Dear Applicant: Very truly yours, Jerome J. Gassen President and Chief Executive Officer

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1 Ameriana Bank 2118 Bundy Avenue PO Box H New Castle, IN Fax: Customer Care: Dear Applicant: On behalf of Ameriana Bank, let me offer you our congratulations on the decision you have made to pursue a college education. Because of your willingness to strive for this worthwhile goal, we are pleased to offer you the opportunity to apply for the Paul W. Prior Scholarship. Named after our former Chairman of the Board, this scholarship was endowed in recognition of Mr. Prior s life-long commitment to higher education. Its purpose is to provide financial assistance to a traditional student seeking a four year undergraduate degree from an accredited college or university. By this means, Ameriana intends to reward the hard work and determination of people like you who will be responsible for shaping this country s future. Please read and complete the attached scholarship application. You may then return the requested material to any Ameriana banking center. Thank you for the interest you have shown in this program. We look forward to reviewing your application for the Paul W. Prior Scholarship. At the same time, we extend our best wishes for success in your college career. Very truly yours, Jerome J. Gassen President and Chief Executive Officer Member FDIC

2 Paul W. Prior Scholarship In honor of Paul W. Prior s contribution to the Bank and to the thrift industry, and in recognition of his lifetime pursuit of academic excellence in the written and spoken language, The Paul W. Prior Scholarship was established by the Board of Directors of Ameriana Bank. The scholarship is to provide financial assistance to persons enrolled in an accredited college or university pursuing a four year undergraduate degree. A one-thousand dollar ($1,000) scholarship, renewable three times, will be awarded to one qualified, full-time (12 hours or more) student. The student must: Requirements 1. Be a customer of Ameriana Bank or the son, daughter, grandson or granddaughter of a customer of the Bank. 2. Fully complete the scholarship application. Applications will be Due February 28 of the year the scholarship will be awarded. Applications will be available at all Ameriana Banking Centers and at and may be returned to any location. 3. Furnish proof of admission to a college or university for full-time study. The college or university must be accredited by North Central Accreditation or be eligible to participate in the Federal Financial Aid Program. 4. Have maintained an overall B grade average while in high school. 5. Furnish a transcript of grades and attendance record. 6. Provide a copy of a completed financial aid form, or other proof of financial need. 7. Furnish three letters of reference; with at least one from a high school principal or teacher. 8. Furnish a one page theme describing his/her career objectives. 9. Have a record of effort and exhibit potential for success in his/her chosen course of study. Basis of Award Finalists may be interviewed by the Scholarship Committee. The Committee will select the recipient and their decision will be final. The Committee reserves the right to resolve all questions or interpretations of the qualifications or basis of awards as herein stated. This information will be kept confidential and reviewed only by the Scholarship Committee. The recipient agrees to participate in the announcement of the scholarship as determined by the Bank. The scholarship will be paid directly to the Bursar s office of the college or university. This is an equal opportunity scholarship. Determination of the recipient of the scholarship will not be based on the individual s sex, race, religion, color, physical abilities or national origin. Ameriana Bank reserves the right to increase, decrease or terminate the scholarship at any time. Renewal of the Scholarship 1. After the recipient has completed their first, second and third years of school, he/she must provide a transcript and schedule for the upcoming school year. The proof must be mailed to: Paul W. Prior Scholarship, Ameriana Bank, 2118 Bundy Ave., PO Box H, New Castle, IN The proof must be received by June 1 of the year completed. 2. If the recipient becomes inactive during the school year, he/she will forfeit the remainder of the scholarship. 3. When the recipient has furnished the transcript and schedule required in one (1) above, his/her scholarship will be renewed for one additional year. This scholarship may be renewed three times after the initial grant.

3 Student Information Name Address Last First Middle Initial Street/P.O. Box City State Zip Date of Birth Social Security # High School Name Address Cumulative GPA College Information College/University Graduation Year Have you been accepted by the school? Yes No Student ID# Major Estimated annual cost (tuition, housing, books, other costs): $ Financial need costs not covered by parents, loans, job, other awards: $ Financial Information (Attach sheet with additional information to income/expense section if necessary) Annual Family Income Annual Family Expenses Number of Siblings in College $ $ Have you Completed the FAFSA? Yes No Expected Family Contribution (EFC) $ Account relationship with Ameriana: Name Account Number I/we certify that I/we have read the Qualifications and Basis of Award of the scholarship and I/we accept them without limitation. Parent/Guardian Signature(s): I certify that the information on this application is correct, and that all work submitted by me during this competition will be mine. Applicant s Signature Date Return this completed application, transcript of grades, your college acceptance letter, a copy of your FAFSA or EFC page, and your one-page theme to any office of Ameriana Bank by February 28 of the current year.

4 Recommendation Form Student s Name (Please Print) How long have you known the applicant and in what way? Please complete brief remarks: Character/Integrity - Self-Motivation/Initiative - Dependability - Sensitivity/Care For Others - Are there unique factors that make this applicant especially worthy of receiving this scholarship? Additional comments that would help evaluate this candidate s qualifications. (Attach additional pages, if necessary) Student s perceived financial need: Signature Date Printed Name This form may be returned to the student or directly to Ameriana Bank. Paul W. Prior Scholarship Ameriana Bank 2118 Bundy Avenue New Castle, IN

5 Recommendation Form Student s Name (Please Print) How long have you known the applicant and in what way? Please complete brief remarks: Character/Integrity - Self-Motivation/Initiative - Dependability - Sensitivity/Care For Others - Are there unique factors that make this applicant especially worthy of receiving this scholarship? Additional comments that would help evaluate this candidate s qualifications. (Attach additional pages, if necessary) Student s perceived financial need: Signature Date Printed Name This form may be returned to the student or directly to Ameriana Bank. Paul W. Prior Scholarship Ameriana Bank 2118 Bundy Avenue New Castle, IN

6 Recommendation Form Student s Name (Please Print) How long have you known the applicant and in what way? Please complete brief remarks: Character/Integrity - Self-Motivation/Initiative - Dependability - Sensitivity/Care For Others - Are there unique factors that make this applicant especially worthy of receiving this scholarship? Additional comments that would help evaluate this candidate s qualifications. (Attach additional pages, if necessary) Student s perceived financial need: Signature Date Printed Name This form may be returned to the student or directly to Ameriana Bank. Paul W. Prior Scholarship Ameriana Bank 2118 Bundy Avenue New Castle, IN

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