• College Scholarship Application

    Post Office Box 1533, Norman, OK 73070 Bob Usry, Director (405) 623-3700
    College Scholarship Application

  • $500.00 Achievement Scholarship

    *Based on Academic Accomplishment as well as Economic Need

    Please Return Application at above address by December 31

  • Date of Birth
     / /
  • Format: (000) 000-0000.

  • (Please attach a copy of your High School Transcript)

  • Scholarship Application Page 1 of 3

  • FINANCIAL NEED: In the space provided, please indicate your family’s adjusted gross income as referenced on the most recent IRS Tax Return. Please be assured this information will be treated with the utmost confidentiality.
  • Is this a single parent household?
  • Do you have any siblings that are not presently attending college but plan to attend within the next two to four years?

  • Please list other scholarships that you have received and the amount of each scholarship.

  • Scholarship Application Page 2 of 3

  • Have you made application for any other scholarships, but, as of this date have not received notice?
  • Have you completed the FAFSA?
  • Did you qualify for a PELL GRANT?

  • We appreciate your making application for our scholarship. We commend you on your efforts in preparation for a college career.

    Scholarship Application Page 3 of 3

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