Orange resident enrolled in public, private, parochial school entering
his/her first year of post-secondary education.
TYPES OF QUALIFYING POST-SECONDARY EDUCATION:
Vocational, community college, four year college or university
Two references required (excluding relatives) - One must be from a school
counselor or teacher
Transcript MUST be sent from your school. Speak to your guidance counselor to
assure this is done by the deadline date (see Submission of Information
CRITERIA FOR SELECTION:
Financial need - scholarship - leadership
Complete the Leadership Role Form for only those groups, clubs, or
organizations in which you have demonstrated leadership.
SCHOLARSHIP AMOUNTS AND DELIVERY OF SCHOLARSHIPS:
Past scholarships ranged between $500 and $1800 and were awarded among 6 to
9 students. Actual numbers are dependent upon the annual fund raising.
Scholarship checks will be mailed to the post-secondary institution that
the student will be attending.
May 1st. Late or incomplete applications will NOT be processed. Applicant is
responsible for submission and verification of ALL requested information (references, transcripts, application forms) and mailing thereof by the due date.
Parents: Submission of your Federal Tax Form ( Pages 1 and 2 of Form 1040) is required to substantiate income data. All tax forms are maintained as confidential and destroyed soon after the scholarships are awarded.
Student Application Form
Name of Applicant
Date of Birth
Social Sec. No.
Work Experience - (1) Place of work (2) Duties (3) Dates
1 2 3
1 2 3
1 2 3
Brief statement concerning your education goal
Do you plan to work while attending college? Yes
College/University applied to:
College/University accepted to:
Intended major - if known:
What have you done to acquire information/experience in the above area
of interest? If area of interest in unknown at this time, leave blank.
What do you hope to achieve by enrolling in your post-secondary school?
Name of other scholarships or financial aid programs you have or will
Name of other scholarships or financial aid programs you were awarded
and dollar amount:
Your current total savings /investments (include bank accounts, stocks,
Anticipated earnings this summer: $
Financial aid needed for the coming school year:
Of all the students who will apply for financial assistance through the
Orange Scholarship Fund, why should you be selected?
Student Additional Pertinent Information Form
Note: If there is any additional pertinent information that would aid
the committee in its deliberations
please attach attach a separete sheet.
To be completed by the student if needed
I certify that the answers given above are complete and accurate.