Applicants selected for scholarships will be required to show proof of admission at an accredited college or university prior to grants being paid.

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1 To apply for the DD Boesiger Memorial Scholarship, please: (1) Complete the BCF Scholarship Application Form; and (2) Provide any scholarship-specific addendums to the application form; and (3) Include a copy of your student aid report or a copy of your FAFSA application; and (4) Submit current transcript Where applicable, service to school is defined as involvement in school activities, such as clubs, service organizations, school government, pep squad, etc. Deadline for submission is Friday, March 15, 2019 by 5pm Applications should be mailed or dropped off to: Bartlesville Community Foundation, Scholarships 208 E. 4 th St. Bartlesville, OK Applications must be completed by the student. Applicants selected for scholarships will be required to show proof of admission at an accredited college or university prior to grants being paid. Award recipients will either be recognized at a high school awards assembly or be notified directly by the Barltesville Community Foundation Applicants with questions may contact Bartlesville Community Foundation at (918)

2 Scholarship Application Form 2019 SCHOLARSHIP NAME: D.D. Boesiger Memorial Scholarship STUDENT NAME: ADDRESS: Street/mailing city state zip HOME PHONE: CELL PHONE: DATE OF BIRTH: GENDER: M F ETHNICITY (if applicable for scholarship criteria): White African American Asian Hispanic Native American Pacific Islander/Hawaiian NAME OF HIGH SCHOOL: GPA: PLEASE LIST AWARDS, HONORS, SCHOOL CLUBS & EXTRACURRICULAR ACTIVITIES: (INCLUDING OFFICES SERVED, IF APPLICABLE).

3 PLEASE PROVIDE YOUR EMPLOYMENT HISTORY: WHAT ARE YOUR COLLEGE PLANS? ARE YOU RELATED TO A BARTLESVILLE COMMUNITY FOUNDATION BOARD OR COMMITTEE MEMBER? YES NO If yes, what is the relationship? Signature of student applicant Date By signing, you acknowledge that all information is true and correct, to the best of your knowledge, and that you, the student, completed the application and any required addendum/essay. The applicant should understand that the intent of collecting and maintaining this data on individuals is for determining eligibility of the applicant, specifically, term grades and transcripts by the Bartlesville Community Foundation Scholarship Committee.

4 DD Boesiger Memorial Fund STEM & Aviation Scholarship/Grant The family and friends of Dwight D. Boesiger created this scholarship in his memory in Dwight worked over 30 years as a Chemical Engineer with Phillips Petroleum Company primarily in Research and Development. Upon retirement in 1993, Dwight pursued his passion for flying and became a certified flight instructor. Teaching others to fly was one of his biggest thrills and nothing made him happier than seeing his students become proficient pilots. Dwight was also a continuous student and delved with glee into researching any project he undertook. He enjoyed tutoring and encouraging students in the pursuit of science and technology. In memory of Dwight's penchant for research, and drive to share knowledge and encourage learning, this award is presented each year to a college-bound senior who is interested in Science, Technology, Engineering, Math (STEM), or Aviation; and who embodies the qualities of a natural leader--integrity, community involvement, and a positive attitude. Award: Scholarship awarded to a student intending to pursue a career in STEM or Aviation-related studies. Entries will be judged by a selection and review committee. Recipient will be selected based on adherence to prescribed criteria, strength of essay, financial need and strong character as demonstrated through letters of recommendation. Amount Available: Up to $2,000 payable as 50 percent per semester for the first year as long as a 3.0 or higher college grade point average is maintained. Recipients may be invited to reapply for scholarship dollars for a second year. Students are eligible to receive up to $4,000 payable to the university, college, junior college, trade or vocational school on behalf of the recipient, following proof of acceptance. Scholarship recipients will also receive a $1,000 grant upon earning a Private Pilot's Certificate, or Instrument rating. Additional documentation will be required to receive this post-graduation grant. Eligibility Criteria: High School senior or Tri-County Tech student in good standing qualifying for graduation Unless a college student invited to reapply, the applicant must be a resident of one of the following Oklahoma counties: Washington or Osage. Or the following Kansas counties: Montgomery and Chautauqua. 3.0 GPA minimum for high school and college applicants Student intends to pursue a degree in STEM or Aviation-related fields and/or become a private pilot Consideration given to the applicant's financial need for a scholarship Consideration given to students active in extra-curricular activities that focus on mentoring

5 youth. Additional Requirements: Complete general Bartlesville Community Foundation scholarship application 2 letters of recommendation see below Typed personal essay addressing the topic Why I want to pursue a STEM/Aviation-related field of study. Essay must be between words. A brief personal biography words Letters of Recommendation: Please submit two letters of recommendation with your application. Letters must be submitted by the student with the scholarship application before the scholarship deadline. One letter must be from a faculty member of the applicant s school The second letter can be from any unrelated community member, teacher, mentor, etc. of the student s choice