www.opbc.com - (800) 997-7121 - #NotYourOrdinaryBank

Geraldine Bagley Scholarship Application
Submitter Information (Required)
First Name
Last Name
File Upload Form. Follow these instructions to upload files.

  1. Click to select a file for upload. For large files, this process may take a couple of minutes.

  2. If you accidentally select the wrong file, click the red "DELETE FILE" next to its name to remove it.

  3. Your files will be attached to this form when submitting.

  4. Allowed File Types: JPG, JPEG, GIF, PDF, PNG, SVG, TIF, TIFF, TXT, Office Docs (Word, Excel, PowerPoint).

Resolve the errors marked in red before submitting again.
Oregon Pacific Bank Scholarship

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) who intend to pursue higher education.  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.
  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:
  5. Grade transcript
  6. SAT scores and/or ACT scores
  7. Copy of applicant's FAFSA
  8. One letter of recommendation
  9. Other factors involved in selecting the candidate will be those relating to community service or extracurricular involvement.


The scholarship to be awarded will be in the amount of $20,000, to be distributed at the rate of $5,000 per year for four years.  Recipient will receive payment semi-annually upon receipt of preceding school term grade transcript as a full-time student.  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.  Failure to claim the scholarship within one school year will result in forfeiture.



Applications are due to the Trust Services Department of Oregon Pacific Bank no later than the first Friday in April. They can be completed online by filling out this form and submitting it online or printing this application and mailing or delivering it to: 1365 Highway 101, P.O. Box 22000, Florence, OR  97439. The BFS Committee will act on the applications; selection will involve an interview with the scholarship candidates.

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: 541.997.7121.

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)
You MUST include your GRADE TRANSCRIPTS, SAT and/or ACT SCORES, and FAFSA results (required)
Select Add a file to include required documentation.
Name of High SchoolGPA
High School Information
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
If family cannot assist financially, please explain:
Siblings/others dependent on the family:

Please select one: (required)
NameAddressPhone NumberRelationship
Please provide a brief 4 paragraph maximum essay that shares information about you that is not evident in the rest of this application, including school experiences, community activities, honors to date, extracurricular activities, positions of responsibility, club, athletics, etc. (required)
Letters of recommendation and/or supporting documentation
Please upload any additional documents youd like to include with your application here.
All statements in this application are correct to the best of my knowledge. (required)
Applicant Signature
Applicant NameDate of Application