Oklahoma Association on Higher Education and Disability Scholarship OK-AHEAD offers scholarship money to Oklahoma students with disabilities in post-secondary education. Applications must be postmarked on or before January 31 of the award year. Scholarships can be applied at any Oklahoma technology center, or any two-year or four-year college or university. Three scholarships are awarded annually. 1. Eligibility o Pursuing an education at an Oklahoma technology center or two-year or four-year college/university (postsecondary students or high school seniors) o Transferring to a four-year Oklahoma college/university o Half-time, part-time, or full-time enrollment, which must be verified by academic transcript or letter from academic advisor on office letterhead o Minimum 2.0 cumulative GPA on a 4.0 scale o Documented disability (No preference is given based on type or severity of disability. Examples of documentation include: Physician's or Psychologist's letter and/or Psycho educational evaluation based on adult norms or done within the last 3 years of high school) 2. Criteria for Award A selection committee will determine recipients of the awards based on the following selection criteria. o o o o o o o Program of study Professional/career goals Extracurricular activities (form provided) Self-advocacy and self-determination strategies previously experienced Impact that program participation would have on achieving professional goals Impact of disability on applicant's educational goals Letters of recommendation: Three (3) letters are required from persons directly familiar with the applicant's endeavors. Two of these letters must be from persons directly familiar with the applicant's academic standing. Applications will not be considered without letters of recommendation. 3. Requirements: The applicant is responsible for ensuring that all items are postmarked by January 31 of the application year when submitted to the scholarship selection committee. No exceptions. o o o o o o Completed application Documentation of Disability (This documentation must include test summaries and a clear diagnostic statement by an appropriate qualified professional.) Three letters of support: All three letters must be from a person directly familiar with the applicant's endeavors. Two of these letters must be from persons directly familiar with the applicant's academic standing. List of extracurricular and work activities (form provided) Confirmation of enrollment for scholarship year from one of the following: Unofficial transcripts from postsecondary institution, or Letter from academic advisor on office letterhead, or Copy of schedule with signature of appropriate academic official (e.g. registrar, academic advisor, DSS office) Letter from high school counselor and/or special education teacher with intent of going to particular college Confirmation of GPA from semester prior to scholarship year from one of the following: Current high school transcript and grade certificate completed, or Unofficial high school transcript, or Copy of grade report with signature of registrar or academic advisor Incomplete applications will not be considered. 4. Deadline Postmarked by January 31 of the application year Send completed applications to: OK-AHEAD Scholarship Committee c/o Kimberly Fields University of Central Oklahoma 100 N. University Dr, Box 144 Nigh University Center, Rm 309 Edmond, OK 73034 5. Notification Scholarship applicants will be notified of the award status by March 15 of the applicable year. Award recipients will be recognized and presented the award at the OK-AHEAD Spring Conference and Awards Luncheon. 6. Scholarship Use and Dispersement o Applicable to an Oklahoma technology center or two-year or four-year college/university o o Scholarship funds will be forwarded to the bursar account at the institution after verification of enrollment and GPA by August 1 of the application year. Scholarship funds may be used for educational costs such as tuition, books and supplies, housing, assistive technology, etc. This list is not exhaustive. 7. Questions Questions can be directed to Kim Fields at (405) 974-2549. Oklahoma Association on Higher Education and Disability Scholarship Application All scholarship applications and supporting materials MUST be received between November 1 and January 31 for the subsequent academic year. Incomplete applications will not be considered. Personal Profile of Applicant Please Type or Print in Black Ink Name_______________________________________________________________________ Address_____________________________________________________________________ City/State/Zip_________________________________________________________________ Home Phone________________________________Cell Phone_________________________ Email Address________________________________________________________________ If applying as a graduating senior, what high school did you attend? ____________________________________________________G.P.A.____________________ List all formal education in chronological order of attendance Career/ Technology Education _______________________________________________G.P.A.___________ _______________________________________________G.P.A.___________ Community College _______________________________________________G.P.A.___________ _______________________________________________G.P.A.___________ Four year College/ University _______________________________________________G.P.A.___________ _______________________________________________G.P.A.___________ Include verification (i.e., unofficial transcript, letter from advisor on office letterhead for all above academic information submitted) Check all that apply: ____ I am currently a graduating senior in high school. ____ I am currently registered at a postsecondary institution. Name of Institution __________________________________________ ____ I have been admitted and plan to register at a postsecondary institution. Name of Institution __________________________________________ Do you anticipate your academic plans to change within this next year? If so, please explain. ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Using the space provided, respond to the following. Do not staple or glue anything to this page. Please name the institution where you are now enrolled or plan to enroll. ______________________________________________________________________________ What will be your major course/program of study? ______________________________________________________________________________ What will be your minor course/program of study or explain if a minor not applicable for your major? ______________________________________________________________________________ 1. Explain why you chose this major/ minor/ program/ degree. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 2. What are your professional/career goals and how will this chosen program/degree help achieve these goals? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 3. Describe the impact of your disability on your educational goals and how you plan to achieve success in those educational goals. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 4. What has been your biggest life challenge and how did you deal with it? ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ 5. Please explain ways in which you have used self-advocation strategies and selfdetermination in the past to overcome obstacles. ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ ________________________________________________________________________ Required Signature By my signature below, I: 1. Affirm that I have furnished all information requested in this application; 2. Understand that withholding information requested or giving false information may make me ineligible for the scholarship; and 3. Agree that relevant information may be released to off-campus committees for scholarship consideration and to the news media. _____________________________________________________________________________________________ Signature Printed name Date Reminder Completed application packets must be postmarked by January 31 of the application year. Incomplete applications will not be considered. Send applications to: OK-AHEAD Scholarship Committee c/o Kimberly Fields University of Central Oklahoma 100 N. University Dr, Box 144 Nigh University Center, Rm 309 Edmond, OK 73034 Activities Form Extracurricular Activities List all extracurricular, community, and personal activities in which you have participated and/or are planning for the current year. Include clubs, debate, school sports, student government, fine arts, volunteer work, youth programs, athletic programs, music, scouting, etc.Use only the space below. Participation By Year Positions Held and Brief Description Identify Participant or Leadership Level Fr So Jr Sr Work Experience Dates of Employment Title/ Job Duties Grade Certificate Form-High School Students ONLY This section is to be completed by an advisor/counselor. Only transcripts with fall semester information will be accepted and must be included with the application. This certification form is to be included in the complete application packet. Student's Name________________________________________________________ School Name _________________________________________________________ At the close of the most recent semester, the applicant ranked __________ in a class of ______________. At the close of the most recent semester, the applicant's cumulative GPA was _________ on a scale of__________. Person completing this form: ______________________________________________ Title: _________________________________________________________________ (Please Print) Signature:_________________________________________ Date: _____/___/_____ AN OFFICIAL TRANSCRIPT INCLUDING FALL SEMESTER GRADES MUST ACCOMPANY THIS APPLICATION. DO NOT SEND THIS INFORMATION SEPARATELY! Letter of Recommendation Form The below named applicant is applying for the OK-AHEAD Scholarship. Your appraisal is needed as part of the application process. The student has approved the release of information that would be helpful in the review of his/her application. Your cooperation is most important in the selection of award recipients. To ensure confidentiality, please return this form to the student in a sealed envelope with your signature across the seal. Please us letterhead as recommendations are made regarding the following: Relationship to you and the length of time you have been acquainted with the applicant Character and how well the student understands his/her disability Self-advocacy skills for himself/herself. Include examples Share an experience or an event in which the student used his/her abilities and potential to succeed and achieve goals/task set by the student Evidence of the student's strengths and weaknesses Letter should not exceed one page in length. Student applicant name: ______________________________________________________ Person submitting recommendation: Name: ________________________________ Telephone Number: (_____)_____-______ Address: _________________________________________________________________ (Street or PO Box) City State Zip Relationship to applicant: _____________________________________________________ How long have you known the applicant? _________ Email: ____________________________________________________________________ A recommendation received with a broken seal will be rejected. Please be sure to seal and sign the envelope and return to the applicant in order for it to be included along with the application packet. Remember - Recommendations from parents and immediate family members are NOT accepted. It is requested that the letter of recommendation be typed or hand printed.