wyatt f. and mattie m. jeltz scholarship...
TRANSCRIPT
WYATT F.AND
MATTIE M. JELTZSCHOLARSHIP FOUNDATION
This may be for you
- Are you interested?- Are you eligible?
5, At least a sophomore(Two of the four original trustees are deceased,Mayme Jackson & Herman Stevenson)
BACKGROUNDThe Wyatt F,and Mattie M, Jeltz Scholarship Foundation was established by an endow-
ment and is incorporated by the State of Oklahoma. Mr. & Mrs, Jeltz were black Oklahomanswho devoted their lives to education, employment opportunities and community service untiltheir deaths in 1975and 1977,respectively, Theywere vitally interested in assistingyoung people,particularly Black-Americans displaying strong academic ability, to acquire an education anda better life, While awards may go to non-traditional students, the emphasis is on traditionalstudents,
The Foundation provides scholarships to assiststudents in paying college related expensessuch as tuition, fees, room and board, books and supplies, loan repayment etc. To be eligible,a student must be enrolled full-time (12 hrs) in a state-supported Oklahoma accredited collegeand have earned a minimum of thirty (30) credit hours, with an accumulative grade pointaverage of, at least, 2.8. Financial need and good character are also criteria, A student musthave applied for financial aid.
Scholarships are awarded annually in February and October; application deadlines areDecember 20th and August lSth: Applicants are notified in January and September as to theirselection status. An official at the recipient's college will be notified,
Jeltz Scholarship FoundationP,O. Box 36575
Oklahoma City, Oklahoma 73136
APPLICANTCRITERIA FOUNDATIONTRUSTEES
1, Academic excellence-minimum of2,8 cumulative GPA
James L, Mosley, Chairman(405) 348-8226
2, Good Personal Character Lettie R, Hunter, Treasurer(405) 427-3925
3, Financial Need
4, Attending an Oklahoma State-SupportedAccredited College or University
Kenneth W, Arinwine, Secretary(405) 424-6040
INQUIRETODAYATYOURFINANCIALAID ORSCHOLARSHIPOFFICE
8. Mother's Name Living Yes No
Photo is Required
APPLICATION FORWYATT F. AND MATTIE M. JELTZ MEMORIAL SCHOLARSHIP
(Type or Print) Date _
1 Name _
Last First Middle sss
2 College Residence _
Street & Number City State Zip Code
3. Permanent Address _
Street & Number City State Zip Code
4. College Residence Phone Race _ Male Female
Birth date _ Age _ Cell Phone _
5. Father's Name Living Yes No
6. Address _
Street & Number City State Zip Code
7. Father's Occupation _ Place of Employment _UJa:UJII-::>o
Address & Phone No. _
Last First Middle
9. Address _
Street & Number City State Zip Code
10. Mother's Occupation Place of Employment -----------
Address & Phone No. _
11. Have you applied for financial aid? _
12. High School Attended: Year graduated ----
College _
Name. Address & Phone
Dates Attended: Total Semester Hours Completed ------
Cumulative GPA _
13. Extra class activities or organizations: _
•
Spouse's Name _ Age of Dependents _
15. TO BE COMPLETED BY THE COLLEGE FINANCIAL AID OFFICE:
Has the applicant submitted a need analysis of document: -- Yes -- NoIf yes, please complete the following: x
0co
Need Analysis z-College's budgeted cost for applicant .......... , ... , , ..... $ Q::«
w0... -'0...
Parents' expected contribution. , .......... $ «Students' expected contribution ........... $ 0
f-
Total family contribution. , ... , , .................... , .... $ 0...
2NEED ........ , , , ............. , ................ , .......... $ «f-
(f)
Expected Financial Aid: w
Pell Grant ......... , .. , ........... $u-LLLL
Other Grants ....... , . , .. , ........ $ 0
s 0«
Scholarships .................. , ... $ ---'$
«u
Work: .. , ......................... $z«z
Loans: .... , .............. , ...... ,$ -LL
Other: . . . . . , ... , . . . . . . . . . . . . . . . . ,$
Total Expected Assistance ................ , , .......... $
UNMET NEED ... , .... , , ..................... , .. , . , . $
Comments:
Date: Signature Title
16. Marital Status _ No. of Dependents _
17. References: Name, Address & Telephone No. (Including one College Official)
1. _
2. _
3. _
NOTE: All questions, number 1 - 17, must be completed and a picture enclosed to be considered.Application must be postmarked by: August 15th and December 20th FORCONSIDERATION.
Applicant's Signature