Form C1

Form C1 should be completed if you are applying for the following scholarships: Frank C. Heinisch Memorial Scholarship - $10,000 OEA Foundation Presidents' Scholarship (15) - $7,000 each OEA Foundation Scholarships (14) - $5,000 each Thresa Clark Honorary Scholarships (3) - $2,000 each Jennie Kriebs Memorial Scholarship - $1,500 The OEA Foundation offers thirty four scholarships for sons/daughters/grandchildren of Omaha Education Association members, Omaha Education Association-Retired members or the NSEA affiliated Omaha Administrators Association memvers who are former OEA members, and who are graduating seniors planning to pursue a post-secondary education. A very important consideration will be the involvement of the parent/grandparent in the OEA. There is no restriction as to the field of study. Your character and behavior should be outstanding and should positively reflect a credit to your teachers and to the OEA Foundation.
Last Name:*
First Name:*
Middle Initial:
Email Address:*
I am applying for the following scholarships:* Check all that apply.	Frank C. Heinisch Memorial Scholarship - $10,000 OEA Foundation Presidents' Scholarship (15) - $7,000 each OEA Foundation Scholarships (14) - $5,000 each Thresa Clark Honorary Scholarships (3) - $2,000 each Jennie Kriebs Memorial Scholarship - $1,500
Relation who teaches or taught:*	Mother Father Grandparent
Name of school where they teach (taught):
Number of years they have been an OEA member:
Please list OEA activities or services that she/he has participated in:
For current members, a minimum of three years OEA membership required for the above scholarships. By entering the confirmation code and submitting this form I certify that I (my parent or grandparent) have been an OEA member for more than three years.
Confirmation Code: Enter the code shown in the box before clicking on submit.
	Note: Fields marked by an asterisk (*) are required.