Graduating High School Senior Scholarship Application

Industry Based Scholarship Application
ALL APPLICATIONS MUST BE SUBMITTED ONLINE – NO WRITTEN APPLICATIONS WILL BE ACCEPTED. Any award recipient must not have a negative, delinquent or charged-off account with CoastLife Credit Union. One (1) $1,500 scholarship will be awarded to a student pursuing an industry-based certification. Industry-Based student scholarship applicants must have at least completed three semester hours. Visit Required Scholarship Application Procedures for requirements.
Name*

First NameMiddle NameLast Name
Date of Birth*

MonthDayYear
Date
Mobile Phone Number*
Home Phone Number*
E-mail*
Enter E-mail Here
Address*

Street Address

Apt/Unit #

CityState

Zip Code
Applicant's Employer*
Position Title
Employer's Address

Street Address

Apt/Unit #

CityState

Zip Code
Years Employed *
Position Title*
Spouses Employer*
College / School Currently Attending*
Degrees / Certification Seeking*
College / School GPA*
Expected Graduation Date:*

MonthDayYear
Date
INCOME STATUS: All required fields. If not applicable specify as N/A. Please include income from all sources, including but not limited to: salary, dividends, interest, social security income, retirement income, etc.
Applicant's Annual Income:*
Spouse's Annual Income:
Leave blank if not applicable
Total Parent's Annual Income: *
Martial Status*
Total number of children living in household*
Total number of children in household attending college*
PLEASE COMPLETE THE FOLLOWING STATEMENTS WITH A BRIEF ANSWER:
Achievements: List two achievements (school, work, and/or external activities). Tell why they are important to you and what you did to achieve them. *
Volunteer/Community Service Activities: Share the ways you have been able to give back to your community. Describe your activities, organizations, dates, and types of volunteer activities. *
Awards and Recognition: List your most significant honors, awards, and/or leadership recognitions.*
Explain how and why your life has been significantly influenced by a person (living or dead), an event or by a particular book. *
Describe the field of study you are pursuing and why you are committed to studying and working in this field.*
What special barriers, if any, have you faced in furthering your education? *
Current College / School Transcript (through the previous fall semester)*

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I certify the above information is true, correct and complete to the best of my knowledge. I certify I do not have any negative, delinquent, or charged-off accounts with CoastLife Credit Union. I certify, if under the age of 18 years of age, that I received full permission from my parent(s) or guardian. I understand any false information will disqualify my application. I authorize the Scholarship Committee to verify this information provided and give permission for CLCU to use a photograph and any information for publicity and/or promotion of the Scholarship Program. I agree to release and hold harmless the aforementioned parties.
Signature*

Clear
CHECKLIST: All blanks must be filled in. APPLICANTS WHO FAIL TO FILL OUT ALL BLANKS WILL NOT BE CONSIDERED. All required documentation must be received in our offices by April 11, 2025. No exceptions to the deadline will be accepted. No faxes allowed. For any questions contact Gina Moreno at 361/985-6810 extension 1102. A completed Scholarship Packet must include the following items:*

Completed application.Current transcript.
How did you hear about this scholarship?

WebsiteNewsletterSchool Counselor or School WebsitePrevious ApplicantPrevious RecipientFamily MemberOther
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Industry Based Scholarship Application