Please indicate which type of institution you plan to attend.
Are you/were you involved in athletic/sporting activities during high school? Please see help text for examples.
Sports to include, but not limited to: basketball, baseball, cheerleading, cross country, football, golf, soccer, softball, track & field, volleyball, wrestling, wrestling mat maid, etc.
Upcoming Academic Year Classification (see help text):
All current year graduating high school students should check the box for Incoming Freshman (current year graduating high school senior with our without prior college credit) even if enough credits have been earned to be considered a Sophomore (or higher) in college. If you choose another option, you will not be applied to or recommended for the scholarships available to current year graduating high school students. If you feel you do not fit into any of the options listed below, please contact Lanie Hartge, Educational Programs Director, by email at email@example.com or by phone at 419-281-4733 for assistance.
Are you planning to attend your chosen school full-time or part-time?
Do you plan to work while you're in school?
Have you received a Hess Loan in the past?
Please enter a whole number, no decimals or other symbols.
Do you have an immediate family household member who is/has been afflicted by ALS (Amyotrophic Lateral Sclerosis - also known as Lou Gehrig's disease) or HOD (Hodgkin's Lymphoma/Hodgkin's disease)?
Have you lost a parent/guardian due to a recent illness?
Have you participated in band and/or choir a minimum of two years during high school?
Is anyone in your immediate family living with a disability?
Are you planning to become a K-12 teacher?
Is a member of your immediate family currently dealing with a health issue(s)?
Do you have an immediate family member impacted by a medical condition?
Are you a member in good standing of the Mansfield Youth Orchestra?
Have you been an Ashland County resident for at least 90 days?
Please choose which you received:
Required information: Name, Address, Phone, Employer & Occupation.
Full name, Relationship, Age, Highest Education Level Received
Upcoming academic year classification (see help text):
If you feel you do not fit into any of the options listed below, please contact Lanie Hartge, Educational Programs Director, by email at firstname.lastname@example.org or by phone at 419-281-4733 for assistance.
Please enter a number. You can use a decimal, but exclude any other symbols. Please provide education financing info for your chosen school, or for your first choice of school. All figures provided should be GROSS rather than net (for example, if you're aware of grants or scholarships that you'll be receiving, do NOT reduce the full amount of your expected total cost of enrollment by these amounts). If you're attending a multi-year institution/program, please provide the grand total of all years combined, not the expected total for just one year.
Are you financing your own education?
Please select the appropriate option regarding your Expected Family Contribution (EFC) number as it appears on your Student Aid Report (SAR) of the Free Application for Federal Student Aid (FAFSA). In answering this question, you agree that you understand the SAR may be requested in its entirety for further information or verification.
If you are not attending one of the institutions listed in the previous question, will you be attending a college/university within the state of Ohio?
Do you currently participate in Boy/Girl Scouts?
Do you plan to major in Early Childhood Education?
Do you have a family member who is developmentally challenged?
Do you have a family member who has cancer currently or has had cancer in the past?