Fern Creek Optimist Club

Scholarship Application

The Fern Creek Optimist Club is granting scholarships to the college of your choice. In order to be eligible, the applicant must have participated in the Optimist program or your parents must have participated as a coach or Optimist member. It is suggested that your grade point average be a 2.5 or above.

Name of Student

Name of Parent/Guardian

Address

Telephone Number Age SS#

Grade Point Average: Psat Score Act Score

Optimist Sports Participated in:

Other Extra Curricular Activities:(School, church and community related, etc.)

Parents Optimist Club Member? Yes No

Parent’s participation in Optimist Club (list offices held, coaching positions, etc)

What type of volunteer activities have you done in your community?

Mail to: Fern Creek Optimist Scholarship Application

P.O. Box 91124

Louisville, KY 40291

Why do you feel you should be awarded one of the Optimist Scholarships? (in 50 words or less)