2024 Dr. Bob Mooneyham Memorial Scholarship Application

To view the scholarship criteria, application questions and learn more about eligibility, please visit ossba.org/scholarship.

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* 1. Applicant Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 2. School District Currently Attending

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* 3. Parent/Guardian Information

Name *

Address *

Address 2

City/Town *

State/Province *

ZIP/Postal Code *

Email Address *

Phone Number *

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* 4. High School Information (indicate NA if not available)

High School Attending

Graduation Date (Month/Year)

Current cumulative GPA (weighted)

Current cumulative GPA (unweighted)

Graduating class rank

ACT Composite/SAT Combined Score

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* 5. Tell us how you spend your time outside of the classroom. This can include: school extracurricular activities; work with community organizations, such as service, volunteer and religious organizations; and/or after-school employment. Please note leadership roles and dates of participation/involvement.

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* 6. Please list awards and recognitions received. Please note the presenting organizations and dates.

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* 7. How many siblings do you have? (Please include their ages.)

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* 8. How many of your siblings are currently in college?

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* 9. What is the annual amount your family can contribute to college expenses? (Please include college savings and/or funding from your family's annual income that will be contributed.)

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* 10. Do you qualify for any of the following programs? Please check all that apply.

Free- or Reduced-Priced Meals

Oklahoma's Promise

Other Governmental Subsidies

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* 11. If you checked any of the options on Question 10, please consider providing additional information.

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* 12. What Oklahoma college, university or career technology center do you plan to attend? (If you have not yet made a decision, more than one may be included.)

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* 13. What will your major be? (Include a minor, if applicable.)

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* 14. Do you plan to be an educator in the state of Oklahoma?