DorWood Optimist Continuing Education Scholarship Award Application Form
Applicants must be graduating seniors at Alter High School or Kettering Fairmont High School
Email address *
Your answer
Last Name, First Name *
Your answer
Age *
Your answer
Gender *
Address: # Street City, State Zip Code *
Your answer
Phone # to reach you *
Your answer
High School *
Your answer
GPA *
Your answer
Your Counselor's Name *
Your answer
School Phone # to reach your Counselor *
Your answer
Parents' Names *
Your answer
Name of University, College, Trade School you plan to attend: *
Your answer
In what field do you plan to major? *
Your answer
A brief type written autobiography telling us why you believe you should be considered for this scholarship award: *
Your answer
A summary of school activities: sports, clubs, Offices you have held, honors, and other extracurricular activities or events in which you have been involved: *
Your answer
Describe any volunteer work you have done for your school, community and your church: *
Your answer
A brief summary of any paid work experience: *
Your answer
I plan on submitting letters of reference from teachers, coaches, club advisors, clergy, employer, and or community service agencies with this application: Via PDF file emailed to dorwoodscholar@gmail.com or Via snail mail to Mr. Rich Bowden, DorWood Optimist Club Chairman, 1021 Quiet Brook Trail, Dayton, Ohio 45458
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