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Oregon Pacific Bank Scholarship Application
Submitter Information (Required)
First Name
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Last Name
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Oregon Pacific Bank Scholarship

This scholarship was established in 1981 to encourage and recognize outstanding high school seniors in our communities. We award one scholarship for $2000 in each of the five geographic areas. Applicants must be in the current year graduating class in the following schools or geographic areas: Siuslaw/Mapleton, Douglas County, Coos County, Jackson County, Eugene/Springfield.

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

Eligibility Requirements

  1. Applicant must demonstrate intent to pursue either an academic or vocational career at an accredited college, university, or vocational institution.
  2. Primary consideration in selecting the candidate will focus on leadership in community service or extra‐curricular activities while maintaining credible academic achievement.
  3. Applicant must:
    1. Present information on their financial need by submitting pertinent information to the scholarship committee.
    2. Provide a Grade Transcript from their current school.
    3. Provide TWO letters of recommendation written & signed by someone not related to the applicant.

One scholarship in the amount of $2,000 will be awarded to one student at each of the five communities listed above, and shall be paid directly to the student’s college, university or vocational institution. It is the student’s responsibility to provide the Oregon Pacific Bank Scholarship Committee (Attn: Deborah Kingry, P.O. Box 22000, Florence, Oregon 97439) with proof of enrollment in order for the scholarship to be paid. Failure to claim the scholarship within one school year will result in forfeiture.

 

Procedures

The Oregon Pacific Bank Scholarship Committee will inform the high schools of the scholarship availability. The scholarship will be publicized by the high schools.

Applications are due to Oregon Pacific Bank by 5pm on the first Friday in April. The OPB Scholarship Committee will act on the applications. Incomplete applications will not be considered.

Please complete the online application and Submit.

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

Questions concerning this scholarship should be made to the Oregon Pacific Bank Scholarship Committee: (541) 997.7121

PERSONAL INFORMATION
Cell #Home #Email
Contact Information
 
Mailing Address (required)
Please identify which geographical area your High School is located in to confirm eligibility (required)
 
 
(required)
PARENT/GUARDIAN INFORMATION
NamePhone #EmailOccupation
Mother
 
Father
 
Guardian (if any)
 
Best Mailing Address to Contact Parents or Guardian (required)
EDUCATION
You MUST include your GRADE TRANSCRIPTS (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 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
 
If family cannot assist financially, please explain:
Siblings/others dependent on the family:
NameRelationshipAge

 
Please select one: (required)
ESSAY
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)
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.
ACKNOWLEDGEMENT
All statements in this application are correct to the best of my knowledge. (required)
Applicant Signature
Applicant NameDate of Application