Form C16

Form C16 should be completed if you are applying for

Dr. Edwin H. Parrish Memorial Scholarship (2) - $1,000 each
Richard F. Sedlak Memorial Scholarship - $1,000

Requirements: You must be a graduating senior of the Omaha Public Schools and will pursue a post-secondary education in the Vocational-Technical field. You must have completed course work in the vocational-technical area during your Junior and/or Senior year. Your character, citizenship, participation in school activities, and achievements indicate you will make a valuable contribution to the improvement of society through Vocational-Technical education.

Last Name:*

First Name:*

Middle Initial:

Email Address:*

I am applying for:*

Check all that apply.

Dr. Edwin H. Parrish Memorial Scholarship (2) - $1,000 each
Richard F. Sedlak Memorial Scholarship - $1,000

I have applied for admission at the following post-secondary schools:*

Have you been accepted by any of the above?*

Yes
No

If yes, please list the namethe institution(s):

Please write a brief statement about why you should be considered for the Scholarship:*

Confirmation Code:

Enter the code shown in the box before clicking on submit.

Note: Fields marked by an asterisk (*) are required.