MODKM 2023 Scholarship Application

Majestic Oaks - Derek Kuduk Memorial Foundation Scholarship Application

The information provided on this form will be used by the MODKM Foundation Scholarship Committee to select recipients for scholarships. It is important that you review all scholarship eligibility criteria and complete all portions of the application providing details concerning your affiliation, involvement and contributions to the Majestic Oaks Community, volunteer work, extra-curricular activities and education information.
SCHOLARSHIP APPLICANT INFORMATION
Applicants Full / Legal Name*

First Name Last Name
Student Permanent Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Student Phone Number*

Area Code Phone Number
Student E-mail*
Parent/Guardian

Contact Information
Parent/Guardian #1

First Name Last Name
Email
example@example.com
Parent/Guardian #2

First Name Last Name
Email
example@example.com
Affiliation to Majestic Oaks

All applicants must have an affiliation to Majestic Oaks. Please reference the scholarship requirements for more information.
Scholarship Applicant's Affiliation to Majestic Oaks Community

Check all that apply to the scholarship applicant only
Current Majestic Oaks employee or was a Majestic Oaks employee for at least 8 weeks from 1/1/2020 to present
Current resident of or permanent address is in a Majestic Oaks neighborhood
Member of the Majestic Oaks Men's or Women's Club in 2022
Member of a Majestic Oaks golf league
Member of a high school golf team in 2022 or 2023 with Majestic Oaks as the home course
Name of high school golf team
Other
Enter information about your affiliation to Majestic Oaks that is not listed above
N/A
Mother/Stepmother/Guardian's Affiliation to Majestic Oaks Community

Check all that apply to the Mother/Stepmother/Guardian of the scholarship applicant
Mother/Stepmother/Guardian's Name
Current Majestic Oaks employee
Current resident of or permanent address is in a Majestic Oaks neighborhood
Member of the Majestic Oaks Women's Club in 2022
Member of a Majestic Oaks golf league
Other
Enter information about the other affiliations to Majestic Oaks
N/A
Father/Stepfather/Guardian's Affiliation to Majestic Oaks Community

Check all that apply to the Mother/Stepmother/Guardian of the scholarship applicant
Father/Stepfather/Guardian's Name
Current Majestic Oaks employee
Current resident of or permanent address is in a Majestic Oaks neighborhood
Member of the Majestic Oaks Men's Club in 2022
Member of a Majestic Oaks golf league
Other
Enter information about the other affiliation(s) to Majestic Oaks
N/A
Grandparent's Affiliation to the Majestic Oaks Community

Check all that apply to the Mother/Stepmother/Guardian of the scholarship applicant
Grandparent(s) Name
Current Majestic Oaks employee
Current resident of or permanent address is in a Majestic Oaks neighborhood
Member of the Majestic Oaks Men's Club in 2022
Member of the Majestic Oaks Women's Club in 2022
Member of a Majestic Oaks golf league
Other
Enter information about the other affiliations to Majestic Oaks
N/A
Other Affiliations to Majestic Oaks not already listed in the previous sections
Other affiliations to Majestic Oaks community
Please provide a description of additional affiliations to the Majestic Oaks community that have not been documented in the previous sections.
Academic Information
High School*
Address*

Street Addres

Street Address Line 2

City State / Province

Postal / Zip Code
Current or final high school GPA (minimum high school GPA 2.5)*
Attach current or final high school transcript *

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College/Vocational School Information

Applicants that have graduated high school or are attending college (undergradute)/vocational school prior to high school graduation.
College
Current education level
Current college GPA if applicable (minimum college GPA 2.5)*
Attach current college transcript (unofficial or official)

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SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

List name of sport, club, volunteer organization, etc. and years of participation.
School activities (non-sports)
Sports participation
Community service
Leadership positions or activities
School/Community awards
REFERENCES:

Please list two educators, supervisors or community members who would recommend you for a scholarship. (Do not include relatives)
Reference 1 Name *
Position/Title*
Email*
example@example.com
Phone number*

Area Code Phone Number
Provide a brief description of your interaction over the last year with this person and why you believe they are a good reference.*

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Reference 2 Name *
Position/Title*
Email*
example@example.com
Phone number*

Area Code Phone Number
Provide a brief description of your interaction over the last year with this person and why you believe they are a good reference.*

0/300
Applicant Essay

Please write a short essay (750 words or less) describing yourself. Please include how you are representing your community in a positive way and how your education will help you achieve your goals.
Attach Essay Here*

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Submit Application

Once all sections of application are complete and transcript(s) and essay files have been attached please click on the "Submit Application" below.
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Majestic Oaks - Derek Kuduk Memorial Foundation Scholarship Application

SCHOLARSHIP APPLICANT INFORMATION

Parent/Guardian

Affiliation to Majestic Oaks

Scholarship Applicant's Affiliation to Majestic Oaks Community

Mother/Stepmother/Guardian's Affiliation to Majestic Oaks Community

Father/Stepfather/Guardian's Affiliation to Majestic Oaks Community

Grandparent's Affiliation to the Majestic Oaks Community

Other Affiliations to Majestic Oaks not already listed in the previous sections

Academic Information

College/Vocational School Information

SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

REFERENCES:

Applicant Essay

Submit Application