First Area Credit Union

FIRST AREA CREDIT UNION

SCHOLARSHIP APPLICATION FORM

(4) $500 SCHOLARSHIPS TO BE AWARDED

Note: Please type or print all information. Neatness and clarity are important. The deadline for this application is March 31, 2017 by the close of business.

Personal Data

Name ______

Address ______

Date of Birth ____/_____/_____Place of Birth ______

SS Number ______Phone Number ______

High School / College currently attending: ______

Expected graduation date: ______

Family Information

Father or guardian: ______Phone: ______

Mother or guardian: ______Phone: ______

Educational Plans

Colleges or universities to which you have applied or currently attending:

1 ______Accepted ___ Pending ___

2 ______Accepted ___ Pending ___

3 ______Accepted ___ Pending ___

Intended major: ______Intended minor: ______

Awards and Honors

List any awards or honors (academic or community) you have received in the last four years: ______

______

______

______

______

Involvement during High School and College

Please list all activities that you have been involved in during high school. Please indicate the year of your involvement (1 = freshman, 2 = sophomore, 3 = junior, 4 = senior):

School Activities Year(s)Office(s) Held

______

______

______

______

______

______

______

______

Community Activities Year(s) Office(s) Held

______

______

______

______

______

______

______

______

Personal Goals (Essay Portion)

In the space provided below please tell us what your planned major is, why you have chosen that particular field, and what you plan to do with your degree:

______

______

Recommendation

List the name and address of the two people who were asked to submit a recommendation on your behalf. The individuals cannot be family or friends, but someone like a coach, counselor, teacher or other instructor, employer, or administrator. We must receive both recommendations for your application to be considered.

______

Certification

I / We hereby affirm that the information on this form is true and complete to the best of my / our knowledge. I / We are aware of the conditions under which the First Area Credit Union Scholarship is awarded and promise to inform First Area Credit Union of any changes in circumstances.

Furthermore, I / We hereby authorize the person we asked to provide a recommendation to the Scholarship Committee with information about his/her personal knowledge of the applicant. I / We further agree that this individual shall be free to list any confidential information and that all information will be held in confidence and will not be released to the applicant or the applicant’s parent or guardian.

______

Student’s Signature Parent or Guardian’s Signature

(if under 18)

______

Date Date

Application deadline is March 31, 2017 at the close of business. In order for your application to be considered, please be sure you have:

Enclosed your official high school/official college transcript

Signed the application

Requested the recommendations be submitted by the deadline

If all information is not received by the deadline, your application will be ineligible.

Eligibility: Members of First Area Credit Union who are pursuing a two or four

year degree program. Previous recipients may apply.

Selection: Recipients will be determined by an outside source.

Criteria: *Official transcript of student and letter of acceptance

*Full time student (12 or more credit hours)

*Cumulative 3.0 G.P.A. or higher

*Two academic recommendations/references

*ACT/SAT scores (optional)

Deadline: March 31, 2017

Notification: May of 2017

Disbursement: Scholarships will be paid directly to the student.

(4) $500 non-renewable scholarships awarded