Form A/B

Name*

First Last

Middle Initial

Email*

Age*

Address*

Street Address Address Line 2 City State ZIP Code

Phone*

High School*

I am applying for the following scholarships*

Check all that apply

Father's (or Guardians) name

First Last

Father's Place of Employment

Mother's (or Guardians) name

First Last

Mother's Place of Employment

Other children in my family - Names and Ages

Current Senior High School*

High School Address*

Street Address Address Line 2 City State ZIP Code

Other Senior High Schools

Please list any other Senior High School attended, please include addresses.

Junior High Schools*

Please list all Junior High Schools attended. Please include addresses.

Elementary Schools

Please list all Elementary Schools attended. Please include addresses.

High School Graduation Date*

School Activities

List up to 5 extra curricular activities and the grades which apply.

Employment

Please list last 2 employers, job duties, and dates of employment,

Community Activities

Please list up to 4 activities

What are your goals?*

What career opportunities do you plan to pursue and why do you need a post-secondary education?

Have you been accepted by a post-secondary institution?*

Yes
No

If yes, please list the name and address of the institution.

SAT score

ACT score

Attachments

Transcript

Max. file size: 128 MB.

Click here to attach a copy of your transcript of grades through the first semester of your senior year. Transcripts can be uploaded or a hardcopy can be mailed. All uploaded documents must be a Microsoft Word 2003 document or a PDF file.

First letter of recommendation - principal, a counselor, or teacher

Max. file size: 128 MB.

Click here to attach a letter of recommendation from your principal, a counselor, or teacher. Letters of recommendation can be uploaded or a hardcopy can be mailed. All uploaded documents must be a Microsoft Word 2003 document or a PDF file.

Second letter of recommendation - employer or another adult

Max. file size: 128 MB.

Click here to attach a letter of recommendation from your employer or another adult. Letters of recommendation can be uploaded or a hardcopy can be mailed. All uploaded documents must be a Microsoft Word 2003 document or a PDF file.

Your Picture

Max. file size: 128 MB.

Click here to upload a picture of yourself. Your uploaded picture should be a jpg file. Be sure to have the file on a cd or flash drive if you use a school computer.

Please be certain you are eligible for the scholarships for which you are applying.

By entering the confirmation code I verify the following: I have requested that the following be sent directly to the OEA Foundation, or I have downloaded the information herein, or I will mail hard copies to the OEA Foundation: 1) A transcript of grades through the first semester of my senior year. 2) A letter of recommendation from my principal, a counselor, or a teacher. 3) A letter of recommendation from my employer or other adult. - I understand that incomplete applications will result in ineligibility for any scholarship. If you agree, and have completed all of the above, please enter the confirmation code and submit this form. Thank you. - Hard copies should be mailed to: OEA Foundation, 4202 South 57th Street, Omaha, NE 68117, (402) 346-0400, (402) 393-7998 or (402)740-7911 - Linda Richter

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E-Application Form A/B

Attachments

Please be certain you are eligible for the scholarships for which you are applying.

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