2026 Ann Rehan Goebel Foundation Scholarship Application Form

Ann Rehan Goebel Foundation Scholarship Application Form

Spring 2026
Due March 1st, 2026 - 11:59pm CDT
Personal Information
Name*

First NameLast Name
Email*
example@example.com
Phone Number*

Area CodePhone Number
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Educational Information
Name of High School Attended*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date Expected to Graduate*

MonthDayYear
Date
Please upload an official copy of your high school transcript.*

Browse Files

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Name of Prospective College/University*
Intended Program of Study*
Please provide any academic achievements or awards you have received (if any)

Parental Information
Name of Parent/Guardian 1*

First NameLast Name
Name of Parent/Guardian 2

First NameLast Name
Address of Parent/Guardian 1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Address of Parent/Guardian 2

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Email of Parent/Guardian 1*
example@example.com
Email of Parent/Guardian 2
example@example.com

Personal Statement
Ann Rehan Goebel Foundation awards scholarships to students with exceptional drive and passion for science, technology, engineering, mathematics, and medicine. Provide a personal statement explaining why you would make a fitting recipient of the annual ARG Foundation scholarship.*
700 word maximum
The mission of Ann Rehan Goebel Foundation is to support students in STEM who "live life all the way up." Explain a time when you made a choice (taking a risk, embracing a challenge, seizing an opportunity) that sparked personal growth.*
700 word maximum

Letters of Recommendation

You are required to have two letters of recommendation submitted by two separate references. The writers of your letters of recommendation must send their letters directly to info@argfoundation.org by 11:59pm CDT on March 9, 2025, with the email subject line: "[STUDENT FULL NAME] Letter of Recommendation." As the applicant, you are expected to clearly communicate these instructions to your intended letter writers with plenty of advanced notice. Below we ask for information about your two references, however, please note that this does NOT mean we will be notifying them asking for their letters of recommendation. You must ask them to do this step directly with the above instructions.
Reference 1*

First NameLast Name
Relationship to Applicant*
Email Address for Reference 1*
example@example.com
Reference 2*

First NameLast Name
Relationship to Applicant*
Email Address for Reference 2*
example@example.com

I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature*

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I CERTIFY THAT I HAVE READ AND UNDERSTAND THE SCHOLARSHIP RECIPIENT TERMS AND CONDITIONS AS STATED ON THE ANN REHAN GOEBEL FOUNDATION WEBSITE, INCLUDING BUT NOT LIMITED TO: IF I AM AWARDED THE ANN REHAN GOEBEL FOUNDATION SCHOLARSHIP, MY LEGAL GUARDIAN AND I WILL BE SIMULTANEOUSLY NOTIFIED, AND I WILL RECEIVE A CHECK IN THE AMOUNT OF $1000 IN MY NAME ANNUALLY FOR THE DURATION OF MY INTENDED ACADEMIC DEGREE PROGRAM. IF I AM AWARDED THE ANN REHAN GOEBEL FOUNDATION SCHOLARSHIP, I WILL BE RESPONSIBLE FOR SELF-REPORTING TO THE ANN REHAN GOEBEL FOUNDATION BOARD OF DIRECTORS SHALL ANY CHANGES OCCUR TO MY ACADEMIC STANDING, STANDING WITH THE UNIVERSITY, OR PROGRAM OF STUDY WHILE ATTENDING MY POST-SECONDARY DEGREE PROGRAM. SHALL MY UNIVERSITY HAVE A MANDATORY SELF-REPORTING SYSTEM FOR PRIVATE SCHOLARSHIP THROUGH THE BURSAR OR ANY OTHER DEPARTMENT, I UNDERSTAND IT IS MY RESPONSIBILITY TO PROVIDE FOR THEM A REPORT OF MY ANNUAL ANN REHAN GOEBEL FOUNDATION AWARD. I UNDERSTAND THAT MY ELIGIBILITY TO RECEIVE THIS ANNUAL AWARD CAN BE REVOKED AT ANY POINT IN TIME BY THE DISCRETION OF THE BOARD OF DIRECTORS AT ANN REHAN GOEBEL FOUNDATION.
Applicant's Signature*

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Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty:

Ann Rehan Goebel Foundation Scholarship Application Form

Due March 1st, 2026 - 11:59pm CDT

Personal Information

Educational Information

Parental Information

Personal Statement

Letters of Recommendation