UCT-Heaston-Scholarship-Application

UCTUnitedTravelersCommercialThe Order of United Commercial Travelers of AmericaUCT Heaston Scholarship GuidelinesA Fraternal Benefit Society 1801 Watermark Drive, Suite 100, P.O. Box 159019, Columbus, Ohio 43215-8619 Tel: 614.487.9680Toll-free: 800.848.0123 Fax: 614.487.9675 www.uct.org

UCT Heaston Scholarship Criteria

The UCT Heaston scholarships will be given to three deserving students annually, each covering four years of undergraduate education. The winners will demonstrate:

Evidence of hard work to overcome obstacles Academic success and extracurricular

success in high school Commitment to community service

The UCT Heaston Scholarships will be awarded to students with the equivalent of high school senior status. Students must be enrolled and entering a college program in the coming academic year.

A written statement - two pages maximum. A major criterion for this scholarship is evidence of hard work and overcoming obstacles to achieve your goals. Please discuss your academic career and extracurricular activities and provide examples of hard work, challenges you had to face, and persistence in the face of adversity. Additionally, please provide information on your commitment to community service.

All funds disbursed are to be used for school-related

expenses. Funds will be sent to the university/college

Each applicant must submit three letters of recommendation;) high school principal, recommending teacher or guidance counselor, and representative of a community service program with which you have been active.

Applications must be RECEIVED (not postmarked) at the UCT office by March 15.

Scholarship awards will be announced after May 1. We will notify you. No phone calls please.

Since this is not a need-based scholarship, we will use the personal narrative, especially the "overcoming obstacles" portion, as the tie- breaker for equally qualified candidates. Use one application for all three awards - the committee will determine which amount/named scholarship to award based on applications. Require annual proof of enrollment before disbursement of award every year.

Reference's relationship to applicant Applicant's strengths and weaknesses Length of time acquainted with applicant Examples that elaborate on the applicant's commitment to the community, academic achievements, and evidence of a strong work ethic

3. Official Transcript(s) from Every High School Attended

The applicant must have an official transcript prepared and sent by the issuing school with an original signature of a school official or a notary seal/stamp on the school letterhead. The envelope must be sealed by the school.

UCT Heaston Scholarship Application

4. College Acceptance Letter To be submitted upon receipt from the university/college.

Application must include required documents and be RECEIVED (not postmarked) at the UCT home office by March 15. Application packets are not returned.

Mail or deliver your completed application with all required documents to:

Required Documentation An application is considered "complete" only if it is accompanied by the following documents. Incomplete applications will not be considered:

UCT Heaston Scholarship Program 1801 Watermark Drive, Suite 100 Columbus, Ohio 43215-8619

Toll-free: 800.848.0123 x1100 Fax: 614.487.9675

UCTUnitedTravelersCommercialThe Order of United Commercial Travelers of AmericaUCT Heaston Scholarship ApplicationA Fraternal Benefit Society 1801 Watermark Drive, Suite 100, P.O. Box 159019, Columbus, Ohio 43215-8619 Tel: 614.487.9680 Toll-free: 800.848.0123 Fax: 614.487.9675 www.uct.org

PLEASE PRINT OR TYPE ALL INFORMATION

(LAST)

(MIDDLE INITIAL)

(STREET)

(STATE/PROV.)

4. U.S. or Canadian Resident:Yes No

3. Social Security No./Federal I.D. No. (U.S.) or Social Insurance No. (Canada)

(MONTH)

(DAY)

(YEAR)

6.MaleFemale

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Email

example@example.com

Type a question

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

9. Number of children in household under 18 years of age:

Annual Household Income

(STATE/PROV.)

17. E mail

example@example.com

18. Current high school attending

19. List any other high school attended

20. Principal

22. Recommending teacher or guidance counselor

24. GPA

25. List any academic honors you have received

26. List extra curricular activities

27. College Attending: (Confirmation of college acceptance to be submitted upon receipt)

27. College Attending

28. Major/Degree Program

29. Work Experience

30. Leadership Experiences, Volunteer, Community Service Activities

I certify that the information given on this application is true. I understand that any change in residency, school or enrollment status not consistent with the guidelines of the Program may disqualify my scholarship award. I authorize my application materials and information to be used in whatever manner is deemed necessary by UCT and the UCT Heaston Scholarship. My signature below verifies I have read and accept these conditions.

Applicant's Signature

Date

We have reviewed this application and believe the information provided is accurate.

Parent/Guardian Signature

Date

Parent/Guardian Signature

Date

In order to be considered for this scholarship all 30 questions must be completed and signed by applicant and parent/guardian.

Date Application Received

Date

Complete

Incomplete

Email

example@example.com

Name

First NameLast Name

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Phone Number

Please enter a valid phone number.Format: (000) 000-0000.