Bill Nelson Scholarship Endowment Application

Contact Information:

Email Address:

Name:

Address:

City, State, Zip:

Telephone:

Social Security No:

Academic Information:

An official copy of your SAT/ACT and School transcripts are required to process your application.

Cumulative GPA
(as of most recent semester):

SAT Score:

ACT Score:

Expected Graduation Date:

Please list all schools attended since Ninth grade, and include School Name, Complete School Address, and Years Attended:

Please list any Degrees or Certificates received to date:

Please list any Honors or Scholarships received to date:

Employment Information:

Please list your current and/or past employment, including Company Name, Supervisor's Name, Phone Number and Job Description:

Personal Information:

Please list any extracurricular activities and Community Service or Social Organizations in which you have participated:

Sponsor Information:

OPEAA Member Company:

Name of Employee:

Relation to Employee:

Additional Information:

Please mail each of the following items to:

BNSE Applicant Requirements
c/o OPEAA
1726 M Street, NW-Suite 1101
Washington, DC 20036

All Applicants Must:
Submit a hard copy of their application with the signature of their company's CEO.

Essay:
Describe your academic aspirations in
250 words or less

References:
Please submit two Letters of Reference

Please enclose a recent photo
You may email a digital photo to: sdove@opeaa.org

High School College

Attestation:

Do you hereby certify and attest that all information provided in this application, and any and all supporting documents, are true and accurate to the best of your knowledge:

Yes No

Sponsored & Administered by: