Pamela

 L.  Ollinger  Chapter  AE  P.E.O.  Sisterhood  Scholarship  

2010  Application  Form  
 
The  Pamela  L.  Ollinger  Chapter  AE  P.E.O.  Sisterhood  Scholarship  is  a  one-­‐time  a ward  of  $500  for  a  
female  h igh  school  s enior  attending  h igh  school  s chool  in  S omerset,  Wicomico  or  Worcester  County  
who  is  pursuing  further  education  in  the  fall  of  2010.    Do  not  submit  any  additional  d ocumentation  
with  your  application  other  than  what  is  requested  on  this  form.      Deadline  for  submission  is  April  
15,  2010.  
 
Student  Information  

________________________________________________________________________________  
Last  Name       First  Name       Date  of  Birth  

________________________________________________________________________________  
Street  Address         City       State     Zip  Code  

________________________________________________________________________________  
Phone  Number           Email  Address    

Mother’s  Name  and  Occupation    _____________________________________________________  

Father’s  Name  and  Occupation    ______________________________________________________  

Sibling’s  Names,  Ages  and  Schools  Attending  

________________________________________________________________________________  

________________________________________________________________________________  

________________________________________________________________________________  

High  School  Information  

________________________________________________________________________________  
Name  of  School         GPA     SAT  Score     ACT  Score  

List  S chool  and  Community  Activities,  Honors  Received  and  Offices  Held  

Employment  History  

________________________________________________________________________________  
Most  Recent  or  Present  Employer     Position   Date  of  Employment  
                (Beginning  Date  to  Ending  Date)  
 
Future  Education  Plans  
 
Proposed  Major    ___________________________________________________________________  
 
Schools  to  Which  You  Have  Been  Accepted  
 
________________________________________________________________________________  

________________________________________________________________________________  

 
Schools  to  Which  You  Have  Applied,  But  Have  Not  Yet  Been  Accepted  
 
________________________________________________________________________________  

________________________________________________________________________________  

 
Financial  Aid  You  Have  Received    
 
________________________________________________________________________________  

________________________________________________________________________________  

 
Financial  Aid  for  Which  You  Have  Applied,  but  Have  Not  Yet  Received  
 
________________________________________________________________________________  

________________________________________________________________________________  

Personal  Statement  
P.E.O.  is  a  philanthropic  organization  where  women  celebrate  the  advancement  of  women;  educate  
women  through  s cholarships,  grants,  a wards,  loans,  and  stewardship  of  Cottey  College;  and  
motivate  women  to  a chieve  their  highest  aspirations.    In  addition  to  the  information  requested  
above,  you  must  include  a  one  (1)  page,  double-­‐spaced  personal  s tatement  d escribing  your  highest  
aspirations  and  how  the  support  of  the  Pamela  L.  Ollinger  Chapter  AE  P.E.O.  S isterhood  Scholarship  
will  h elp  you  achieve  your  goals.  
 
High  School  Transcript  
You  must  include  an  official  copy  of  your  11th  grade  h igh  school  transcript  with  this  application.  
 
Acknowledgement  
By  signing  b elow,  you  certify  that  the  information  provided  in  this  application  is  true  and  accurate  to  
the  best  of  your  knowledge.  
 
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Applicant’s  S ignature             Date