(To reduce errors, fill-out the form online, print locally, attach required typed information, and submit as directed below.
No data is saved or stored online - when you leave this page, all data is erased.)

Applicant Nm: Home Ph:
Home Street: Cell Ph:
Home City: State: Zip:  
Home Email:
Age: GPA: Class Rank: # In Grad Class:  
Institution you plan to attend:
Planned Major:
High School: School Ph:
School Street: School Email:
School City: State: Zip:  
School District:
Coach's Name: Principal:
Coach's Signature: ________________________________________________Date:______________  
Principal's Signature: ________________________________________________Date:______________  
OHSFSCA Parent/Guardian: Home Ph:
Cell Ph: School Ph:
Parent/Guardian Signature: ________________________________________________Date:______________

Include the following information, with corresponding category titles, on a separate - neatly typed - page.
* Title the page "Dolores Billhardt Scholarship Nomination Form Information"
* Enter your full name and High School.
* List Non-Athletic Honors/Awards (Include Academic, State Fair, 4H, Church, Etc.).
* List Softball Honors received and years experience playing Fastpitch
   (Include years of Varsity experience, records, awards, and experiences:)
* List any Community Service, Volunteer Work:
* List any other athletic sport honors/experiences:
* Include Two(2) photos with your name printed on the back (non-returnable)
    (Pro photos must have a written waiver from the studio allowing reprints)
* Attach a Personal Biography regarding your qualifications.
* Include at least one letter of recommendation from other than your coach or a relative.
* Include Two(2) letters of Recommendations from School or Community Leaders.
* Remember to get the Principal and Coach's signatures.
* Send completed Application to your District President by March 15th!! (No late applications accepted)

This application may be used to apply for other scholarships as they become available.
Visit our website - www.OHSFSCA.ORG - for more information.

Applicants Printed Name and Signature ______________________________________________________

        *** Filled-in by District President only if Applicant is selected for a Scholarship ***
        President's Name ____________________________________ District:___________________________
        Phone _______________________________________________ Email:______________________________
        Scholarship Awarded for year 20____
        ---- Dolores Billhardt Scholarship Nomination Form ----