qualification form

2016
QUALIFICATION FORM - OREGON
MARK E. REED SCHOLARSHIP
Applicants must complete the following questions for the purpose of determining eligibility to
apply for a Mark E. Reed Scholarship.
1.
2.
Name:
I am eligible to apply because I am:
a Green Diamond Resource Company employee1
a spouse of a Green Diamond Resource Company employee
a child of a Green Diamond Resource Company employee
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a former Mark E. Reed recipient
a local resident2 residing within one of the following school districts:
KLAMATH COUNTY SCHOOL DISTRICT
Bonanza High School
Lost River High School
Henley High School
Mazama High School
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Klamath Union High School
Chiloquin High School
Gilchrist High School
Eagle Ridge High School
Triad High School
Hosana High School
LAKE COUNTY SCHOOL DISTRICT
Lakeview High School
UNIVERSITIES
Oregon Institute of Technology
Klamath Community College
2016 Mark E. Reed Qualification Form - Oregon
2016
3. If qualifying as a Green Diamond Resource Company employee, please
furnish the following information:
a. Location of employment:
b. Dates of employment: from
to
4. If qualifying as a child, adopted child, step-child or spouse of an employee, please
furnish the following information:
a. Name of the Green Diamond Resource Company employee:
b. Employee’s work location:
c. Dates of employment: from
to
d. Is employee retired or deceased?
Please attach/send this form with the Application Form
1
Employee is any person that has completed at least one year of service with Green Diamond Resource
Company prior to the date of application.
2
Resident is any person that resides in the chosen school district for one year prior to application and who has
completed one year of high school within the district.
2016 Mark E. Reed Qualification Form - Oregon