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Application

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The Application form is 3 pages long and contains:

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  • 13 check-boxes
  • 33 other fields

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File type: PDF

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Engebretson Foundation
Application for Scholarship
Personal Information
First Name Middle Name Last Name
Address
City State ZIP Code
Birthdate E-mail Address
Home Phone Number Cell Phone Number
Father's Name Father's Occupation Father's Employer
Mother's Name Mother's Occupation Mother's Employer
Collegiate Information
College(s) Being Pursued
*Enclose Proof of Admission to College(s) considered if applicable, note those acceptance letters still pending.
Expected Major Expected Date of Graduation
Activities You Expect to Participate In
Have You Received Other Scholarships? If Yes, Please Describe and Include Amount
I Received This Scholarship Application From
High School Guidance Counselor
EducationQuest Foundation
Other
High School Information
High School
Address
City State ZIP Code
High School GPA ACT Score SAT Composite Score
Class Rank (if applicable)
*Enclose an Official High School Transcript & ACT/SAT Scores.
Student Résumé
Please provide a list of extra-curricular activities you have been involved with during high school. Include work experience, as
well as any achievements or awards you have earned. See https://www.educationquest.org/resources/activitiesresume/
for a
sample resume.
Essay
Essay One (required): Write a letter stating your need for this scholarship, plans for your education, and your future goals and
plans beyond college (please limit response to 750 words or less and font must be 10 pt. or greater).
Essay Two (optional): Write a letter explaining any personal or family circumstances affecting your need for financial
assistance.
Financial Information
Please include a copy of your FAFSA Results (Student Aid Report) and/or college funding estimator worksheet (found at
educationquest.org
). In addition, please include a copy of the first two pages of your parent or guardians Federal Form 1040 or
Federal Form 1040A. Please also include Federal Form 1040EZ, if applicable. Please note SSN can be blacked out.
Check List
The following items must arrive no later than March 1st in order for an application to be considered complete. Only one
envelope with the completed application will be considered per applicant. At the top of each page, please type, or neatly print
your initials. Any applications received after March 1st will not be considered.
Scholarship Application
Student Résumé
Essay One
Essay Two (if applicable)
Official High School Transcript
Copy of ACT and/or SAT Scores (does not need to be official copy)
FAFSA Results (Student Aid Report) and/or College Funding Estimator Worksheet
First Two Pages of Federal Form 1040, 1040A, or 1040EZ if Applicable
College Acceptance Letters (if available)
Teacher Recommendation (must be included in application packet to be considered, should
not be sent separately)
Application Deadline:
Must arrive by March 1st to be considered.
Before mailing application, please make sure postage is accurate. Postage due will be returned to sender with application.
Mail completed application and all accompanying materials to:
Engebretson Foundation, Inc.
1309 South 204 Street
Box 219
Elkhorn, NE 68022
If you have any questions please contact the Engebretson Foundation at info@engebretsonfoundation.org
Incomplete applications will NOT be considered.
Please Note: Due to the number of applications received, the Engebretson Foundation will only notify the winning
recipient. Please check http://www.engebretsonfoundation.org/
for updates.
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Application

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Completed 5 February 2021

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