OCHS Local Scholarship Application
Student Name:____________________________________________
Address:_________________________________________________________________________
Father or Male Guardian:_______________________________
---Employer:__________________________________________
---Type of Work or Job Title:____________________________
Mother or Female Guardian:____________________________
---Employer:__________________________________________
---Type of Work or Job Title:___________________________________________
Siblings (Names & Ages) :___________________
_________________________________________
Others in Household and their relation
to you:
_________________________________________________
Have you worked during school year
or will you work this summer?
If "yes," please name your employer___________________
College Attending____________________________
Estimated Total Cost_________________________
Aid you have currently received ( loans,
grants, work study )
___________________________________________________________
Major School Activities: (use back if necessary)
Major Community Activities: (use back if necessary)
On the back, please write a brief paragraph about your need for financial aid and anything else that you wish to relate to the scholarship committee.
GPA______ Rank______ (to be completed by guidance)
I give my permission for this information about this student to be released to the local scholarship communities.
Student Signature_______________ _________________________Parent Signature_______________