*Please print, sign, and mail the next page to 1005 Douglas Pike Smithfield, RI 02917 ATTN: Scholarship Committee. Applications can be handwritten, or filled out digitally. All applications are due Friday July 17, 2020.

ELIGIBILITY

Eligibility is limited to high school seniors who will be enrolled in an undergraduate college/university degree program during the 2020-2021 academic year.Applicant or parent/guardian must be a member of the sponsoring credit union.The credit union must be a member in good standing with the Cooperative Credit Union Association, Inc.Each applicant must complete a current Scholarship Application and submit it with the other required material to the sponsoring credit union.

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TO APPLY

Students must submit the following items with their completed applications. All items requested must be received for the application to qualify for consideration.

Completed printed Application. An academic transcript of grades. A typewritten essay of at least 250 words describing what career you wish to pursue when you complete your education and why.

A detailed list of extracurricular/community and/or volunteer activities.

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APPLICATION

Credit Union Name

Student Name Mr. .oN enohpeleT .sM

Street Address

City, State, Zip

Credit union member (please check one or both) applicant parent/guardian

Are you employed? Yes. No How many hours?

List extracurricular activities, community service and part-time employment (attach additional sheet if necessary):

List the names of colleges/universities that you have applied to and accepted into as of application date:

Accepted? Yes No

Accepted? Yes No

Accepted? Yes No

Accepted? Yes No

Accepted? Yes No

Please make note of any special circumstances you wish to share:

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Parent/Guardian Signature

Reminder: Please submit the following information to your sponsoring credit union. 1) Completed printed application.2) Academic transcript.3) A typewritten essay of at least 250 words describing what career you wish to pursue when you complete your

education and why.4) A detailed list of extracurricular/community and/or volunteer activities.