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2008 Alliance Credit Union Scholarship
Application
Applicant Name
_______________________________________________________________________________
Address
_____________________________________________________________________________________
City / State / ZIP Code
______________________________________________________________________________
Home Phone # _____________________________________________________________________________________
Date of Birth ______________ S.S. #
_________________________________________________________________
q
I'm an Alliance member - Account # ______________________________________________________________
q
My parent is an Alliance member; his/her name is
_________________________________________________
Acct. # __________________________________________________________________________________________
My application is for the following category:
q
Select Employee Group:
____________________________________________________________________
q
St. Louis County:___
___________________________________________________________________________
q
St. Charles County:___
_________________________________________________________________________
Check
and complete each box that applies:
q
I am a high school senior at:
_________________________________________________________________
q
I am a college student at:
___________________________________________________________________
q
My parent works at (is retired from)
___________________________________________________________
Complete the following:
I
will be attending college during the 2008/2009 school year at the
following school:
_____________________________________________________________________________________________
My status of being accepted is:
_________________________________________________________________
The major I am pursuing is:
____________________________________________________________________
I
plan to take courses
in:________________________________________________________________________
_____________________________________________________________________________________________
I have included the following with this
application
q
Essay summarizing personal goals (see instructions)
q
Two letters of recommendation (see instructions)
Applicant
Signature__________________________________________________________Date______________
Parent
Signature_____________________________________________________________Date______________ |