MOBILE OPTIMIST CLUB 2008 Scholarship Application $2,000.00

 

Name (Last, First Middle)____________________________________________

 

S.S. # ______________

 

Address : _______________________________________________________________

 

Telepbone. ______________________________

 

BirtbDate ______________________________

 

SAT/ACTScores : ___________________

 

High School Attended: _______________________________________

 

Dates Attended: ___________________________________________

 

Date of Graduation _________________________________________

 

No. of Members in Class ______________________________________

 

Rank ___________________

 

Honors and Awards: (Attach additional sheets if needed):_________________________________________________

 

_______________________________________________________________________________________________

 

_______________________________________________________________________________________________

 

Offices held in class or school organizations: (Attach additional sheets if needed) :______________________

 

_______________________________________________________________________

 

_______________________________________________________________________

 

Participation in extra-curricular activities: (Attach additional sheets if needed) : ________________________

 

________________________________________________________________________

 

________________________________________________________________________

 

(1) High School: ______________________________________________________________

 

(2) Community and Civic: ________________________________________________________

 

Employment Record: ___________________________________________________________

 

Applicant's Signature ___________________________________________________________

 

Date: ________________

 

Submit this application, along with the (1) a completed application form, (2) official transcript of scholastic record, (3)letter of recommendation (e.g., teacher, community leader, clergyman), (4) FEDERAL STUDENT FINANCIAL AID REPORT (FAFSA) or copy of parents 2007 income tax return and (5) the scholarship questionnaire. Submission of all five items is imperative; incomplete packets will not be considered. Packets must be received by April 18, 2008.

 

Send to:

 

MR. PETE DRANKA

MOBILE OPTIMIST SCHOLARSHIP COMMITTEE 2624 CHARLOTTE OAKS DRIVE

MOBILE, AL. 36695

 

TELEPHONE NO. 666-6139