It is understood that by signing this application form, the applicant agrees to the following conditions if he is awarded a J. Paul Norwood Scholarship:

1. Funds will be paid directly to college chosen by student.

2. College chosen must be Conference approved.

3. The application must maintain a "C" average and cooperate with the college authorities.

Name in Full ________________________________________________________________

Home Address _____________________________ Telephone AC (___)________________

Birth Month ____ Day ____ Year ____ Birthplace City ____________ State.____________

Male _________ Female _________ Married or Single _________ No. Children__________

Citizen of U.S.? Yes ___ No. ___ If not, where?.___________________________________

Father living ___ deceased ___   Mother living ___deceased ___

Parents living together ___ Separated ___ Divorced___

Is there a stepfather? _____ Stepmother _____

What Mortuary School will you be attending?_____________________________________

What percentage of your college expenses are you able to pay?_____________________

What is your four-year high school average ______________________________________

What have you been doing since high school graduation ___________________________

Have you attended any academic college? Yes ___ No___

Name of College ____________________________________________________________

Town___________________________ State______________________________________

Extra-curricular activities in high school (sports, music, offices) ______________________
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What extra-curricular activities did you participate in during academic college? (If attended).
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What have been your activities outside school or college (Church, Youth groups, etc.).
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What is the condition of your health?___________________________________________

Physical Handicaps (if any)___________________________________________________

Employment in which you have been engaged, and dates of such
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__________________________________________________________________________.

Name of present employer____________________________________________________

Hours per week __________________________Weekly earnings____________________

Name of person(s) dependent on your earnings and to what extent ___________________
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Will you work next year, outside of class hours, while attending a college of embalming, if such a cooperative position can be opened for you?_______

It is important to remember that this scholarship is automatically terminated by the applicant failing to do satisfactory work

The following space is provided to give, In your own words, any additional information that will enable the committee to judge your merit as a scholarship applicant. Avoid restating information previously given on this application.
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You must be recommended by a member of OFDA. If you are presently employed by a member of OFDA, ask him to mail a statement to the Scholarship Committee concerning his opinion of your future; doing so on his own stationery and in his own envelope.

It will also be necessary for you to obtain two other letters of recommendation from business or professional men, other than family, in your community.

I hereby agree in consideration of this scholarship loan upon completion of my course of study of Mortuary Science that I shall repay this scholarship by working in a funeral home in the State of Oklahoma for a period of 2 years. I will seek employment in Oklahoma
within a period of 90 days, unless a longer period of time is agreed to by the Scholarship Committee and Recipient. Any required service in the Armed Forces of the United States will be given consideration by the Scholarship Committee for extending the time needed tc
complete the 2-year period of work in an Oklahoma funeral home. If I do not work in Oklahoma, I promise to pay back to the J. Paul Norwood Scholarship Fund the principal sum of the Scholarship plus interest at the rate of 10% per annum from the date of disbursement to the College of Mortuary Science, plus all collections and attorney fees.

Date submitted:____________________________________________________________
 

Applicant's Signature

Address all communications to:

Attachments:
High school transcript. College transcript if attended.
Recent photo.
All letters of recommendation.

Date reviewed______________