
_____________________________________________________________________________________________
_____________________________________________________________________________________________

List the schools you have attended for grades 8-12

Grade 8 ____________________________________

Grade 9 ____________________________________

Grade 10____________________________________

Grade 11____________________________________

Grade 12 ___________________________________

Please indicate the college or program you expect to attend: _____________________________

Have you been accepted by this school? Yes/No

Why did you choose this college or program?_________________________________________

___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

Do you have a particular career focus, and if so, what is it?____________________
___________________________________________________________________
___________________________________________________________________
___________________________________________________________________

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Have you received any awards, scholarships or loans for the 2019/2020 school year? If yes, please list all
awards, scholarship or loans below:

Award Type Amount Awarded Award Period (one-time, annual, multi-year)

____________________ _______________ ____________________________________
____________________ _______________ ____________________________________
____________________ _______________ ____________________________________
____________________ _______________ ____________________________________
____________________ _______________ ____________________________________

The 2019 Educational Scholarship Award

Student ID Number______
Student Activities

List all extracurricular activities, such as athletics, music, theater, art, in-school activities, clubs, organizations,
community service, family obligations, work, etc.
Athletics Position Held Grade Levels Comments
th th th th
9 10 11 12
! ! ! !
! ! ! !
! ! ! !

Music/Theater/Art Position Held Grade Levels Comments

! ! ! !
! ! ! !
! ! ! !

Other Activities Position Held Grade Levels Comments

! ! ! !
! ! ! !
! ! ! !

Community Service Position Held Grade Levels Comments

! ! ! !
! ! ! !
! ! ! !

Work Experience Position Held Grade Levels Comments

! ! ! !
! ! ! !
! ! ! !

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Pick one activity above that is particularly meaningful to you and explain why:

The 2019 Educational Scholarship Award

Personal Statement / Essay

Please prepare an essay between 350 and 1000 words to address the following:
1. Why do you want to go to college?
2. Why are you attending the selected program?
3. What do you anticipate will be your area of study, and why?
4. If you do not have a selected area of study, what do you hope to gain from your college experience?
5. Discuss your participation with community service and how it has impacted you?
6. Where do hope to be in 10 years? Don’t be afraid to share your dreams and goals!

The essay may be handwritten legibly or typed.

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The 2019 Educational Scholarship Award
Personal Statement (continued)






























Student ID Number ________

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The 2019 Educational Scholarship Award
Teacher or Guidance Recommendation
Student ID Number: ________________________________
This student is applying for the 2019 OHS PTSA Educational Scholarship Award and has asked you to supply a recommendation on
his/her behalf. Please use specific examples to describe your impressions of this student and how he/she compares to his/her
peers. Please do not reveal their name – they will be identified by Student ID only to the OHS PTSA Scholarship Committee. The
recommendation must be returned to the Guidance Office no later than Friday, April 1, 2019:

• Motivation / Discipline:



• Academic Achievement / Potential:



• Maturity / Initiative:



• Integrity / Concern for others:



• Creativity / Imagination:



• General Comments:




Teacher/Counselor’s Signature Date

Print Name Academic Subject (for teachers)

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