OKLAHOMA GROCERS EDUCATION FOUNDATION

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OKLAHOMA GROCERS EDUCATION FOUNDATION APPLICATION PROCEDURE Applications may be typed or handwritten, must be completed in full, and be accompanied by the required documentation. Remember that the applicant is responsible for making sure that all requested documents reach Oklahoma Grocers Education Foundation. 1. High School Seniors: a. Complete and process the enclosed High School Transcripts Request From as directed. b. Complete all pages of this application. c. Mail to the address indicated postmarked by March 1 st. 2. College Students: a. Complete and process the enclosed High School Transcripts Request From as directed. If you have applied for an Oklahoma Grocers Education Foundation Scholarship in prior years you will still need to send in a new High School Transcript. b. Complete all pages of this application. c. Include a current official transcript of your grades from the college you are attending. NOTE: A grade report is not an official transcript. d. Send a college transcript from all of the colleges you have attended in the past. (If your college transcript(s) is not included with the application, we assume it is being mailed by your college.) e. Mail to the address indicated postmarked by March 1 st. DEADLINE Completed applications with all transcripts must be received at the OGA office postmarked no later than March 1 st. The mailing address is Oklahoma Grocers Education Foundation, PO Box 18716, Oklahoma City, OK 73154. APPLICANT ELIGIBILITY Eligible applicants must be a High School Senior, College Freshmen, Sophomore, or Junior who will be enrolled as a full-time student in the fall and are one of the following: 1. Children of full time employees of an OGA Member. The employee must be employed for at least two years as of January 1st. 2. Part-time student employees of an OGA Member. The student employee must be employed for at least one year as of January 1st. ELDEN G. ROSCHER SCHOLARSHIP This is a $1,500 Scholarship which is available to college seniors planning to attend graduate school in a subject related to the food industry. NOTIFICATION OF RECIPIENTS Recipients of scholarships awards will be notified by the Oklahoma Grocers Education Foundation by April 15 th.

OKLAHOMA GROCERS EDUCATION FOUNDATION SCHOLARSHIP APPLICATION INFORMATION SUMMARY (Please print or type) Date of Application: In the fall will you be a college Freshman, Sophomore, Junior or Senior: Full Name of Applicant: Social Security #: Home Address: Mailing Address (if different from above): City: State: Zip: Daytime Phone Number: Email Address: Eligibility of scholarship is based on the employment of: Parent or Guardian Stepparent Myself Both Parent and Self Oklahoma Grocers Association Member Firm: Address: Parent Name if Employee: Firm Contact Name: Firm Contact Phone Number: Date of Employment of the Member Firm: If eligible by Parent or Guardian; how many hours per week do they work:

If you work for a Member Firm or not; how many hours per week do you work: Please describe any part time jobs you have held during the past three years: List all schools attended in grades 9 through 12: Do you feel that your high school grades were an accurate index of your ability? Yes No If not; what were the factors that prevented you from doing better? What special recognition have you received for outstanding schoolwork such as honors, prizes or scholarships in high school and/or in college? Describe how you are/were involved in high school activities such as class or school offices, band or orchestra, athletics, dramatics, debate or oratory, school publications, pep club, etc. Describe how you are/were involved in organized out-of-school activities such as rank attained as Boy or Girl Scout, 4-H Club work, church organization, etc.

Describe any community service activities in which you are involved. Name of University/College You Will Attend: Planned Major Field Of Study: Where will you live while attending college? I certify that all of the information contained in this application is correct to the best of my knowledge. Signature of Applicant Signature of Parent of Guardian COMPLETE THE SECTION BELOW ONLY IF YOU HAVE ATTENDED COLLEGE Will your college transcript(s) be mailed separately? Yes No If you have already attended college, list all colleges and universities you have attended and date of attendance. List first institution you are presently attending or last attended. Describe what part you have played in extracurricular activities in college. If there is not enough room to describe your activities in the application, a separate insert may be included. Completed applications with all transcripts must be received at the OGA office postmarked no later than March 1 st. The mailing address is Oklahoma Grocers Education Foundation, PO Box 18716, Oklahoma City, OK 73154. You may contact the Oklahoma Grocers Education Foundation by phone at (405) 525-9419 or emailing chale@okgrocers.com.

OKLAHOMA GROCERS EDUCATION FOUNDATION HIGH SCHOOL TRANSCRIPT REQUEST FORM HIGH SCHOOL TRANSCRIPTS ARE NEEDED FOR ALL APPLICANTS REGARDLESSOF THE APPLICANT S YEAR IN COLLEGE. 1. MAIL TO YOUR HIGH SCHOOL GUIDANCE OFFICE: High School Name: 2. FROM: Student Name: (Maiden Name) Social Security #: Year of high school graduation: Home Address: To comply with the provisions of the Family Educational Rights and Privacy Act of 1974, permission is hereby given to school officials to release the secondary school record and other requested information. Signature of Applicant Guidance Counselor: The student above is applying for a scholarship. Please 1. Attach a copy of the student s transcript, 2. Fill in the requested information in the table below and 3. Sign the certification statement below. School Type (please circle one) Ranking & Testing Information Please Fill in Information Below Public High School Class Rank # in Class Private High School ACT (Comp) GPA Score Special or Magnet High School SAT Verbal (not %) SAT Math (not %) I certify that all of the information on this form is correct, and the student s transcripts are included. Counselor s Signature Office Phone Number Mail this form and transcripts by March 1 st to: Oklahoma Grocers Education Foundation, PO Box 18716, Oklahoma City, Oklahoma 73154-0716.