Form C9

Form C9 should be completed if you are applying for the

Harriet J. & William O. Schneiderwind Memorial Scholarship - $1,000

Requirements: You must a graduating senior of the Omaha Public Schools who is a single parent or the son or daughter of a single parent. The applicant must plan to attend a trade school, college, or university and demonstrate financial need.

Last Name:*

First Name:*

Middle Initial:

Email Address:*

Your choice of post-secondary education (may be college, university, business school, nursing school, or vocational school):*

Have you applied?*

Yes
No

Have you been accepted?

Yes
No

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

Please attach a copy (or mail a hard copy) of your College Funding Estimator for the current year and a computer report.

Confirmation Code:

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

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