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University of Wisconsin Oshkosh Silver Rose Freshman Scholarship
University of Wisconsin Oshkosh
Silver Rose Freshman Scholarship

The Brothers of Omega Delta Phi Fraternity, Inc. at the University of Wisconsin Oshkosh are proud to recognize scholastic excellence through our scholarship awards. Through this award we hope to promote the ideals of higher learning and continued education.

Qualifications

Be a graduating male senior from a high school within the continental United States.

Must be attending the University of Wisconsin Oshkosh in the Fall of 2010 as a full-time student.

Complete and return the application postmarked no later than September 10 th , 2010.

Transcripts

Instructions/Checklist

A transcript from the high school you recently graduated. You may also attach transcripts from other high schools you have attended if you feel those transcripts will give Omega Delta Phi Fraternity, Inc. a better understanding of your academic qualifications.

Personal Statement

Your personal statement should explain how one of the following characteristics applies to your life, goals, and

scholastic career: Unity, Honesty, Integrity or Leadership. The statement should not exceed two double-spaced pages with 12 point font and one inch margins.

Honors, Extracurricular Activities, and Volunteer Work

On a separate sheet of paper, please list and describe any honors that you have received, extracurricular activities, which you have participated, and any volunteer work that you may have done. You may also attach a

résumé.

Scholarship award will be awarded one time for amounts of $250.00 Scholarship finalist(s) may be required to conduct an interview at the request of Omega Delta Phi Scholarship winner will be notified no later than September 24 th , 2010

Completed applications should be mailed to

Omega Delta Phi –Reeve Union 748 Algoma Blvd Oshkosh WI 54901.

2010 Silver Rose Freshman Scholarship Application
2010 Silver Rose Freshman Scholarship Application

Type or Print Clearly. If a question is not applicable, simply put N/A. Otherwise fill in all blanks. Postmark Due Date: September 10 th , 2010

2010 Silver Rose Freshman Scholarship Application Type or Print Clearly. If a question is not applicable,
Name: First M.I Last Ethnicity (Optional) Address: Number & Street City, State Zip Code ( )
Name: First
M.I
Last
Ethnicity (Optional)
Address: Number & Street
City, State
Zip Code
(
)
-

Telephone Number

E-Mail Address

2010 Silver Rose Freshman Scholarship Application Type or Print Clearly. If a question is not applicable,

Date of Birth (Month/Day/Year)

Place of Birth (City, State, Country)

2010 Silver Rose Freshman Scholarship Application Type or Print Clearly. If a question is not applicable,

Name of your High School

Cumulative GPA (on a 4.0 scale)

Class Rank

School Address: Number & Street City, State Zip Code
School Address: Number & Street
City, State
Zip Code

Financial Stament Please use figures from your family’s 2009 Income Tax Returns

Parents or Legal Guardians’ combined gross income

Other Income (Specify)

Total Gross Income*

$ _______________

$ _______________

$ _______________

* If you feel this statement does not adequately reflect your family’s financial standing, please feel free to attach an explanation of not more than one double-spaced page.

Certification Statement

I certify that all of the information on this form is true and accurate. I understand that I am required to be a full-time student at The

University of Wisconsin Oshkosh during the 2010-2011 academic year to receive funds. I certify that I will use any money I receive from Omega Delta Phi Fraternity, Inc. for academic -related expenses only. I hereby certify that I have read this application and certification and agree to all conditions.

X

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Date:

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