Raytown-Lee`s Summit Community Credit Union

PLEASE RETURN TO COUNSELOR MARCH 30, 2015
Raytown-Lee's Summit Community Credit Union
STUDENT SCHOLARSHIP APPLICATION FORM
Name: _______________________________________________________
Please Print
High School: __________________________________________________
School Choice: ________________________________________________
Major/Minor: _________________________________________________
Fathers Occupation: ___________________________________________
Mothers Occupation: __________________________________________
Are there siblings attending school currently _____ Yes _____ No
If yes, give details:
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Any family circumstance you care to
note:_________________________________________________________
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RLSCCU
STUDENT APPLICATION FORM
SCHOOL ACTIVITIES:
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COMMUNITY ACTIVITIES:
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JOBS HELD:
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SCHOLARSHIP
What is your cumulative GPA? _________
Your SAT______ or ACT ________
How many High School credits have you earned? _____________
What is your rank in class? _________
Write a concise statement of your future plans and your need for this
scholarship.
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(Put additional information on the back of this form)
ATTACH TWO LETTERS OF RECOMMENDATION.
“I attest that the information supplied in this scholarship application is
correct.”
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Signature of Student
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Signature of Counselor
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Date
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Date
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