Herman Hoose Scholarship Application Checklist

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1 Herman Hoose Scholarship Application Checklist Spring 2014 Dear Herman Hoose Scholarship Applicant: This is a very exciting time in your school career! It is also a time when you are rushing to get applications for college, scholarships and financial aid completed and submitted by the allotted deadlines. To properly complete the Herman Hoose application you will need to do the following: All requested information must be included. Incomplete or late applications will be disqualified. 1. Ensure you answer each and every question on your application. 2. Provide your Charlotte Metro Credit Union account number. (To be eligible for the Herman Hoose Scholarship you, the applicant, are required to be a member. Being a joint owner on a parent s account will not be allowed. If you do not have an account, please provide the following): 3. Letter of Acceptance 4. Letters of Reference 5. Declaration of Career Goals. i. A $25.00 deposit ii. Membership Application iii. Your Herman Hoose Scholarship Application 6. Current High School Transcripts (academic records) 7. Submit your completed application along with the above item requested by March 31 st, 2014.

2 Herman Hoose Scholarship Program Sponsored by: Charlotte Metro Credit Union In 2014, Charlotte Metro Federal Credit Union will award ten scholarships valued at $2, each to eligible CMCU members. The scholarships are awarded to students who graduate high school in the current school year, are current members and plan to enroll in an institution of higher learning in the fall of the same year. Applications will not be accepted for enrollment as part-time students, vocational, trade schools, or for adult remedial education courses. Completed applications must be received at the address below by March 31 st of the current year and must include all items requested on the checklist. Charlotte Metro Credit Union Attention: Scholarship Committee 718 Central Avenue Charlotte, NC All applications are judged on a 100 point system: 0-30 points Academic Achievement 0-30 points Financial Need 0-10 points Declaration of Career Goals 0-10 points Participation in Extracurricular Activities Related to School 0-15 points Participation in Extracurricular Activities in the Community 0-5 points Letters of Reference from teachers Total: points (In case of tie(s) the CMCU Scholarship Committee shall award based on financial need)

3 CHARLOTTE METRO CREDIT UNION Herman Hoose Scholarship Date of Birth: Name of Parent or Guardian: Address: City: State: Zip Code: Phone: I am a member of the Credit Union (student must own his/her own account). My account number is I am not yet a member. My membership application and $25.00 minimum deposit requirement is attached. Applicant is currently enrolled at: High School Address: Other School attended, if any: Address: Name and Address of College or University applicant will attend: (Attach copy of your Letter of Acceptance)

4 Anticipated First Year Costs: Tuition $ Student Fees $ Books and supplies $ Room and Board $ *Other $ *If more than $500, provide detail. Family Financial Background Based on your parent/guardian s 2013 Form 1040 Federal Income Tax Return: What is the Total Income as listed on Line 22? $ What is the Adjusted Gross Income as listed on Line 35? $ Please describe any financial hardships which should be considered: Family Information List the names and ages of all other dependent children currently residing in your home and claimed on Federal Form 1040 above. Age: Age: Age: Academic Achievement Your cumulative high school grade point average is: (Attach a copy of your Transcript) Applicant currently ranks out of a class of

5 List below the courses you are currently taking and the anticipated grade at the end of the semester: Course Name Anticipated grade List any other academic achievements you feel are important to this application: List other school activities which applicant has participated: List community activities, service organizations, etc., outside of school in which applicant has participated. Indicate any offices held: Provide a declaration of career goals: (attach additional pages as necessary)

6 List and attach letters of reference or recommendation. I hereby grant permission to the Charlotte Metro Credit Union Scholarship Committee to verify all information submitted, or in support of, this application. I understand the decision of the Charlotte Metro Credit Union Scholarship Committee and Board of Directors is final. Signature: Applicant Signature: Parent or Guardian Mail or Deliver to: Charlotte Metro Credit Union Attention: Scholarship Committee 718 Central Avenue Charlotte, NC 28204

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