Resources – Security First Credit Union

All fields with * are required

Account Information

*SFCU Account Number:

*Relation to Account Provided:

*Please Select: First Time ApplicantPrevious ApplicantPrevious Recipient

If applicable, please provide account information for immediate household members that also have an account at Security First Credit Union:

SFCU Account Number:

Length of Membership
(months):

SFCU Account Number:

Length of Membership
(months):

SFCU Account Number:

Length of Membership
(months):

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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:

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Section A: Extra Curricular Activities/Awards

List any high school or college organizations, or activities with which you have been involved.

Name of Organization/Club:

Elected position(if applicable):

Dates
(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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Section B: Community Involvement

List any community involvement in which you have been involved:

Activity:

Years:

Hours:

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Section C: Honors and Awards

Please list significant honors, awards, and achievements you have received during high school/college:

Honor/Award:

Basis for Award:

Year Received:

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Section D: Work History - Paid or Volunteer Hours

Please list any jobs you have held or are currently holding. Provide a brief description of your position and responsibilities, dates of employment, and hours worked weekly, monthly or annually.

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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Section E: Extenuating Circumstance (Optional)

800

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Section F: 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: Second and third-year students must provide a copy of most recent transcripts.*
Essay: Please ensure both essays are included.*
Acceptance Letter: First-year students must provide their official Letter(s) of Acceptance.*
References: References are not required, however, encouraged. Please upload all references as one file.

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Section G: 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:

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Section H: 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) :

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Account Information

Applicant Information

Permanent Address

Education History

High School Address

University/College Address

Section A: Extra Curricular Activities/Awards

Section B: Community Involvement

Section C: Honors and Awards

Section D: Work History - Paid or Volunteer Hours

Section E: Extenuating Circumstance (Optional)

Section F: Required Documents

Section G: Information for Funding

Section H: Certification

Name:	Account Number:
Email:	Which branch do you primarily visit:

High School Address
Street:	City:	State:	Zip:

University/College Address
Street:	City:	State:	Zip: