2024 GET SMART SCHOLARSHIP APPLICATION

(As a reminder, an unweighted GPA of 2.5 or higher is required for consideration)

PERSONAL INFORMATION

Prefix:

First Name:

Last Name:

Birth Date:

Social Security Number:

Phone Number:

Email Address¹:

^2ndEmail Address²:

Home Address³:

City:

State:

Zip Code:

¹ Your email address may be used for future communication regarding the Get Smart Scholarship.
² Optional, may be a parent email

GENERAL INFORMATION
Applicant's AHFCU Member Number: Member number must be the applicant's own. Member number from relatives is not applicable. This will be the account the funds will be transferred to if the scholarship is awarded.

Father's Occupation:	Mother's Occupation:
Father's Highest Level Of Education:	Mother's Highest Level Of Education:
Number of Brothers and Sisters:	Number Attending College:

EDUCATION

What is your current grade level?

What High School/College/University are you currently attending?

What is the address of your current school (High School only)?

City:

State:

Zip Code:

List of colleges you have applied to:

Are you currently in consideration for other scholarships?

If so, please describe the type of scholarship, what it covers and the college to which it applies:

What will your major be?

EMPLOYMENT

List your last two jobs:

Company #1
Name of Company:		City:
Major responsibilities:
Weekly hours worked:	Start Date:	End Date (leave blank if present):

Company #2
Name of Company:		City:
Major responsibilities:
Weekly hours worked:	Start Date:	End Date (leave blank if present):

May we contact your employers?

Select One: Yes No

If yes, name of supervisor(s):
Company #1:	Phone:
Company #2:	Phone:

SCHOOL AND COMMUNITY ACTIVITIES/AWARDS

Please list 1 - 4 athletic and non-athletic school activities, school offices held and/or community activities:

1	2
3	4

Please list 1 - 4 awards (school and/or community) you have received:

1	2
3	4

EDUCATIONAL GOALS/OBJECTIVES

In 200 words or less, please describe how this scholarship will assist with your educational pursuits, how will it impact your life & your community.

How did you hear about this program?

STATEMENT OF INTENT

I HEREBY AFFIRM that I am currently attending, or intend to enter an accredited institution of higher learning as a full-time student for the Fall 2024 term. I hereby grant permission for use of my name and/or photograph in future publicity for the AHFCU Get Smart Scholarship program. Your application file will not be complete until AHFCU receives your completed online application, all applicable official transcripts, a recommendation from a community member and a recommendation from teacher or administrator.