Michael E Kovack
Auditor

Michael Kovack
Medina County Auditor
144 N. Broadway St, Medina, OH 44256
330-725-9754



Joan Heller
Chief Deputy
   
Auditor's Office Home Tax Map Transfers Where taxes go Splits Assessments

About the Auditor
All Searches
Appraisal
Brochures
Calculate Tax
County Information
Economic Development
Employment
Forms
Foreclosure Help
Links
News
Pets
Photo Gallery
Rental Properties
Seniors
Sheriff Sales
Tax Information
Videos
Weights/Measures


Additional Links:
Legal/Bid Notices
Other Auditors


Medina County Auditor's Office:
Scholarship Application



Please print and complete the application below.  Make sure to review the
scholarship rules before applying.  All applications are due by April 15, 2012.

Please mail applications to:
Medina County Auditor's Office
144 N. Broadway St., Room 306
Medina, OH 44256



Name: _____________________________________________________________________

Home school: _________________________ GPA: ______  Class standing: ____________

Home address: ______________________________________________________________

Telephone number: ___________________________________________________________

Parents' or guardians' names: __________________________________________________

Family size: ______________________   Family gross income: ______________________

Name of college, business school, technical school, junior college or other school you plan to attend:
__________________________________________________________________________________

Have you been accepted for admittance at this time? ______________________________________

Intended major: _____________________________________________________________________

Briefly explain how or why you selected the above major.
__________________________________________________________________________________
__________________________________________________________________________________

Please list all of the high school/community-related activities in which you have been engaged and
the years of participation. Also, include any employment history you may have. Attach additional
sheet of paper, if necessary.
__________________________________________________________________________________
__________________________________________________________________________________

List special recognition, prizes, contest or honors you have received in the school or community.
__________________________________________________________________________________
__________________________________________________________________________________

Write a brief essay explaining why this scholarship is important to you. Attach an additional sheet
of paper, if necessary.
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________

A copy of my transcript is attached to this application for the screening committee to study.

Counselor’s Signature: ________________________________________  Date: ________________



All of the information in this application will be kept in the strictest confidence.