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WPOSC-_______
WRIGHT PATTERSON OFFICERS’ SPOUSES’ CLUB
2015 SCHOLARSHIP APPLICATION
DIRECTIONS AND LIMITATIONS
All applicants must submit the following information for the application to be considered complete.
Any application missing information or documentation will not be considered or judged.
1. Photocopies (front and back) of both the applicant’s and the sponsor’s current uniform
service identification card.
2. An essay, written by the applicant, typewritten in 12 point font, double spaced, and limited to
200-300 words (one page).
3. Pages 1-3 of the scholarship application.
4. The certification page must be signed and dated by both the applicant and the sponsor. If
the sponsor is deceased, students should have the surviving parent sign the form.
5. Application and all required documents must be mailed to the Scholarship Committee with a
postmark no later than March 2, 2014.
6. Recommendation letter
7. School representative section signed and completed.
Any application missing information or documentation will not be considered or judged.
Selection & Notification Procedures
Scholarships will be awarded to the best qualified applicants as determined by the impartial judges
of the WPOSC Scholarship Committee.
Applicants will be notified of the Committee’s decisions no later than April 1, 2015. The presentation
of the scholarships will be made during an award ceremony on May 14, 2015. Scholarship recipients
will be given further details upon notification of the award decision.
Funding Procedures
Scholarship funds may be used for tuition and fees only. A full tuition scholarship is defined as one
which pays all tuition, fee’s, room and board. An acceptance form must be completed and signed
by the recipient prior to release of the funds to the college, university, community college, vocational
or trade school to be attended. All scholarship funds will be sent directly to the school for credit to
the student’s account. If the applicant fails to enroll, attend, or receives a full scholarship from
another source, the school will return the funds to the WPOSC Scholarship Committee. Returned
funds may be awarded to alternate scholarship recipients.
For more information, please email [email protected]
WPOSC-_______
WRIGHT PATTERSON OFFICERS’ SPOUSES’ CLUB
2015 SCHOLARSHIP APPLICATION
Directions:
1. Print or type in black or blue ink. Do not attach a resume.
2.
Include official transcripts, sealed and stamped by your institution.
3.
The completed application must be postmarked no later than March 2, 2015 to be considered.
No submitted materials will be returned.
APPLICANT’S INFORMATION
Applicant’s Name (Last, First, Middle)
(Nickname, if any)
Applicant’s Social Security Number (SSN)
Current Mailing Address:
Name of School Currently Attending
Home Phone Number
Applicant’s ID Card Expiration Date
E-mail address
SPONSOR’S INFORMATION
Sponsor’s Name (Last, First, Middle)
Rank/Grade & Branch of Service
Sponsor’s Organization
Sponsor’s Social Security Number (SSN)
Organization Address
Duty Phone Number:
Current Mailing Address
Email Address:
Home Phone Number
Sponsor’s ID Card Expiration Date
Page 1
WPOSC-_______
EDUCATION List most recent first.
College & High Schools Attended (Name, City, State)
GPA
Dates Attended
From Mo/Yr
EMPLOYMENT List most recent employment first.
Employer (Name, City, State)
Position/Title
Total
Hours
From Mo/Yr
e.g., Commissary, WPAFB, OH
Bagger
160
Sep 09
COMMUNITY SERVICE
To Mo/Yr
Dates Employed
To Mo/Yr
Jan 10
List volunteer work with service, religious, and other community organizations.
Organization (Name, City, State)
e.g., YMCA, Columbus,OH
Position/Title
Childcare helper
Page 2
Total
Hours
From Mo/Yr
Dates Volunteered
24
Sep 10
To Mo/Yr
Jan 11
WPOSC-_______
AWARDS/HONORS List most recent first, Grades 9 – 12
Award/Honor and Organization
e.g., President’s Honor Roll, Robinson High School
Description
Grade or
Year
GPA 3.0; achieved 3.4
12th
GUIDANCE COUNSELOR/ADVISOR/HOME SCHOOL CORDINATOR: Please complete the
following and attach complete transcript & official scores.
Math
Verbal
Written
SAT TOTAL
GPA
ACT
CLASS RANK
School Representative
Signature: ____________________________________________________
Title: _________________________________________________________
Date: ___________________
NOTE: HIGH SCHOOL ONLY List activity and place the descriptive symbol in the appropriate grade column
C – Captain CC – Co-Captain P – President VP – Vice President T – Treasurer
S – Secretary M – Member L – Letter O – Please state position
Activity
12th
11th
10th
9th
Description
e.g., Drama Club
P
L
Page 3
M
M
11th Lead role in Dracula
WPOSC-_______
ESSAY:
On a separate piece of 8 ½” x 11 white paper, please answer the following question:
Being a child, grandchild or dependent of a military member impacts many
aspects of your life. Your location, how many times you have moved,
deployments, community or base involvement, friendships and cultural
experiences are just a few examples.
How has being a dependent of a military member impacted your educational goals?
Please re-type the question on top of the page. Your answer must be typed, doublespaced, 12 point font, and be 200-300 words in length. Do not put your name on the essay.
Attach your essay to this application packet.
WPOSC-_______
CERTIFICATION LETTER
I certify that all information in this application is accurate to the best of my knowledge and
the essay is entirely my own effort. If I accept a Wright Patterson Officers’ Spouses' Club
Scholarship (WPOSC), I further certify I will abide by the following conditions:
1. Reviewed the eligibility demands and meet the requirements.
2. Scholarship funds are to be used for undergraduate studies within the 2014-2015
academic year. Scholarship funds are to be applied to tuition and fees only. Any excess
funds must be returned to the WPOSC.
3. If I am selected as a WPOSC scholarship recipient, I will return the Scholarship
Acceptance Agreement no later than June 1, 2015. I will be required to provide the
name and address of the accredited college, university, or technical school I will attend
for the 2015 fall term. After June 13, 2015 any unclaimed scholarship funds revert to the
WPOSC Scholarship Fund and may be reallocated to an alternate winner.
4. If I accept an appointment to a military service academy or receive a full ride scholarship
I will become ineligible for the WPOSC scholarship award.
5. I am a responsible citizen in good standing in the school and the community.
6. It is my responsibility to notify the WPOSC Scholarship Committee of any change of status
(e.g., change of schools, change in address, etc.). Failure to do so may result in the
forfeiture of my scholarship award.
7. If the above conditions are violated, the scholarship award funds must be returned to the
WPOSC Scholarship fund.
I agree that my signature on this form will authorize the WPOSC Scholarship Chair to release
this application, including social security number, GPA, SAT/ACT scores and transcript(s) to
the Scholarship Committee and Scholarship Selection Panel as needed.
APPLICANT’S NAME:
Printed
__________________________________________________________
Signature
__________________________________________________________
Date
_____________
SPONSOR’S NAME:
Printed
___________________________________________________________
Signature
___________________________________________________________
Date
_____________
WPOSC-_______
PUBLICITY RELEASE FORM
NAME:_____________________________________________________
(Your familiar name—what you like to be called)
ADDRESS: _________________________________________________________________
__________________________________________________________________
SPONSOR’S NAME (Write Rank/Branch/Duty Status of sponsor after name, as applicable)
SPOUSE/DAD (circle one as applicable):________________________________
SPOUSE/MOM (circle one as applicable): _______________________________
HIGH SCHOOL:_________________________________________________________
GRADUATION DATE:__________________________
COLLEGE YOU PLAN TO ATTEND:_____________________________
INTENDED MAJOR:_____________________________________________
LIST TWO OR THREE SIGNIFICANT COMMUNITY, CIVIC, SCHOOL, WORK
ACCOMPLISHMENTS:
_____________________________________________________________________
_____________________________________________________________________
I,______________________________________, release the use of my name,
(Applicant’s Printed Name)
information provided above, and any information in my application to Wright-Patterson Officers’
Spouses’ Club to be used for publicity purposes.
Applicant’s Signature______________________________________Date:__________
Parent or Guardian Signature______________________________________Date:__________
WPOSC-_______
APPLICATION MUST BE MAILED TO:
Wright Patterson Officers’ Spouses’ Club
Attn: Scholarship
P.O. Box 67
Fairborn, OH 45324
POSTMARKED NO LATER THAN MARCH 2, 2015.
APPLICATION CHECKLIST
Did you?
___
Complete pages 1-3 of the application (High School only section on pg. 3)
___
Have a school official complete the school portion of page 2
___
Complete and sign the Certification Letter
___
Photocopy the front and back of applicant and sponsor’s valid military ID
___
Type a 200-300 word essay
___
Provide an official copy of your transcripts that have been sealed and stamped by
your institution
___
Provide an official copy of your ACT or SAT scores
___
Provide 1 letter of recommendation
___
Complete the Publicity Release Form
It is highly recommended that you maintain a copy of your completed application and all
other items on the checklist for your own records.