Non-Traditional Scholarship Application

Personal Data:

Name:
Social Security No.:
Address:
City, State, Zip:
Telephone:
Date of high school graduation (mm-dd-yy):

Requirements:

1) Applicant must have had a break between high school and college or between colleges.
2) Must have a Merrick County address or graduated from a Merrick County high school within the last five years.
3) This scholarship is not intended for current year graduating seniors.
4) Please mail into our office at Merrick Foundation, P.O. Box 206, Central City, NE 68826. the following:
      a. Two letters of recommendation.
      b. If you have received this scholarship previously, please submit a transcript 
          of coursework completed.

Written Statement:

In the box below, please include a statement covering the following questions.
Please limit your answer to 350 words or less:

1: Why are you returning to college?
2: How will this scholarship benefit you?
3: Why you have a financial need?
4: Where you are going to college?
5: What your course of study will be.
6: How you feel this course of study will improve your life and contribute to your community.

 


All Applicants:

Enter your email address so we may contact you with any questions.
Email:

Email Disclosure: All information submitted in this application is complete and accurate to the best of my knowledge. I understand that by signing this disclosure, I am giving my permission for the Merrick Foundation to use the information at its discretion for publicity purposes.

ELECTRONIC SIGNATURE: (Please type the last 5 digits of your social security no. to verify you have read and understand the above Email Disclosure:


For your records, it is recommend you print out the above application before hitting "Submit".