2018 Application for High School Scholarship Program

Please complete all information on this form. Application must be returned as a Word document only.

Personal Information
First Name	Middle Name	Last Name
Social Security Number
Home Street Address
City	State	Zip Code
NC
Telephone # (Include Area Code)
Gender: (Male/Female)
Race/Ethnicity:
GPA - Weighted
GPA - Unweighted
Permanent E-mail
Have you submitted your FAFSA?
Demonstrated Financial Need?
If your parent/ guardian works in the public sector field, which area?
Are you a first generation university student?
Do you have additional immediate family members in college currently? If so, please list how many.
Please choose all applicable financing methods you are using to pursue your education:	College Work Study Family Assistance Full Time Work Part-Time Work Loan Pell Grant Personal Savings Scholarship Other
Membership Information
In order to be eligible for the SECU “People Helping People” scholarship, you must either be an SECU member or be eligible for membership through a parent/guardian. Please note, you will be required to provide proof of eligibility if you are selected as a recipient.
Are you currently a member of SECU?	If you are not currently a member of SECU, but are eligible for membership, please list how you are eligible:
University Information
University Attending (Attach Acceptance Letter)
Intended Major
High School Information
High School Name	Is School an Early College or Cooperative Innovative School? (Check Box if yes)
High School Street Address
City	State	Zip Code
NC
Contact Person for High School
Contact Person E-mail
Date of Awards Ceremony	Time of Awards Ceremony
Location of Awards Ceremony

COMMUNITY INVOLVEMENT ESSAY
The purpose of the “People Helping People” Scholarship is to recognize leadership, integrity and community involvement in addition to academic achievement. How have you contributed to your community (community projects, mission work, or volunteerism)? Please give examples identifying type and length of service. Explain how these activities were significant opportunities for you. Use the blank field on this page to complete your response.