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Opticians Association of Low Interest Education Loan for Second Year Full Time Students of Highline Community Colleges
In accordance
with our mission statement and by-laws the OAW Board of Directors has designated
a Student Loan Committee with the authority to disburse funds in order to
promote opticianry in Washington State. This is a big step for promoting Licensed Opticians in the state of Washington and will continue to evolve.
Opticians Association of
FAX 509-469-2134
Please copy and print this form to mail.
OPTICIANS
ASSOCIATION OF Education
Loan Program Second
Year Students APPLICATION GENERAL INFORMATION Selection is based on financial need, academic performance, good citizenship and availability of funds. If there is no eligible and qualified applicant for the current quarter, the loan award will not be given. 1. Must be registered as a full-time second year student for the applicable quarter of the Optician Program. 2. Must be in good academic standing.
Personal
Information (please type or print) Name_________________________________________________________________________
FIRST
M.I.
LAST Current Address___________________________________City_______________State____Zip_______ Current Phone: ( )__________________________ E-mail:___________________________ Permanent Address:__________________________________City______________State____Zip_________ Permanent Phone: ( )___________________ Drivers License #_________________ Date of birth: ___________ Social Security #_________________________________ Nearest Relative or Contact Person Name _____________________________ Address ______________________________ Phone ______________________________ Are you an OAW Member? ______ YES ______NO School Attending: _____Seattle Requested Loan Amount $___________________________ Date loan needed ______________ EDUCATIONAL BACKGROUND List academic history in chronological order, beginning with High School
ORGANIZATIONS List your personal involvement within the last 2 years.
Describe
why you feel you should be awarded the Optician Association of Essay:
Where do you see yourself in the field of Opticianry in 10 years? FINANCIAL INFORMATION List any financial aid for which you have applied or will be applying for
CERTIFICATION The information submitted herewith is true and correct and I fully understand the obligation incurred by receipt of the loan. Date: _______________________ Signature: ___________________________________
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