Address

404 N. 13th ST.
Tarkio, MO. 6449

Get in touch

(660) 623-9071

info@tarkiotech.com

Scholarship Application

UNIFORM SCHOLARSHIP APPLICATION

Tarkio Technology Institute

Fall Term Deadline: May 15

Spring Term Deadline: November 15

scholarship application

Please check all scholarships for which you are applying

Tarkio College Scholarship

Reynolds/Lade/Gilbert Memorial Scholarship

Tarkio United Presbyterian Church Scholarship

ACDC Scholarship

Larry L. Yates Welding Scholarship

The Dr. Gavin L., Sr. and Eleanor M. Doughty Scholarship

Wallin Plumbing HVAC Scholarship

Bud and Marylea Schwenn Health Occupations Program Scholarship

First Name

Middle Name

Last Name

Phone

Social Security Number

Street Address

City

State

Zip Code

Do you have a relative that attended Tarkio College? If so, list name and year.

List names of siblings and the colleges they are attending

Cumulative GPA

Class Rank

ACT or Accuplacer Score

Date of Test

List of work experience (paid or volunteer)

During your high school year, what are your extracurricular activities? (Include additional pages if necessary)

Please list all courses you have or will take for college credit. (please list college, course, and number of credits)

State in your own words how you feel high school has prepared you for your major course of study at a college, university or other form of higher education.

State your career goal(s).

Occupation and employer of your parent(s)/conservator(s)/guardian(s):

Was your family’s adjusted gross income above / below $42,500 for the previous year?

Planning on financing: Parental Assistance (%)

Loans (%)

Scholarship (%)

Grants (%)

Savings (%)

Work Study (%)

Employment (%)

Expected Income ($)

Have you done anything in addition to the above to plan for financing your education?

If yes, what have you done in addition?

If you have any references please list them below.

Describe in your own words and handwriting the commitment you have already made to reach your career goals.

In submitting this Application, I understand that the information contained herein will be treated confidentially and will be shared only with those people responsible for determining the beneficiaries of the scholarships, awards, grants, and loans listed on the face of this application. The information I have furnished is true and correct to the best of my knowledge and belief. I also understand that any scholarships, grants, or awards I might receive are contingent upon my maintaining substantially the same grade point average for my final semester. Do you agree?

Date

Signature

Classes

Business Hours

Mon - Fri: 8:00 am - 5:00 pm
Sat - Sun: Closed