Oldham Scholarship Fund Application Section A: Personal InformationName(Required) First Last Age(Required) Home Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Social Security Number(Required) Phone(Required)Email(Required) Date of Birth(Required) MM slash DD slash YYYY Were You Born in Kentucky?(Required) Yes No Section B: High SchoolHigh School Name and Location(Required)High School Graduation (month/year)(Required) Section C: CollegeAcademic Major(Required) Were you a full-time student at WKU?Full-Time Fall Semester 2022 Yes No Full-Time Spring Semester 2023 Yes No Will you be a full-time student at WKU?Full-Time Fall Semester 2023 Yes No Full-Time Spring Semester 2024 Yes No Anticipated Graduation Date(Required) Section D: ActivitiesMembership in School Activities While in CollegePlease indicate years of membership and leadership positions.Non-School Activities(Community, church, civic, employment, etc.)Honors and AwardsOther Scholarships/Grants Awarded and Amounts (including KEES)List individually with name of grant and amount. Do not summarize or abbreviate.Section E: Supporting DocumentationPlease upload the following documents: One-page essay explaining your financial need and why you should be awarded this scholarship. Three letters of reference (i.e., Principal, Counselor, Teacher or Employer). Please be sure to have your references include their phone number on the letter. Upload Supporting Documentation(Required) Drop files here or Select files Accepted file types: pdf, doc, docx, jpg, png, Max. file size: 100 MB. Applications submitted without the required documentation will not be considered.Student Signature(Required) Reset signature Signature locked. Reset to sign again NameThis field is for validation purposes and should be left unchanged.
