ROHM AND BARRETT
1376 Olive Street
Eugene, Oregon 97401
Phone: (541) 345-8764; Fax: 485-5025
eugenefumc@eugenefumc.org
www.eugenefumc.org
THE MEMORIAL SCHOLARSHIP
The Memorial Scholarship Fund was established by gifts from the estates of Arnold and Alice Rohm and Jean Barrett, and has been enhanced over the years by other gifts. The accrued interest from the principal fund provides the money for scholarships.
ELIGIBILITY
An applicant must be an active participant of First United Methodist Church. She or he must be enrolled or planning to enroll in an accredited undergraduate institution for vocational study or an institution of higher learning.
ELIGIBLE INSTITUTIONS
Eligible institutions include any public or private accredited post-secondary institution or a vocational technical institution.
SELECTION
The Memorial Scholarship Committee will select the scholarship recipients annually. Selections will be based on church involvement, financial need and academic promise.
AMOUNT OF AWARD
The Memorial Scholarship Committee will fix the amount of the scholarship each year based on an analysis of the available funds and the applicant pool.
AWARD NOTIFICATION
The Memorial Scholarship Committee shall send to the recipients a notice of award, by June 3, specifying the terms. The recipient shall sign and return a copy of the scholarship notice, acknowledging the terms and certifying that the funds will be used only for educational expenses.
DISBURSEMENTS
Checks will be made payable only to the Financial Aid Office of the institution selected by the recipient.
REFUNDS
Refunds resulting from a student's failure to complete a full study period shall be returned to the Fund.
CREDIT HOUR REQUIREMENTS
Recipients shall make satisfactory academic progress in order to be considered for future scholarships.
TERMS OF ELIGIBILITY
Recipient's awards will be for the period of one academic year.
1. Interested persons may apply by
completing the attached application form.
2. First
United Methodist Church must receive all your Application and information items
by April 30. Notification of
awards will be sent by June 3.
Scholarship Application
First United Methodist Church, Eugene
1. Interested persons may apply by completing the attached application form.
2. First United Methodist Church must receive all your Application and information items by April 30. Notification of awards will be sent by June 3.
Please type or print legibly in black ink. Attach another sheet if you need more room.
Full Name ______________________________________________ Gender: M F
First Name Mid. Initial Last Name
Home Address ______________________________________ City _______________
State _______ Zip _________ Permanent Telephone _____________________
E-Mail Address ________________________________________________________
Student ID # ________________________ Date of Birth ___________________
(Mo/Day/Yr)
Academic Information
College/University You Will Attend in 2008-2009
______________________________________________________________________
Name of School
______________________________________________________________________
Address of Financial Aid Office City State Zip
Academic Classification: __ Undergraduate __ First Year __ Second Year
(in 2008-2009) __ Third Year __ Fourth Year __ Other ___________
Please indicate the academic period(s) you plan to attend:
__Fall quarter/semester __Winter quarter/term
__Spring quarter/semester __ Summer quarter/term
__ Other, please explain: ___________________________
Intended Major/Area of study _____________________________________________
Intended Vocation ______________________________________________________
Anticipated Graduation Date ______________________________________________
Applicant Name: __________________________
List the colleges or universities you previously attended?
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Institution |
Location |
Degree Program |
Degree completed? |
Years Attended |
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Yes / No |
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2 |
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Yes / No |
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3 |
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Yes / No |
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If applicable, list your military service:
Church, Community & School Activities
Are you an active participant of First United Methodist Church, Eugene? __Yes __No
Have you received a scholarship from First United Methodist Church previously?
__Yes __No If yes, when?_____________________________________
Please list all church activities and approximate dates including mission trips, youth group, choirs, etc. you are involved in. (Please use an additional page if necessary)
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___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________
Please list community activities that you have been involved in.
___________________________________________________________________
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Please list significant school activities and/or honors.
___________________________________________________________________
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Applicant Name: _________________________
Please describe your educational, career, and personal goals.
___________________________________________________________________
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If there are any other comments or special circumstances that you would like to share with the scholarship committee, please include them on another sheet of paper.
Financial Information
Total estimated educational costs for 2008-2009 (tuition, books, fees) ____________
Total estimated financial aid/grant assistance for 2008-2009 ____________
Total scholarships you have received for the 2008-2009 year ____________
Do you plan to work during the 2008-09 school year? __ yes __ no Hrs/week ______
Annual gross household income____________
Number and ages of persons dependant on that income ____________
I certify that all information that I have provided is true.
If selected to receive a scholarship, I give permission for a publicity release.
___________________________________________
Signature of Applicant
Please include in your application the following information / paperwork:
a. Transcripts:
High School Seniors: Enclose a seventh semester high school transcript showing grade point average. All other students: Enclose transcripts of your college work.
b. Letters of recommendation:
For first time applicants only: please include 2 letters of recommendation from those who know your background and academic work. (A suggestion is one academic reference and one church or community reference.)