VOCATIONAL SCHOLARSHIP APPLICATION

Stig P. Orum Memorial Foundation
VOCATIONAL SCHOLARSHIP APPLICATION
THE STIG P. ORUM MEMORIAL FOUNDATION MISSION

"To promote the betterment of young people and the safe-keeping of human lives; to encourage education, leadership, and respect of humanity and the environment, in the spirit of Stig P. Orum." This application must be postmarked by February 28th to be considered for the current year. Applications are preferred to be typed; if handwritten, they must be legible for the application to be considered and must be completed by the applicant themselves. Applications can be completed and submitted at stigorumfoundation.com Alternatively, applications are accepted by mail.
This application must be postmarked by February 28th to be considered for the current year. Applications are preferred to be typed; if handwritten, they must be legible for the application to be considered and must be completed by the applicants themselves. Applications can be completed and submitted at stigorumfoundation.com. Alternatively, applications are accepted by mail.
General Information
Name (Individual)
Date of Brith

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
SOC. SEC. #
Address
City, State, Zip Code
Phone
Format: (000) 000-0000.
Email
example@example.com
Are you a U.S. Citizen?
If no, of what country are you a citizen?
Where did you hear about the Stig P. Orum Foundation?
What is your connection to the Fox Valley?
Education
School you are now attending (or last attended)
Expected Graduation Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Vocational program you plan to attend
Address
Program of study (i.e., mechanic, welding, truck driver)
Expected certification upon completion of program (i.e., License, certificate or other)
Expected Program Completion Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Funding
What is the full amount you applied for and why?
Have you applied for funds from this foundation before?
Are you funded in any other way?
If yes, please list sources and amounts contributed:
References
Please provide two references. Without completing this portion of the application, you will not be considered for funding:
Position
Relationship
Address
Phone
Format: (000) 000-0000.
Email
example@example.com
Name
Position
Relationship
Address
City, State, Zip
Phone
Format: (000) 000-0000.
Email
example@example.com
Please list by date Work Experience, Extracurricular Activities (sports, etc.) & Volunteering
Activity
Name / Description
Dates
Activity
Name / Description
Dates
Activity
Name / Description
Dates
Activity
Name / Description
Dates
Family
Father Name
Father Employer (Name & Address)
Father Occupation / Title
Mother Name
Mather Employer (Name & Address)
Mother Occupation / Title
Family Annual Income [Father and Mother/Guardian(s)
Complete the section below for all dependents listed on your family's most recent income tax return:
Name
Year Born
Name
Year Born
Name
Year Born
Name
Year Born
Name
Year Born
Please indicate the year, make and model of all cars driven by the family. (Do not include cars owned by people who are not claimed as dependents on the income tax return)
Year, Make & Model
Year, Make & Model
Year, Make & Model
Year, Make & Model
Year, Make & Model
In 200 words or less, please tell us about yourself, what has inspired you to pursue vocational training and why you feel that you are deserving of receiving this vocational scholarship. Comment on the extent to which you need financial assistance, any special circumstances to be considered, and what your aspirations are when completing your training.
ADDITIONAL INFORMATION
Please include any additional information or separate attachments which you feel may help demonstrate the need or qualifications for this scholarship.
HIGH SCHOOL TRANSCRIPT OR SPECIAL CERTIFICATIONS

To be eligible for the scholarship, we request a copy of your high school transcript and/or special certifications. Attach or sent directly via mail to the Stig P. Orum Memorial Foundation no later than February 28th.
LETTERS OF RECOMMENDATION

We strongly encourage applicants to submit one or more letters of recommendation, from your teachers, guidance counselors, work colleagues, etc
If selected for a scholarship, may we share your name, program of study and the name of the program you are attending on our website to indicate you are a scholarship recipient? If yes, please sign here:
Should be Empty:

VOCATIONAL SCHOLARSHIP APPLICATION

General Information

Education

Funding

References

Family

ADDITIONAL INFORMATION