Scholarship by stariya

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									                                                                                 First Intercontinental Bank
                                                                              5593 Buford Highway, Doraville, GA 30340
                                                             Tel: (770)451-7200 Fax: (770)451-2053 www.firsticbank.com




                                      Scholarship Application
To apply for the scholarship, submit a completed application to:

         First Intercontinental Bank
         5593 Buford highway
         Doraville GA 30340
         Tel: 770-451-7200/ Fax: 770-451-2053

Please attach the following:

         A copy of Guardian/Parent’s 2009 Tax Return
         A copy of current high school official transcript

Please submit the completed application by no later than October 23, 2010.


MissMrs.Mr.
 First Name
 Middle Name
 Last Name
 Home Address
 City, State, Zip Code
 Home Phone Number
 Cell Phone Number
 Email Address
 Citizenship Status
 Georgia Resident


    IF you are currently attending high school:
 Expected Graduation Date (Month and Year)                               Cumulative High School GPA:
 High School Attended

 Are you attending Full-Time     Yes No
                                
Are you currently receiving the Hope Scholarship? _____yes ______no

Are you currently receiving financial aid other than the Hope Scholarship? _____yes _____no

Total Financial Aid expected to receive: Loans: $___________Grants/Scholarships Awards: $___________

Other $______________ Please, specify: _________________


List all extracurricular activities you have been involved in high school.

         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________

List all community services/activities and programs you have been involved in. (List number of hours you spend
on volunteering to each of these programs)

         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________
         ___________________________________________________________________



Essay:

Please submit a 2000 words or less essay in support of your scholarship application and attach to this
application. The essay should address how the scholarship will contribute to achieving your educational and
career goals.

								
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