HUNTINGTON BANK SCHOLARSHIP PROGRAM Application

Transcription

1 HUNTINGTON BANK SCHOLARSHIP PROGRAM Application Please Type or Print (if additional space in any section is required, information may be continued on additional sheet(s) of paper and attached to the application.) HUNTINGTON ASSOCIATE (PARENT or STEPPARENT ) INFORMATION Name Social Security Number Division/Department Business Telephone Number (include area code) Job Title/Position of Employment APPLICANT DATA Name: (last name, first name, middle initial) Social Security Number Telephone Number (include area code) Permanent Address: (street, city, state, zip code) HIGH SCHOOL DATA High School Attended Graduation (month/year) School Address (street, city, state, zip code) School Telephone Number (include area code) G.E.D. yes no (If yes, please list month/year G.E.D. granted / ) 1 Posted November 2016

2 COLLEGE / UNIVERSITY DATA Name of College/University to which you have applied or have been accepted or are currently enrolled College/University Address (street city, state, zip code) College/University Telephone Number (include area code) Check the appropriate box(es) below. Type of Degree being pursued: Were you awarded a Huntington Scholarship in a previous year(s): Bachelor Degree Program Associate Degree Program Yes Status for the 2016/2017 Year: No Freshman If so; indicate the year(s) awarded: Sophomore Junior Senior Anticipated graduation date from College/University Program (month / year) Intended Major, if known PERSONAL DATA Describe your work experience during the past four (4) years. Indicate dates of employment for each job and the approximate number of hours worked each week. List total amount earned at each job. Position/Company From To Hours per Week Total Amount Earned 2

3 List all school and community activities in which you have participated during the past four (4) years. (Please attach additional material if needed) Activity Number Years Participated Special Awards, Honors, Position Write a brief statement of your plans as they relate to your educational and career objectives and future goals. 3

4 TRANSCRIPT INFORMATION An official transcript of grades must accompany this application. Please note that on-line transcripts and/or grade reports are not acceptable. 1. High school seniors and students who have completed less than one full quarter, trimester or semester of post-secondary education, must include a high school transcript of grades and must have the section below completed by the appropriate high school official. A clear explanation of the school s grading scale must also be submitted. Class Rank Class Size Cumulative GPA /4.0 scale SAT Verbal SAT Math SAT Composite ACT English ACT Math ACT Composite Official s Name Signature Phone ( ) 2. Students currently or previously enrolled in a college or university who have completed one full quarter, trimester or semester, must provide an official transcript of all courses completed from each college or university attended. It is not necessary to complete Item 1 above. FAMILY FINANCIAL DATA Family Income (associate & spouse, if applicable) $ Other Sources of Income (interest, dividends, child support etc.) $ Other assets available to support applicant s college expenses (savings, insurance, investments, student s earnings etc.) Number of family members dependent on family income $ Number of dependents in college in addition to applicant Please comment on any special financial circumstances that the selection committee should consider: 4

5 REFERENCE LETTER Applicants are required to attach a letter of reference from a teacher, school official, activity sponsor, or previous employer. This letter should comment on the applicant s demonstrated ability in academic accomplishments, and/or extracurricular activities as well as dependability and leadership. CERTIFICATION ALL OF THE INFORMATION PROVIDED ON THIS SCHOLARSHIP APPLICATION IS TRUE AND COMPLETE TO THE BEST OF MY (OUR) KNOWLWDGE. I (WE) AGREE TO GIVE PROOF OF THE INFORMATION THAT I (WE) HAVE PROVIDED ON THIS FORM. I (WE) UNDERSTAND THAT THIS PROOF MAY INCLUDE A COPY OF MY (OUR) PRIOR YEAR U.S. AND/OR STATE INCOME TAX RETURN. I (WE) UNDERSTAND THAT IF PROOF IS NOT PROVIDED WHEN REQUESTED, THE STUDENT MAY NOT BE CONSIDERED FOR A SCHOLARSHIP. I (WE) FURTHER ACKNOWLEDGE THAT FALSIFICATION OF INFORMATION MAY RESULT IN TERMINATION OF ANY SCHOLARSHIP GRANTED. Signature of Student Signature of Huntington Associate APPLICANT CHECKLIST Completed Initial Scholarship Application Official Transcript Reference Letter RETURN ALL OF THE ABOVE NO LATER THAN JANUARY 31, 2017 TO: STEVEN FIELDS DIRECTOR OF COMMUNITY ENGAGEMENT HC Posted January 2017