College Scholarship Application
Note: All applicants must be a member in good standing of the Illinois Community Credit Union. Your completed application must be received at the credit union no later than April 1, 2024. *Must be enrolled in an accredited college or university as a full-time student during the Fall 2024 or Spring 2025 academic term. Applicant must be a member in good standing of Illinois Community Credit Union. Employees and officials of ICCU and their immediate family members are not eligible to receive these scholarships.
Applicant Information
Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email address
*
example@example.com
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Date of Birth
*
-
Month
-
Day
Year
Date
Member #
*
Parental Information
Parent/Guardian Name(s)
*
First Name
Last Name
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Phone Number
*
Please enter a valid phone number.
Annual Gross Household Income
*
Number of other dependent children (not including applicant)
*
Please explain any unusual circumstances
High School Information
Name of High School
*
Dates of Enrollment
*
Provide Highschool Transcript and Signed Academic Performance Letter
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Note: Letter must include ACT/SAT Score, GPA, and Rank in Class
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Essay Portion
List honors and awards received during high school including year of recognition
Explain honor or award, if necessary.
List all organizations in which you were a member during high school.
Include the number of years involved.
List all volunteer work that you accomplished during high school.
Name the organization, what role you played, and include the years.
What do you consider your greatest achievement in high school and why?
Enrollment Plans
State your plans for continuing your education at an accredited college or university. Include courses of study or fields of interest.
Why are you interested in this field of study?
Which school do you plan to attend? Why did you select this particular college or university? If you haven’t yet made a final decision, list those you are considering.
What are your long term goals after attaining your college degree?
Describe why you want to be a recipient of the Illinois Community Credit Union College Scholarship.
Use this portion for anything extra you have to add.
Provide 2 letters of recommendation
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Applicant Signature
*
Parent/Guardian Signature
*
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