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St. Mary's Bank Scholarship Application
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1.
Name (First and Last):
(Required.)
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2.
Address:
(Required.)
Address 1
Address 2
City
State
Zip
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3.
Phone Number:
(Required.)
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4.
Member Email Address:
(Required.)
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5.
St. Mary's Bank Member Since (Month/Day/Year):
(Required.)
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6.
Release form:
I hereby consent to any recording of myself on videotape, film, audio tape, paper, digital medium, or otherwise by St. Mary's Bank, its agents, employees, or assigns. I authorize the use of such recordings for any commercial or non-commercial purposes in perpetuity around the world, including its use in print, broadcast, cablecast, web video, CD, DVD, videotape, or any other media. I acknowledge St. Mary's Bank’s ownership of the material and further agree that they may use my name, likeness, and biography.
(Required.)
I agree
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7.
Minor Release by parent or Guardian:
I hereby acknowledge that I am 18 years of age or older
OR
that I am under 18 years of age but have parent/guardian permission to accept the terms and agreement of the release.
(Required.)
Yes, I am 18 years of age or older
Yes, I am under 18 years of age but have parent/guardian permission to accept the terms and agreement of the release
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8.
Status:
(Required.)
Current High School Student
Current College Student
Working
Other (please specify)
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9.
Name of accredited college/university:
(Required.)
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10.
College/University Enrollment Status:
(Required.)
Current Student
Accepted Student
Awaiting Acceptance
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11.
Course of study / career objectives & goals:
(Required.)
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12.
Extra-curricular school activities in the last two years:
(Required.)
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13.
Community involvement and/or work experience in the last two years:
(Required.)
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14.
Short Essay (approximately 250 words):
Please discuss the following subject: The importance of Financial Literacy among students and/or young adults.
(Required.)
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15.
Short Essay:
Tell us more about yourself in approximately 250 words. Select one of the following topics.
1.)
Your proudest achievement and its impact on your life.
2.)
Your chosen field of study and why it is important to you.
(Required.)
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16.
Short Essay (approximately 250 words):
Please discuss the following subject: If you could change one thing in your community, what would you change and why?
(Required.)
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17.
Are you the child, grandchild, or great grandchild of a St. Mary's Bank employee, board member, or retiree, or are you an employee? If "no," the survey will skip to Q9. If "yes," you will be asked two additional questions.
(Required.)
Yes
No
