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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)
Name
 
Occupation
 
Phone #
 
Email
 
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
 
Transportation
 
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
Scholarship(s)
 
Loan (s)
 
Savings
 
Family Financial Assistance
 
Work/Study
 
Employment
 
Other
 
FAFSA (required)
Please attach FAFSA
If family cannot assist financially, please explain:
Siblings/others dependent on the family:
NameRelationshipAge

 

 

 

 
Please select one: (required)
NameAddressPhone NumberRelationship
1.
 
2.
 
3.
 
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