Pioneer Club SCHOLARSHIP APPLICATION FORM AWS
PIONEER CLUB INC. SCHOLARSHIP APPLICATION FORM DUE 15 APRIL (CURRENT YEAR)
PIONEER CLUB SCHOLARSHIP 127 NE CIMARRON TRAIL LAWTON, OK 73507-1434 ************************************************************************************
AFILIATION STATUS: (1.) PIONEER CLUB MEMBER_____ (2.) RELATION TO PIONEER FAMILY _________name & address ________________________________________________________________________ APPLICANT’S NAME_____________________________________________________ (First)
(Middle)
(Last)
ADDRESS_______________________________________________________________ (Street)
________________________________________________________________________ (City)
(State)
(Zip)
SSN: _________________________ PHONE: __________________________________ CURRENT SCHOOL______________________________________________________ 500 Word Essay stating claim to being a Pioneer Family and a story of their Oklahoma Ancestors. SCHOLASTIC ACHIEVEMENTS: (Please attach copy of transcript with picture if possible)
Grade Point _______________________of Maximum_________________________ Class Standing _____________________ of ______________
PIONEER CLUB INC. SCHOLARSHIP APPLICATION FORM
Page 2 FAMILY FINANCIAL DATA: Father’s Name____________________________________________________________ Occupation________________________________ Annual Income ________________ Mother’s Name __________________________________________________________ Occupation ________________________________ Annual Income________________ Number of children in family ___________ Number of children living at home _______ Are there any other children in the family already attending college? If so how many._______________ ________________________________________________________________________ LEADERSHIP ABILITY/EXTRACURRICULAR ACTIVITIES: (List your extracurricular and work activities. Include number of years involved and any offices you held.)
WHAT SCHOOL IN OKLAHOMA WILL YOU ATTEND: _______________________________________________________ _____________________________________________________________________________________________________________
REFERENCES:
Please attach a CURRENT written recommendation from two (2) professional persons who can supply accurate academic and/or character information about you: Teacher, counselor, or clergy person.
PIONEER CLUB SCHOLARSHIP 127 NE CIMARRON TRAIL LAWTON, OK 73507-1434 ************************************************************************************
AFILIATION STATUS: (1.) PIONEER CLUB MEMBER_____ (2.) RELATION TO PIONEER FAMILY _________name & address ________________________________________________________________________ APPLICANT’S NAME_____________________________________________________ (First)
(Middle)
(Last)
ADDRESS_______________________________________________________________ (Street)
________________________________________________________________________ (City)
(State)
(Zip)
SSN: _________________________ PHONE: __________________________________ CURRENT SCHOOL______________________________________________________ 500 Word Essay stating claim to being a Pioneer Family and a story of their Oklahoma Ancestors. SCHOLASTIC ACHIEVEMENTS: (Please attach copy of transcript with picture if possible)
Grade Point _______________________of Maximum_________________________ Class Standing _____________________ of ______________
PIONEER CLUB INC. SCHOLARSHIP APPLICATION FORM
Page 2 FAMILY FINANCIAL DATA: Father’s Name____________________________________________________________ Occupation________________________________ Annual Income ________________ Mother’s Name __________________________________________________________ Occupation ________________________________ Annual Income________________ Number of children in family ___________ Number of children living at home _______ Are there any other children in the family already attending college? If so how many._______________ ________________________________________________________________________ LEADERSHIP ABILITY/EXTRACURRICULAR ACTIVITIES: (List your extracurricular and work activities. Include number of years involved and any offices you held.)
WHAT SCHOOL IN OKLAHOMA WILL YOU ATTEND: _______________________________________________________ _____________________________________________________________________________________________________________
REFERENCES:
Please attach a CURRENT written recommendation from two (2) professional persons who can supply accurate academic and/or character information about you: Teacher, counselor, or clergy person.
