Buckeye Scholarship Foundation Application - 2026
Be sure to have all documentation and member numbers before beginning
Student Information
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student is a Member of one of the Following:
AHEPA
Daughters
Sons
Maids
None
Chapter Affiliation
Please Select
AHEPA Cleveland #36
AHEPA Canton #59
AHEPA Akron #63
AHEPA Wheeling #68
AHEPA Massillon #74
AHEPA Warren #88
AHEPA Youngstown #89
AHEPA Stuebenville #92
AHEPA Weirton #103
AHEPA Dayton #113
AHEPA Toledo #118
AHEPA Cincinnati #127
AHEPA Louisville #129
AHEPA Columbus #139
AHEPA Elyria-Lorain #144
AHEPA Middletown #209
AHEPA Springfield #247
AHEPA Lexington #258
AHEPA Mansfield #303
AHEPA Cambridge #305
AHEPA Huntington #307
AHEPA Charleston #309
AHEPA Greater Cleveland #389
AHEPA North Royalton #480
Daughters Akron, Themis, #28
Daughters Canton, Chloris, #40
Daughters Cincinnati, Calypso, #13
Daughters Cleveland Lefkothea, #63
Daughters Columbus, Penelope, #15
Daughters Dayton, Polydama, #111
Daughters Lakewood, Icarus, #321
Daughters Louisville, Saturn, #281
Daughters Middletown, Chrysa, #100
Daughters North Royalton, Erinys, #355
Daughters Toledo, Dodona, #24
Daughters Warren, Hera, #31
Daughters Weirton Pallas Athena, #276
Daughters Wheeling Semale, #256
Daughters Youngstown, Methone, #183
Initiation Year
Current Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Numeric Year
Initiation
Membership Number
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Parent or Guardian Information
Name of Parent or Guardian that is a Member of the AHEPA or Daughters
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent or Guardian Chapter Affiliation
Please Select
AHEPA Cleveland #36
AHEPA Canton #59
AHEPA Akron #63
AHEPA Wheeling #68
AHEPA Massillon #74
AHEPA Warren #88
AHEPA Youngstown #89
AHEPA Stuebenville #92
AHEPA Weirton #103
AHEPA Dayton #113
AHEPA Toledo #118
AHEPA Cincinnati #127
AHEPA Louisville #129
AHEPA Columbus #139
AHEPA Elyria-Lorain #144
AHEPA Middletown #209
AHEPA Springfield #247
AHEPA Lexington #258
AHEPA Mansfield #303
AHEPA Cambridge #305
AHEPA Huntington #307
AHEPA Charleston #309
AHEPA Greater Cleveland #389
AHEPA North Royalton #480
Daughters Akron, Themis, #28
Daughters Canton, Chloris, #40
Daughters Cincinnati, Calypso, #13
Daughters Cleveland Lefkothea, #63
Daughters Columbus, Penelope, #15
Daughters Dayton, Polydama, #111
Daughters Lakewood, Icarus, #321
Daughters Louisville, Saturn, #281
Daughters Middletown, Chrysa, #100
Daughters North Royalton, Erinys, #355
Daughters Toledo, Dodona, #24
Daughters Warren, Hera, #31
Daughters Weirton Pallas Athena, #276
Daughters Wheeling Semale, #256
Daughters Youngstown, Methone, #183
Parent or Guardian's Member Number
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Awards and Activities
High School Attended
High School Graduation Year
Awards Received - Maximum 5
Rows
Award Description
Last Year Received
Counter
Award 1
Award 2
Award 3
Award 4
Award 5
Calculation 1
Calculation 2
Calculation 3
Counter 1
Counter 2
Counter 3
Number of Awards
Award Points
Extra-Curricular Activities
Rows
Activity Description
Number of Years Participated
Leadrship Position
Activity 1
Activity 2
Activity 3
Activity 4
Activity 5
Activity Calc 1
Activity Calc 2
Activity Calc 3
Activity Counter 1
Activity Counter 2
Activity Counter 3
Number of Activities
Activity Points
AHEPA or Daughters Activities Participation
Number of AHEPA Functions
AHEPA Points
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GPA
GPA Points
Financial
Only Required if you are asking for Finacial Assistance
Siblings Attending College at the Same Time
Number of Siblings
Sibling Points
Family Income - First Page of 1040 Required if Filled Out
Income Points
Upload First Page of Last Year's 1040 Tax Return
*
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College to Attend in the Fall
Must be the complete name of the college - NO abreviations
Preferred Major
Upload Transcript
*
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For Graduating High School Seniors, Upload a College Letter of Acceptance
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Total Points for Student
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Submit
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