1. finance
2. grants, scholarships and financial aid
3. scholarships

OLIVER P. KILLAM JR. PRIVATE FOUNDATION
SCHOLARSHIP APPLICATION
Name:______________________________________________________________________________________
First
Middle
Last
Permanent Address:___________________________________________________________________________
Telephone No.:_______________________________Cell phone No.____________________________________
Social Security No.:____________________Date of Birth:__________Email Address________________________
Name of Father:_______________________________________________________________________________
(or Male Guardian)
Occupation/Employer:__________________________________________________Years Employed___________
Name of Mother:______________________________________________________________________________
(or Female Guardian)
Occupation/Employer:__________________________________________________Years Employed___________
Siblings: Name
School Attending
Age
Graduation Date
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
High School(s) Attended:________________________________________________________________________
Addresses of high schools other than Marblehead High School:_________________________________________
COLLEGES AND UNIVERSITIES TO WHICH YOU HAVE APPLIED
TUITION PER YEAR
DORMITORY COST
____________________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Please specify other college or university anticipated costs:____________________________________________
To what extent will your parents or others be contributing to your cost?__________________________________
Have you applied for other scholarships?_________If so, please list:_____________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
Major Field of Study:___________________________________________________________________________
HONORS AND ACTIVITIES
Please describe acknowledgments or honors received since your first year of high school, in or out of school:
___________________________________________________________________________________________
Describe a personally enlightening educational experience:____________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________________
____________________________________________________________________________________________
List activities and organizations in which you have been involved, in or out of school, including the years of
participation:
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
___________________________________________________________________________________
EMPLOYMENT HISTORY
From:
To:
Present Employer
Hours per week
___________________________________________________________________________________
City
From:
State
To:
City
From:
City
Previous Employer
State
To:
Previous Employer
State
Job Title
Hours per week
Job Title
Hours per week
Job Title
Do you intend to work part time while attending your college or university?_______________________________
____________________________________________________________________________________________
Are you a United States citizen?___________ If not, then what nationality?______________________________
REQUIREMENTS FOR CONSIDERATION:
A cover letter expressing your educational goals and aspirations must be included with this application.
Please describe how the Oliver P. Killam Jr. Private Foundation Scholarship can help you to
realize these goals financially. Describe how your education will be used for the greater good as well as
for the enrichment of your own life.
Interviews may be required. Two letters of recommendation (one teacher) addressing your
academic ability and your personal attributes are required.
Make sure that you have submitted by April 1, 2015 to:
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Oliver P. Killam Jr. Private Foundation
Scholarship Committee
P.O. Box 364
Marblehead, MA 01945
A completed application form.
Results of the CSS Financial Aid Profile
(The Financial Need Analysis Report)
Signed certification and release form.
Transcript and SATs and/or ACT
Your cover letter.
Two letters of recommendation (1 by teacher)
A copy of parents’ or guardians’ most recent income tax return
Your Financial Aid Award Letter (as soon as received)
I certify that the information in all aspects of this application is complete and
accurate to the best of my knowledge. Falsification of information may result in
termination of any scholarship granted.
Applicant’s Signature_________________________________Date__________
Parent/Guardian Signature_____________________________Date__________
RELEASE FORM
I grant permission to the Oliver P. Killam Jr. Private Foundation to access my
academic and disciplinary records through the guidance and administrative offices
of Marblehead High School or _________________________________________
___________________________________________________________(other
high schools or colleges/universities that I have attended).
Date______________Student’s Signature___________________________
Date______________Parent/Guardian Signature__________________________