Form C11

Form C11 should be completed if you are applying for the Ida Gitlin Memorial Scholarship - $750 Requirements: You must be a graduating senior of the Omaha Public Schools, a former student of Indian Hill Elementary School, and will pursue a post-secondary education.
Last Name:*
First Name:*
Middle Initial:
Email Address:*
How many years did you attend Indian Hill Elementary?*
What year did you start at Indian Hill Elementary:*
What year did you leave Indian Hill Elementary:*
Confirmation Code: Enter the code shown in the box before clicking on submit.
	Note: Fields marked by an asterisk (*) are required.