Official Seal of DeKalb County Government
DeKalb County, Illinois

DeKalb County 
Regional Office of Education

 

Amanda Christensen, Superintendent                                                    
Jeff Smith, Asst. Superintendent                                                  
Donna Milburn, Certification/Bookkeeper                                                   
Laura Olson, Administrative Assistant

2500 Annie Glidden, Suite C
DeKalb, IL 60115
(815) 712-0460
FAX (815) 217-0467 

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ALF M. DEISZ MEMORIAL SCHOLARSHIP AWARD APPLICATION

Date of Application _______________________________

Name_______________________________________________ Date of Birth_____________
           (Last)                                                          (First)       (Middle)

Address____________________________________________________________________
   (Street)                                                               (City)                                           (Zip)

Organization or Activity                                           Leadership in and/or Contribution

1._______________________________________________________________________
2. _______________________________________________________________________
3._______________________________________________________________________
4. _______________________________________________________________________
5. _______________________________________________________________________
6._______________________________________________________________________
7._______________________________________________________________________
8._______________________________________________________________________
 9.________________________________________________________________________

In an attached, typed statement of not more than 200 words, describe your plans after high school and explain how they relate to your long-range goals.

Before forwarding your application by May 1,  to the Regional Office of Education, make certain the following items are included:

1. This application form.
2. Letter from a school official certifying your class standing.
3. At least two letters from sponsors of organizations to which you have belonged and contributed.
4. An attached, typed statement of not more than 200 words as outlined above.
5. Evidence of acceptance at a two or four year college or university.
6. Return the items requested by May 1 to:

                                                         DeKalb County ROE
                                                         2500 Annie Glidden Road, Suite C
                                                         DeKalb, IL 60115

 

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