| Community
Financial Account Number: |
Name: Last |
First |
Middle |
| Home Address:
(street and apt.)
|
| City |
State |
Zip |
County |
| College Address
(if different than above, street and apt.)
|
| City |
State |
Zip |
County |
| Home
Phone
College Phone |
| Date of
Birth |
Are you a high school
graduate? ____ yes ____ no If no, anticipated
date of graduation: |
| Are you currently
attending college? ____ yes ____ no |
| What
college/university/school are you attending or plan to
attend?
Course of
study: |
| Estimated amount of
tuition per year |
Have you been awarded
any other scholarships or grants? ____ yes ____ no
If yes, describe and specify amount:
|
Have you applied for
other scholarships or grants? ____ yes ____ no
Which ones?
|
Have you been approved
or applied for a student loan? ____ yes ____ no
If yes, describe and specify amount:
|
| Please note:
For your application to be considered, all of the requested
information must be submitted. Please attach a separate sheet if
necessary.
Outline your
work experience including periods of employment, duties, earnings
and performance awards.
| Employer |
Dates |
Hourly Wage |
Duties/Awards |
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Specify your
anticipated financial expenses for the coming
year: |
| Tuition |
$ |
| Books/0Fees |
$ |
| Room/Board |
$ |
| Living
Expenses |
$ |
| Other, Please
Explain
|
$ |
| Total Expenses for the
year |
$ |
| Specify your financial
income for the coming year: |
|
Total Savings
|
$ |
How much will be used
this year?
|
$ |
| Student Loans ____
Annually |
$ |
| Parents’ Yearly
Contribution |
$ |
| ____ Annually____ Total
Amount |
$ |
| Other, Please
Explain: |
$ |
| Anticipated Earnings
While in College |
$ |
| Total Income for
Year (Should balance expenses) |
$ |
| Do you plan to work in
college? ____ yes ____ no
How do you
plan to cover any shortfall between income and expenses?
Other family or special
circumstances that should be considered:
Outline your
involvement in the community and participation in extracurricular
activities, including dates/years of involvement.
| Activity |
Dates |
Duties/Awards |
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On a separate
sheet of paper, please outline your goals, aspirations, college and
career plans (250-500 words).
How did you
hear about the Margaret Dunning and/or George Lawton
Scholarships?
Checklist: I
have included the following items in my application:
____ Completed Application including
financial information |
____
Yes |
____ Sent
Separately |
Date: |
| ____ 3 letters of
recommendation |
____
Yes |
____ Sent
Separately |
Date: |
| ____
School Transcripts
|
____
Yes |
____ Sent
Separately |
Date: |
|
All applications should be sent to:
Scholarship Committee Community Financial Scholarship Fund 500 South Harvey Street P.O. Box
8050 Plymouth, MI 48170-8050
Questions? Email: scholarships@cfcu.org | |