BROWNFIELD FEDERAL CREDIT UNION SCHOLARSHIP APPLICATION (PARENT OR APPLICANT MUST BE A MEMBER OF BROWNFIELD FEDERAL CREDIT UNION) Applicant information: Credit Union Member Acct. #_______________ Name: Last_____________________________ First ___________________MI__________ Address:_____________________________________________________________________ City_________________________________________State/Zip________________________ Telephone:______________________________S.S. No. _____________________________ Birth Date: _____________________________ Transcript information: SAT/ACT Score_____________________Applicant rank______ in class of __________ Cumulative Grade Point Average______________________________________________ Financial Information: Father’s Name______________________________Occupation_______________________ Mother’s Name______________________________Occupation_______________________ Number of Children________________Number of Children in College_______________ Estimated Income during 2011-2012 academic year Estimated Earnings of Applicant $____________________________ Scholarships Awarded $____________________________ Grants Awarded: Pell, State, etc. $____________________________ Student Loan $____________________________ Estimate of Parent’s 2011 Gross Annual Income $____________________________ References: One letter of recommendation from a teacher, counselor, or administrator is required. Have him/her comment on your recent performances and promise for college-level work, as well as other factors indicating your potential for future success. One outside reference letter. Plans following Graduation: Name of College, University or Technical School:________________________________ _____________________________________________________________________________ Probable Major_______________________________________________________________ Probable Career______________________________________________________________ Work Experience and School Activities: List all activities and/or organizations in which you have participated while in high school. Include offices you have held, honors you may have received, and any other information you consider relevant. In addition, list all job experiences and/or volunteer activities in which you have participated during the past four years. Personal Statement: Write a brief paragraph stating the reasons you feel you should receive a scholarship from the Brownfield Federal Credit Union. Please complete and return to the counselor’s office or Brownfield Federal Credit Union by April 30, 2012.
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