Loans & Mortgages – Security First Credit Union

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Notice: Registration is closed.

All fields with * are required

Account Information

*Applicant's SFCU Account Number:

*Please Select: PrimaryJointNon-member*

*How did you hear about this scholarship?

* Please elaborate

* Please Enter School Name:

*If applying as a non-member (child of Primary or Joint account holder), put 0 for "Applicant's SFCU Account Number Field" and please provide the account information for that Primary and/or Joint Member:

SFCU Account Number:

Length of Membership
(months):

Type of Membership: PrimaryJoint

SFCU Account Number:

Length of Membership
(months):

Type of Membership: PrimaryJoint

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Applicant Information

*First Name:	Middle Initial:	*Last Name:
*Primary Phone Number:	Alternate Phone Number:	*Email Address:
*Date of Birth (If using Internet Explorer use the following format YYYY-MM-DD):

Permanent Address

*Street:

*City:

*State:

*Zip:

*Father/Guardian Name:

*Occupation:

*Mother/Guardian Name:

*Occupation:

All fields with * are required

Extra Curricular Activities/Awards

Name of Organization/Club:

Elected position(if applicable):

Dates Active
(If using Internet Explorer use the following format YYYY-MM-DD):

From:		To:
From:		To:
From:		To:
From:		To:
From:		To:

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Community Involvement

Activity:

Hours:

Years:

All fields with * are required

Honors and Awards

Honor/Award:

Basis for Award:

Year Received:

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Work History - Paid or Volunteer Hours

Place of Business:

Position:

Responsibilities Held:

Dates
(If using Internet Explorer use the following format YYYY-MM-DD):

From: Hours Worked:		To: Period:
From: Hours Worked:		To: Period:
From: Hours Worked:		To: Period:

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Extenuating Circumstance (Optional)

800

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Required Documents

Please upload applicable documents in PDF or word document file format. Multiple files must be combined into one file per file upload

*Transcript:
*Essay:
*Acceptance Letter(s):
Reference Letter(s):
Additional documents:

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Information for Funding

Please provide the following information for fund distribution if selected. Funds WILL NOT BE distributed directly to the recipient.

*Student ID Number:
*School Name:
*School Phone Number:
*School Address:
Department or Office Attention to:

All fields with * are required

Certification

I certify that all information provided on this application and all supporting documents are accurate and complete. I understand that any misleading or false information will result in my application being disqualified. If selected as a scholarship winner, Security First Credit Union reserves the right to use selected applicants name and any likeness thereof for promotional purposes, including, but not limited to social media, print and web.

Applicant Signature:
Parent/Legal Guardian Signature(if applicant is under age 18) :

Primary Account HolderJoint Account Holder Name:	Account Number:
Email:	Which branch do you primarily visit:

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Account Information

Applicant Information

Permanent Address

Education History

School address

Extra Curricular Activities/Awards

Community Involvement

Honors and Awards

Work History - Paid or Volunteer Hours

Extenuating Circumstance (Optional)

Required Documents

Information for Funding

Certification