Oregon Sports Hall of Fame and Museum MacTarnahan Scholarship Program 2018 SCHOLARSHIP APPLICATION This organization awards up to six $3,000 scholarships to Oregon high school seniors graduating in the year 2018. Recipients are chosen on the basis of financial need, athletic accomplishment, academic achievement and community involvement. Minimum academic requirements: GPA of 3.3, SAT of 1000 or ACT of 20. Scholarship funds must be used at an institution of higher education within Oregon.

Mail (or email PDF) your application by May 25, 2018 to: Oregon Sports Hall of Fame & Museum / Attn: Scholarship Chairman 4840 SW Western Ave #600 / Beaverton, OR 97005 Questions: Contact Joel Roth at 503.227.7466 or [email protected]

Name ____________________________________________________________________________________ Address __________________________________________________________________________________ City ________________________________________________________ Zip __________________________ Telephone ________________________________________________ SSN#__________________________ E-mail ____________________________________________________________________________________ Name and address of high school __________________________________________________________________________________________ College or University you plan to attend in Oregon ___________________________________________________________________________________________

Application Items of Note: •

FINANCIAL NEED:

Please include a copy of your Student Aid Report (SAR) that provides the Expected Family Contribution (EFC) number. These are obtained by filing the Free Application for Federal Student Aid (FAFSA) form with the federal Department of Education. Expected Financial Contribution Number (from the FAFSA Form) ______________________________________ Family’s Federal Adjusted Gross Income (from 2017, Form 1040) _______________________________________ Number of Dependents (from 2017, Form 1040)_____________________________________________________ Number of family members including applicant _____________________________________________________ Note: Attach an explanation letter of any other specific financial problems that you believe are not adequately addressed by the SAR and your family’s adjusted gross income.

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ATHLETIC ACCOMPLISHMENTS:

Please list all accomplishments and sports played in chronological order by grade (on separate page)

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ACADEMIC ACHIEVEMENTS:

Please list all accomplishments in chronological order by grade (on separate page) GPA _________________________ (include copy of transcript) SAT/ACT _____________________ (include copy of form from testing agency)

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COMMUNITY SERVICE: Please list in chronological order, e.g. church, non-profit, volunteer, youth. (on separate page)

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WORK EXPERIENCE: Please list in chronological order with description on your job, work and results. (on separate page)

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LETTER(S) OF RECOMMENDATION: Letters from a coach, teacher, parent, etc.

Application requirements and attachments; Please include: • • • • • • • • • •

SAR Report Official Transcripts SAT/ACT Form Athletic Achievement List Academic Achievement List Community Service List Work Experience List Minimum: One letter of Recommendation (Include as many as applicable) Personal Letter (Maximum one page) on why applicant should win scholarship Recent Photo & Biography: (Biography - maximum one page)

PLEASE LIMIT APPLICATIONS TO A MAXIMUM OF 18 PAGES AND SIMPLY STAPLE OR SECURE THE PAGES TOGETHER. BINDERS OR NOTEBOOKS ARE NOT NECESSARY. PLACE PHOTO IN ENVELOPE AND INCLUDE WITH MATERIALS. www.oregonsportshall.org [email protected] 4840 SW Western Ave #600 Beaverton, OR 97005

503-227-7466