DEADLINE FOR APPLICATIONS IS Friday, APRIL 1, 2016

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1 ELIGIBILITY REQUIREMENTS: SELECT Federal Credit Union members (must be at least a High School Senior) wishing to pursue higher education or further their education for career advancement. Applicants must be the primary account owner and be a credit union member in good standing (no delinquent history or NSF activity) and will be reviewed for activity (i.e. deposit frequency, use of services, etc.). The scholarship funds awarded will be made payable to the student and accredited college, junior college, or university. Parents may not apply for scholarship monies that will be used for their dependent. The dependent must apply and have his/her own account. INSTRUCTIONS: The accuracy, completeness, legibility and quality of information provided in this application are considered an important factor in the evaluation of your application. PLEASE TYPE OR PRINT ALL INFORMATION. We suggest first reading through the application prior to completing as not all information requested may be applicable. Incomplete applications will not be considered for eligibility. 1. Attach at least two letters of recommendation from teachers, parents, employers or any other persons who wish to recommend you. 2. Attach your most recent high school and/or college transcript, if applicable. 3. Attach a recent photo of yourself, preferably a black and white photo (color photo is acceptable). 4. Write a short biography of yourself (In 200 words or less) stating your special interests, career goals, your reasons for pursuing higher education or furthering your education and other pertinent information you wish to be considered. Please use separate sheets of paper to type your biography. 5. Write a synopsis on the following topic, in 1000 words or less. Should financial literacy be taught in schools? Why or why not. Where/who does your financial knowledge come from? 6. Upon completion of this form, mail or deliver with the proper attachments to: SELECT FCU ATTN: SCHOLARSHIP COMMITTEE 1914 N Interstate 35 SAN ANTONIO, TX DEADLINE FOR APPLICATIONS IS Friday, APRIL 1, 2016 Page 1 of 5

2 APPLICANT INFORMATION 1. NAME (CIRCLE ONE): MR. MRS. MS. MISS LAST: FIRST: MI.: 2. SEX (CIRCLE ONE): FEMALE MALE 3. SOCIAL SECURITY NUMBER: 4. BIRTH DATE: MONTH/DAY/YEAR / / AGE: 5. HOME #: ( ) DAYTIME PHONE #: ( ) 6. PERMANENT ADDRESS: CITY: STATE: ZIP: 7. SCHOOL ADDRESS (IF APPLICABLE) CITY: STATE: ZIP: PHONE: ( ) 8. HIGH SCHOOL ATTENDED (IF APPLICABLE) CITY: STATE: ZIP: 9. COLLEGE/UNIVERSITY OR BUSINESS/TRADE SCHOOL OF YOUR CHOICE: CITY: STATE: ZIP: 10. UNDERGRADUATE MAJOR (IF APPLICABLE): DATE COMPLETED: 11. OTHER GRANTS/SCHOLARSHIPS APPLIED FOR: 12. LIST ALL OTHER GRANTS/SCHOLARSHIPS RECEIVED AND AMOUNTS 13. TOTAL FINANCIAL AID RECEIVED (INCLUDING LOANS, WORK STUDY, ETC.): Page 2 of 5

3 FAMILY/FINANCIAL DATA #14-19 COMPLETE IF YOU ARE A DEPENDENT LIVING WITH A PARENT/GUARDIAN 14. NAME OF PARENT(S) OR GUARDIAN(S): 15. ADDRESS (IF DIFFERENT FROM ABOVE): CITY: ST: ZIP: PH #: ( ) 16. MOTHERS OR FEMALE GUARDIAN S AGE: OCCUPATION: ANNUAL INCOME: 17. FATHERS OR MALE GUARDIAN S AGE: OCCUPATION: ANNUAL INCOME: 18. NUMBER OF FAMILY MEMBERS IN HOUSEHOLD (INCLUDING YOURSELF): 19. NUMBER OF FAMILY DEPENDENTS IN HOUSEHOLD (INCLUDING YOURSELF): TO BE COMPLETED BY HEAD OF HOUSEHOLD OR LEGAL GUARDIAN (THIS INFORMATION IS CONFIDENTIAL AND WILL ONLY BE USED BY THE SCHOLARSHIP COMMITTEE IN ASSESSING THE APPLICANT S FINANCIAL NEED.) 20. TOTAL ANNUAL FAMILY INCOME $ SIGNATURE: (HEAD OF HOUSEHOLD/LEGAL GUARDIAN) #21-24 COMPLETE IF YOU ARE AN INDEPENDENT APPLICANT 21. SPOUSE S AGE (IF APPLICABLE): OCCUPATION: ANNUAL INCOME: 22. NUMBER OF FAMILY MEMBERS (INCLUDING YOURSELF): 23. NUMBER OF FAMILY DEPENDENTS (INCLUDING YOURSELF): 24. TOTAL ANNUAL FAMILY INCOME $ Page 3 of 5

4 EMPLOYMENT DATA 25. PRESENT EMPLOYER: POSITION: 26. HOURS: EARNINGS $ 27. SUMMER EMPLOYER: POSITION: 28. HOURS: EARNINGS $ PREVIOUS EMPLOYMENT 30. TO WHAT EXTENT HAS SUCH EMPLOYMENT CONTRIBUTED TO FAMILY INCOME AND/OR TO SELF-SUPPORT OR SCHOOL EXPENSES: BIOGRAPHICAL DATA 31. SCHOOL ORGANIZATIONS YOU BELONG TO: 32. COMMUNITY ORGANIZATIONS/ACTIVITIES: 33. HOBBIES/SPECIAL INTERESTS: I declare, under penalty of perjury, that I meet the eligibility requirements and that all the information in this application is true and correct. SIGNATURE DATE Page 4 of 5

5 Date: Name: Address: Daytime Ph. Acct#:, Thank you for your interest in SELECT Federal Credit Union s 19TH Annual Scholarship Awards. Enclosed is a scholarship packet per your request. Please fill out all information required, sign and return to us. Contact us with any questions that may arise. Thank You & Good Luck! Page 5 of 5

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