Kurt Scholarship Application

Kurt Manufacturing / Kuban Memorial Scholarships
Name*

First NameLast Name
Mobile Phone Number*
E-mail*
Enter E-mail Here
Address*

Street Address

Apt/Unit #

CityState

Zip Code
Employee Parent, Grandparent or Guardian

Please list Kurt employee name. You must be a dependent son, daughter, grandchild, stepchild or step grandchild of any Kurt employee, who will have one or more years of service with the company as of 12/31/25.
Kurt Employee to Whom You're Related*

First NameLast Name
Employee Clock #*
High School Data
High School Name*
Graduation Date*

MonthDayYear
Date
High School Location*

Street Address

Street Address Line 2

CityState

Zip Code
Post-Secondary School Data

You must be a currently enrolled full-time student in an undergraduate college or university, community college or vocational school. (Students may be current high-school graduates entering a post-secondary school in Fall 2025).
Post-Secondary School Name*
Post-Secondary School Location*

Street Address

Street Address Line 2

CityState

Zip Code
Type of Program*

Vocational-Technical School4-year College or University2-year Community CollegeOther
Degree Sought*

CertificateBachelorAssociateOther
Major or Course of Study*
Year in School Next Year*
Upload Current Transcript*

You must have at least a “B” average during the school year. Please upload your current transcript. (Students may be current high-school graduates without a post-secondary transcript yet).
Cancelof
Upload Proof of Registration*

You must be currently enrolled as a full-time student in an undergraduate college or university, community college or vocational school. Please upload a copy of your Fall 2025 course schedule.
Cancelof
Work Experience
Upload a Resumé*

Include: EMPLOYER & POSITION | FROM MO/YEAR - TO MO/YR | HRS/WEEK | PAID OR NOT PAID? Describe your work history during the past four years—e.g., food server, babysitting, lawn mowing, office work—Indicate dates of employment for each job and approximate number of hours worked each week.
Cancelof
Activities, Awards and Honors
School and Community Activities*
List all school activities, including offices held, in which you have participated during the past four years (e.g., student government, sports, music, etc.). List all community activities in which you have participated without pay in the past four years (e.g., Boy/Girl Scouts, hospital volunteer, Special Olympics, etc.). Indicate whether high school or college activities.
School Awards and Honors*
List all special awards and honors, indicating whether high school or college awards/honors. Please include dates and descriptions.
Personal Essay

In a separate document, write a short composition (one to two pages) and briefly explain why you are applying for this scholarship.
Upload Your Personal Essay*

Cancelof
Verification*

By submitting this application, I agree that all answers are accurate and honest.
Please verify that you are human*
Should be Empty:

Kurt Manufacturing / Kuban Memorial Scholarships

Employee Parent, Grandparent or Guardian

High School Data

Post-Secondary School Data

Work Experience

Activities, Awards and Honors

Personal Essay