GFWC/Ohio Federation of Women's Clubs Scholarship Programs
GFWC/Ohio Federation of Women's Clubs Scholarship Programs
Official Scholarship Application to be completed by Applicant page 1 of 4
It is our practice to comply with all applicable federal, state, and local laws prohibiting discrimination based on race, color, gender, age, religion, national origin, disability, veteran status, union affiliation, or any other protected characteristic.
Please complete all questions. You may be asked to provide additional information on another form. This application will be kept on file for two administrations. Be sure to sign and date the application. If not entering data via computer, please print or type. Required addendums must be postmarked no later than March 1 of the year of the application.
Date:Last Name / First Name / Middle Initial/Maiden Name
Address / City / Zip Code
() - / () - / - -
Home Phone / Daytime Phone / Social Security Number
Email Address:
High School: / Year of
Graduation: / Anticipated Annual
Cost of Education: / Number Dependents in Family:
Rank in Class: / Number in Class: / GPA: / Anticipated Financial Contribution by Parent(s) or Guardian:
Name of OHIO College or University or Accredited Art School You Plan to attend:
Have You Been Accepted by this School? / YES NO
Annette Phelps Lincoln Scholarship / Major in which you plan to declare:
(check one)
Education
Library Science / Weinman Memorial Scholarship / Area of Communication Arts you plan to pursue:
Swanbeck Allied Health Scholarship / Area of Allied Health you plan to pursue: / GFWC/ Ohio Art Scholarship / Title of art work submitted:
Medium:
Clubwoman Scholarship / Name of Your Club:
Have you previously applied for the GFWC/Ohio Clubwoman Scholarship?
YES NO
GFWC/Ohio Federation of Women's Clubs Scholarship Programs
Official Scholarship Application to be completed by Applicant page 2 of 4
GFWC Art Scholarship
I certify that my entry is my original. I understand that if I receive a GFWC/Ohio Federation of Women's Clubs Art Scholarship, I must attend an Ohio school in the fall. I understand that I must notify the Chairman of the GFWC/Ohio Federation of Women's Clubs Scholarship Board of Trustees of my intention to accept or decline this scholarship by June 30.
Applicant’s Signature ______
Clubwoman Scholarship, Weinman Memorial Scholarship, Swanbeck Allied Health Scholarship, Annette Phelps Lincoln Scholarship
If awarded a scholarship, I agree to notify the Chairman of the GFWC/Ohio Federation of Women's Clubs Scholarship Board of Trustees and/or the Annette Phelps Lincoln Trustees of my intention to accept or decline this scholarship by June 30.
Applicant’s Signature ______
TO BE COMPLETED BY THE SPONSORING CLUB
The / of / in the(club name) / (city) / (district)
of the GFWC/Ohio Federation of Women's Clubs endorses this applicant for a scholarship and agrees to appoint a Club Scholarship Chairman who shall be prepared to furnish information regarding this applicant if required.
Club Scholarship Chair / Club President (signature required below)
Name / Name
Address / Address
City / Zip / City / Zip
Home Phone / () - / Home Phone / () -
Email Address: / Email Address:
Club President’s signature:
Sponsoring club shall mail all required materials in one (1) packet and that packet must be sent to the appropriate Scholarship Chair by certified mail with return receipt requested.
For the Annette Phelps Lincoln Scholarship, request the mailing address from Katie Liekoski at or refer to the OFWC Directory.
For all other scholarships, request the mailing address from Rita Hall at or refer to the OFWC Directory.
Be sure to include the GFWC/Ohio Federation of Women's Clubs Supplemental Questionnaire (page 3 and 4).
OMISSION OF ANY REQUIRED DOCUMENTS WILL DISQUALIFY THE APPLICANT
GFWC/Ohio Federation of Women's Clubs Scholarship Programs
Official Scholarship Application to be completed by Applicant page 3 of 4
GFWC/Ohio Federation of Women's Clubs Supplemental Questionnaire
NameSponsoring Club
1. EXTRACURRICULAR SCHOOL ACTIVITIES (clubs, sports, music, art, drama, letters, etc.)
Use separate line for each. Grade
9 / 10 / 11 / 122. SCHOOL AWARDS AND ACTIVITIES
(science project awards, class offices held, honors, etc.)
3. COMMUNITY ACTIVITIES
GFWC/Ohio Federation of Women's Clubs Scholarship Programs
Official Scholarship Application to be completed by Applicant page 4 of 4
GFWC/Ohio Federation of Women's Clubs Supplemental Questionnaire, continued
4. OTHER INTERESTS and ACTIVITIES not listed on previous page (include job experience)
5. Briefly describe your financial need.
Note to Applicant: Feel free to attach additional supporting materials, but BE SURE TO INCLUDE your name AND the name of the Sponsoring OFWC Club on EACH piece.
Revised 2008