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Balanced Man Scholarship

Each Fall Semester four men are awarded a scholarship of $1,000, 2x $500, and $250 respectively based on their balanced lifestyle of:

Please complete the form below. When you have completely filled it out click Send.

If you wish to submit a resume you may do so by e-mailing it to bms@unosigep.org.

Should you have any questions please call Justin Gibson at (402) 541-7035 or via e-mail to bms@unosigep.org.

General Information:

* denotes required fields


Parent / Guardian Name(s):





*Zip Code:

*Cell Phone:


Birth Date (mm/dd/yyyy):

Approx. College Graduation Date:

Leave this field blank:

Scholastic Information:

High School:

Cumulative High School GPA:
(un-weighted 4.0 scale)

ACT/SAT Score:

Cumulative College GPA:
(if applicable, un-weighted 4.0 scale)


List Honors, Awards, and Scholarships:

List Extracurricular Activities, Leadership Positions Held, and Duration of Positions:

List Work Experience (employer, time employed, and description of work performed:

Optional Short Essay:

Please describe one or more of your weaknesses, setbacks, or disadvantages and how has this contributed to your approach to life and/or how you view it differently?

By checking this box you affirm that all information supplied is truthful and 100% accurate to the best of your knowledge.


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3301 Harney Street
Omaha, NE 68131

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