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Geraldine Bagley Scholarship Application
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Geraldine Bagley Scholarship Eligibility and Procedures

This scholarship was established in 1999 by the late Geraldine Bagley, and is designed to give financial assistance to high school seniors/graduates or home-schooled students of Siuslaw High School (Florence, OR) or Mapleton High School (Mapleton, OR) and surrounding areas (ex. Swisshome & Deadwood) who intend to pursue higher education and are in financial need.  The scholarship is administered by the Trust Services Department of Oregon Pacific Bank.

*Applicants do NOT need to be a client of Oregon Pacific Bank to apply.

 

Eligibility Requirements

  1. Applicant must be a senior or senior level home-schooled student at either Siuslaw High School or Mapleton High School and surrounding areas (ex. Swisshome & Deadwood).
  2. Applicant must demonstrate intent to pursue either an academic or vocational career in an accredited college, university, or vocational institution.
  3. Applicant must prove financial need by submitting pertinent information to the scholarship committee.
  4. Applicant must provide the following documents with the application:
    • Grade transcript
    • Two SIGNED letters of recommendation
    • Student Aid Report/FAFSA Report
    • Attestation of Financial Need from applicant or legal guardian
    • SAT scores and/or ACT scores (optional)
  5. Other factors involved in selecting the candidate will be those relating to community service or extracurricular involvement and the applicant’s answers to essay questions.

 

The scholarship to be awarded will be $5,000 each academic year for up to four years, and no more than $20,000 in total.  The Bagley Foundation Scholarship (BFS) Committee expects to distribute the $5,000 annual scholarship amount at or around the beginning of the first fall semester or term, with payments made to recipient’s educational institution for recipient’s tuition upon receipt of any preceding school semester/term grade transcripts as a full-time student not yet provided to the BFS Committee, proof of full-time enrollment in the upcoming semester/term, and an invoice for the upcoming semester/term.  The BFS Committee maintains the discretion to adjust the timing of distributions, and any funds not used for tuition shall be refunded to the Bagley Foundation. A minimum of 3.0 GPA (on a 4.0 scale) must be maintained.  It is the student’s responsibility to provide the Bagley Foundation Scholarship (BFS) Committee with the necessary grade transcript.  This should be within 10 days of the end of the reporting period.  The scholarship award will cease upon completion of the recipient’s degree or four years, whichever occurs first.  The scholarship will be discontinued at any time should the recipient fail to comply with the scholarship requirements, including failure to claim the scholarship within one school year, failure to maintain a 3.0 GPA, failure to provide the required documentation, and/or a change in circumstances that eliminates the need for financial assistance. 

 

Procedures

Applications are due to the Trust Services Department of Oregon Pacific Bank by 5:00 p.m. on the first Friday in April. The BFS Committee will act on the applications. Selections will involve an interview with the scholarship candidates. Incomplete applications will not be considered.

The award is announced and presented according to the school’s method of presentation. The award will be accompanied by a letter of instruction detailing how the money is to be disbursed to the student.

Questions concerning this scholarship should be made to the Trust Services Department at Oregon Pacific Bank: 541.997.7240.

PERSONAL INFORMATION
Cell #Home #
Contact Information
 
Email (required)
Mailing Address (required)
Please identify which high school you are applying from: (required)
 
 
PARENT/GUARDIAN INFORMATION
Parent's Information
MotherFatherGuardian (If any)
Name
 
Occupation
 
Phone #
 
Email
 
Best method of contact
Best Mailing Address to Contact Parents or Guardian (required)
EDUCATION
SAT scores and/or ACT scores (optional)
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Name of High SchoolGPA
High School Information
 
Grade Transcripts (required)
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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 ANNUAL COST of EDUCATION
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)
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If family cannot assist financially, please explain:
Siblings/others dependent on the family:
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REFERENCES
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1.
 
2.
 
3.
 
ESSAY QUESTIONS
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)
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ATTESTATION OF FINANCIAL NEED

To consider your application complete, please complete the Attestation of Financial Need form.

  1. Please download the form provided, print, and complete it.
    1. Attestation-of-Financial-Need-Bagley-Foundation-Scholarship.pdf
  2. Please upload the completed Attestation of financial need below.
ATTESTATION OF FINANCIAL NEED Upload
Completed Attestation of Financial Need (required)
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ACKNOWLEDGEMENT
All statements in this application are correct to the best of my knowledge. (required)
Applicant Signature
Applicant NameDate of Application