Form C5

Form C5 should be completed if you are applying for the Dr. Hollie Bethel Scholarships (3) - $4,000 each Requirements: You must be a graduating senior of the Omaha Public Schools and will pursue a full-time career in the field of Education. The applicant must rank in the top one-quarter of the graduating class.
Last Name:*
First Name:*
Middle Initial:
Email Address:*
Please list why you have decided to enter the teaching profession:*
Please list your particular teaching interest (special area, level, or subject):*
Confirmation Code: Enter the code shown in the box before clicking on submit.
	Note: Fields marked by an asterisk (*) are required.