Silver State Schools Credit Union Scholarship Application

Silver State Schools Credit Union Scholarship Award Nomination Form PLEASE TYPE OR PRINT CLEARLY The student or parent/guardian must be a member of Silver State Schools Credit Union, or be eligible for membership to submit a scholarship application. Credit Union Account number:____________Member Name: _____________________ Member’s relationship to student: ___________________________________________

Name of Student: _____________________________________________________________ Home Address: ______________________________________________________________ City and State: _________________________Zip:______________Phone: _______________ High School Currently Attending: _________________________________________________ High School Cumulative GPA: _________________ on a 4.0 scale High School Honors GPA: _____________________on a 4.7 scale Class Ranking: _____________ out of: _______________ SAT/ACT Score: _________ College Student Plans to Attend: _________________________________________________ Has Student Applied: Yes: _____ No:______ Accepted: Yes: _____ No:_______ Intended Field of Study: _________________________________________________________

In addition to completing a scholarship nomination form, you must submit a copy of your transcripts as well as SAT and/or ACT scores.

Please list the high school activities you have participated in and any offices held. Activity:

Number of Years Participated:

Office(s) Held:

____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

List any honors or awards you have received while in high school: ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

List your activities in any community groups and any office(s) held: Activity:

Number of Years Participated:

Office(s) Held:

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wefwef ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ List full or part-time job(s) you currently hold: ____________________________________________________________________________ ____________________________________________________________________________

wefwefwefweffec ____________________________________________________________________________ cwecwec ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

Student Essay

wefwefwefwf Student Name: _______________________________________________________________ (Please type if possible) Topic: Describe your most meaningful achievements and how they relate to your field of study and future goals. If more space is needed, please attach a separate sheet.

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fwefwef ____________________________________________________________________________ ____________________________________________________________________________

wefwef ____________________________________________________________________________ wefwef ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

wefwefwef ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

wfwefwef ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________

wefwef ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Signature: __________________________________________________________

High School Teacher’s Recommendation Student’s Name: _________________________________________________________ (Please type if possible) Topic: Why do you believe this student is deserving of a Silver State Schools Credit Union Scholarship? If more space is needed, please attach a separate sheet.

____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Signature:_________________________________________________________ Academic Title:_____________________________________________________

Community Member or Employer Recommendation Student’s Name: ________________________________________________________ (Please type if possible) Topic: Why is this student deserving of a Silver State Schools Credit Union Scholarship? If more space is needed, please attach a separate sheet.

____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Signature:___________________________________________________________ Title:_________________________________________________________________

High School Counselor’s Recommendation Student’s Name: ________________________________________________________ (Please type if possible) Topic: Why is this student deserving of a Silver State Schools Credit Union Scholarship? If more space is needed, please attach a separate sheet.

____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ ____________________________________________________________________________ Signature: __________________________________________________________________ Title: ______________________________________________________________________

Bart Roche Scholarship Award

Signature: wefwefwefwf wfewefwe fwefwef wefwef wefwef wefwefwef wfwefwef ... If more space is needed, please attach a separate sheet. Signature: Academic ...

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