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Geraldine Bagley Scholarship Application
Submitter Information
First Name (required)
Last Name (required)
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Cell #Home #
Contact Information
Email (required)
Mailing Address (required)
Please identify which high school you are applying from: (required)
Parent's Information
MotherFatherGuardian (If any)
Phone #
Best method of contact
Best Mailing Address to Contact Parents or Guardian (required)
SAT scores and/or ACT scores (optional)
Select Add a file to include required documentation.
Name of High SchoolGPA
High School Information
Grade Transcripts (required)
Attach grade transcript
Address of High School (required)
Colleges/Universities/Vocational Schools under consideration, listed by priority
Institution NameLocation




Major Field of StudyExpected DegreeCareer Goal(s)

Are you currently working, or have you worked during high school? Please give us details on places of employment, duration, and type of work.
Place of WorkDurationType of Work



Estimated $ Amount
Tuition and Fees
Room and Board
Books and Supplies
Anticipated Personal Expenses (clothing, laundry, recreation, etc.)
Unusual or major expenses for which applicant is responsible
Total estimated financial need per year of college
Other Resources
DetailsEstimated $ Amount
Loan (s)
Family Financial Assistance
FAFSA (required)
Please attach FAFSA
If family cannot assist financially, please explain:
Siblings/others dependent on the family:




Please select one: (required)
NameAddressPhone NumberRelationship
Please give us a brief summary of your academic achievements. (required)
Tell us about something in your community that you’re passionate about. (required)
Tell us about a time you worked hard to accomplish something even though it was difficult. (required)
How do you think your degree will help you improve your life and/or the community? (required)
Why should we pick you to receive this scholarship? (required)
TWO SIGNED Letters of Recommendation (required) and/or supporting documentation (required)
Please upload the two signed letters of recommendation and any additional documents you'd like to include with your application here.
Completed Attestation of Financial Need (required)
Please upload completed form here after downloading from https://www.opbc.com/wp-content/uploads/2023/03/Attestation-of-Financial-Need-Bagley-Foundation-Scholarship.pdf
All statements in this application are correct to the best of my knowledge. (required)
Applicant Signature
Applicant NameDate of Application