Scholarship Program Application

Complete all fields and submit application below. You may scroll to the end to save your application to finish later.

Applications are due at 5:00 PM Central Time on Friday, March 3, 2023.

Applicant Information:

Name Email Address Address City

State

Zip Code

Phone Birth Date

Which of the following best describes you? Select all that apply:
American Indian or Alaskan Native
Asian
Black or African-American
Hispanic, Latino, or Spanish Origin
Native Hawaiian or Pacific Islander
White
Other (Please specify below)
Prefer not to say
Other:

Parent or Guardian Information:

Parent/Guardian Name Parent/Guardian 2 Name Address City

State

Zip

Phone Email

College/University Information:

Name of Institution of Choice Address of Financial Aid or Administration Office City

State

Zip

Phone of Financial Aid or Administration Office Proposed major field of study Have you applied for enrollment?

Yes No

Have you been accepted?

Yes No

I'm applying for the trade school scholarship:

Yes No

Estimated annual academic expenses:

Tuition per Semester Books per Semester Room and Board per Semester Other Estimated Expenses per Semester Have you/will you apply for other scholarships or financial aid?

Yes No

Have you submitted the Financial Application for Federal Student Aid (FAFSA)?

Yes No

Please list your Expected Family Contribution (EFC) as stated in the Student Aid Report (SAR) generated from your FAFSA submission. If you have not received your SAR, complete an estimate of your EFC using the calculator at finaid.org. (Do not use the quick estimate tool)

Educational Resources:

Have you applied for Florida’s Bright Futures?

Yes No N/A

If so, have you been approved

Yes No

If applicable, please list all approved scholarships, financial aid and grants, including work study, for the coming academic year. We reserve the right to ask for other scholarships, financial aid and other information from each applicant. If not applicable, please write “not applicable” in the space provided.

Please include the name of scholarship(s), financial aid and grants, or work study, the amount(s) and the term (per semester, year, one time)

Scholarship Name	Amount	Term

Do you have any other educational resources (educational trusts, IRAs, etc.)?

Yes No

If ‘Yes’, please list type(s), the amount(s) and the term (per semester, year, one time). We reserve the right to ask for other scholarships, financial aid and other information from each applicant.

Resource Name	Amount	Term

Education:

GPA:

Unweighted Weighted

In chronological order, list all high schools attended. If you are dual-enrolled, please note which college or school you attended classes.

Work Experience:

In chronological order, list any current and previous employers. Include company name, type of work, and dates of employment. Please separate each individual experience with new line.

List Academic/School Activities and Awards:

List any academic-related activities that you have participated in during the past five (5) years and your specific involvement. Please separate each individual item with new line.

Community Activities:

List the community activities that you have participated in during the past five (5) years and your specific involvement. Please separate each individual activity with new line.

Career and Vocational Objectives:

Please briefly describe your career and vocational objective, why you are interested in this career, and state what you consider to be the necessary qualifications.

Essay

Please complete an essay in 500 words or less on one of the following topic: “How do credit unions help people reach their financial goals?”

Either complete in the space below or upload a document.

Upload your Essay:

Uploads

Please include your name in the document file names.

High School Transcripts Upload your high school transcript including the past four (4) years, including grade point average.

High School Transcripts:

Academic Recommendations At least one (1) and not more than four (4).

Personal Recommendations At least one (1) and not more than four (4).

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