Scholarship Recipient Profile

Name

Student Information

Student Address

Phone

This address will receive a confirmation email

Upload a photo of yourself for the application.

Upload (8MB)

Parent/ Guardian 1 Information

Parent/ Guardian 1 Name

Parent/ Guardian 1 Address

Parent/ Guardian 1 Phone

Parent/ Guardian 1 Email

Check delivery options:

Pick up at OKMBC Mailed to Student Address Mailed to Parent Address

Parent/ Guardian 2 Information

Parent/ Guardian 2 Name

Parent/ Guardian 2 Address

Parent/ Guardian 2 Phone

Parent/ Guardian 2 Email

High School Information

High School

Year Graduated High School

College/ Post High School Information

Name of College Attended

What year did you begin your college career?

Current Classification

Area/ Field of Study

Major

Minor

Anticipated/ Actual Graduation date

Upload Proof of Enrollment in courses for next semester (document must include name of school as well as student's name and courses you're enrolled in.

Upload (8MB)

For upload grades (e.g. must include your name, name of institution and current GPA)

Upload (8MB)

Description

Please fill out this form and click submit.

Deadline for submission December 20th

Scholarship Recipient Profile

Description

Please Fix the Following