ORWEF Scholarship Application Form

Personal Data (Applicant)

Applicant Name*

First Middle Last

Applicant Phone*

Applicant Email*

Applicant Address*

Street Address City State ZIP Code

Incomplete applications and submissions received after the deadline will not be considered.

Eligibility Criteria (refer to official rules)

Eligible participant: Member System employee or director. Not eligible for schools, fire depts or police depts.

System Name*

ORWA Membership Required. Applicable to ORWA Member System Employees, Directors, or their dependent children or grandchildren.

Note: If you do not see your water system listed, please contact your eligible participant's water system and request an ORWA Membership Renewal.

Eligible Participant's Relationship to Applicant:*

Self (Water System Employee or Director)

Dependent Child

Dependent Grandchild

Eligible Participant Name:*

First Last

Employee or Director of the Water System holding an ORWA Membership.

Eligible Participant Title:*

Employee or Director of the Water System holding an ORWA Membership.

Eligible Participant Address:*

Street Address City State ZIP Code

Eligible Participant Phone Number:

Eligible Participant Email:

High School Data

(Transcript of previous year whether high school or college must be submitted with application)

School Name:*

Graduation Date:

MM slash DD slash YYYY

School Address:

Street Address City State ZIP Code

Grade Point Average:*

SAT Test Score:*

ACT Test Score:*

Please Upload Your Highschool Transcript.*

Drop files here or

Max. file size: 50 MB.

Please Upload Your ACT/SAT Scores.*

Drop files here or

Max. file size: 50 MB.

College/University Data

Is this your first year of high education?

Yes

Credit hours completed:

Number of credit hours required to graduate:

Grade Point Average:

Please enter a number from 0 to 4.

Please indicate your education:

4 - Year College/University

2 - Year Community/Junior College

Vocational Technical School

Major Course of Study:

(Priority will be given, but not limited to water related studies.)

List of Awards, Memberships or other Special Recognition

List of Awards, Memberships or other Special Recognition you have received dating back to your Sophomore year of High School.

Upload any applicable files.

Drop files here or

Max. file size: 50 MB.

Letter of Recommendations

Two letters of recommendation are required.

First Recommenders Name:

First Last

Email:*

Phone Number:

Please Submit Your First Letter of Recommendation.*

Max. file size: 50 MB.

Second Recommenders Name:

First Last

Email:*

Phone Number:

Please Submit Your Second Letter of Recommendation.*

Max. file size: 50 MB.

Financial Data

If you are receiving other financial aid, including a current scholarship from ORWEF, please list the name of the institution and the amount (Scholarships, Grants, etc).

Institution:

Amount:

Institution:

Amount:

Essay

On a separate page, in 250 words or less, submit a synopsis on your goals as they relate to your education, career and future plans.

Please Upload Your Essay.*

Drop files here or

Max. file size: 50 MB.

Biography

You must include a short biography.

Please Upload Your Biography.*

Max. file size: 50 MB.

High Quality Photograph

You must include a photograph.

Please Upload Your High Quality Photograph.*

Accepted file types: jpg, gif, png, tiff, heic, Max. file size: 50 MB.

Scholarship Application Certification

Please indicate the following:

Yes, I am 18 years or older.

No, I am under the age of 18.

Scholarship Applicant Certification*

I agree

In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. False Information will result in the revocation of any scholarship granted. All eligibility requirements must be met.

Date*

MM slash DD slash YYYY

(Date of submission)

Name of Guardian

First Last

Applicant's Guardian Certification (If applicant is under 18)*

I/We Certify

In submitting this application, I/we certify that the information provided is complete and accurate to the best of My/Our knowledge. False Information will result in the revocation of any scholarship granted. All eligibility requirements must be met.

Date*

MM slash DD slash YYYY

(Date of submission)