Siuslaw Regional Scholarship Application

The 3 documents below are the Siuslaw Regional Scholarship Application (SRSA), the Activities Chart, and the Scholarship Checklist. This application is due on March 3, 2023, and will be used by more than 40 local organizations that award scholarships to Siuslaw and Mapleton High School seniors.

Your application must include the following:

  • Application form (see below)

  • 4 essays as described on application form

  • Activities chart

  • Scholarship Checklist

  • Resume

  • 2 letters of reference

  • Transcript (to be included by the counseling office)

To complete the Siuslaw Regional Scholarship Application:

  • Step 1: Hover over the SRSA document and click on the "pop out" button (small box with arrow in it, upper right corner of document)

  • Step 2: Click on File and then Download (as a Microsoft Word document)

  • Step 3: Complete the form and sign electronically

  • Step 4: Follow the same steps for the Activities Chart and the Scholarship Checklist

  • Step 5: When completing the Scholarship Checklist, be sure to check all scholarships for which you think you might be eligible, but please don't check any for which you would clearly not be eligible.

  • Step 6: Complete the forms and save. Be sure to delete any extra lines when you type in your responses

  • Step 7: Attach to an email and send to

  • Step 8: (Recommended): Print a copy to keep for yourself

SRSA 2023-24 fillable
Activities Chart fillable
Scholarship Checklist 2023-24