Student Scholarship(s) - Form B

2019 ROSALIE STEVENS AND/OR SUE TERRY TECHNOLOGY AT YOUR FINGERTIPS STUDENT SCHOLARSHIPS

FORM B: Nomination form completed by instructor or by any active member of OCRA (Form B). Applicants must return this completed form with their application materials or have instructor/member send to OCRA separately. If the instructor/member nomination form (Form B) is being sent separately from student’s application, it is the applicant’s responsibility to ensure that it is received by OCRA prior to the deadline. YOU ARE ABOUT TO COMPLETE FORM B
DEADLINE: All complete applications must be submitted and received by 5:00 p.m. on Friday, February 1, 2019.

Nominator/Instructor/Member Information
Are you a current OCRA member?
Your Name
Your Email
Your Phone
Your relationship to student

Student Information
I would like to nominate the following student for a 2019 Ohio Student Scholarship Award:
Student First Name
Student Last Name
Student Email, if known
Student Phone, if known
School Attending
Please submit the student/nominee's achievements in the following areas:
Course of Study
Scholastic Achievement
Involvement in School Activities
Additional Comments
Are you submitting additional support documentation to info@ocraonline.com?
   - denotes required fields