Wufoo
2024 Scholarship Application Form
Consolidated Credit Union is pleased to offer the Class of 2024 the opportunity to win a $1,500 Scholarship* to support their educational future.
Please note: before you start filling out this application, you must have a reference letter, proof of enrollment, and a transcript ready to upload. You will not be able to save the application and return.
Application deadline is Monday May 20th, 2024 at 11:59 p.m.
* Scholarship is intended for use in the 2024 academic year. If you opt to defer your studies, your Scholarship will be deemed null and void.
Name
First
Last
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
United States
United Kingdom
Australia
Canada
France
New Zealand
India
Brazil
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Afghanistan
Åland Islands
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antarctica
Antigua & Barbuda
Argentina
Armenia
Aruba
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia & Herzegovina
Botswana
Bouvet Island
British Indian Ocean Territory
British Virgin Islands
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Cape Verde
Caribbean Netherlands
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo - Brazzaville
Congo - Kinshasa
Cook Islands
Costa Rica
Côte d’Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czechia
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
French Guiana
French Polynesia
French Southern Territories
Gabon
Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Heard & McDonald Islands
Honduras
Hong Kong SAR China
Hungary
Iceland
Indonesia
Iran
Iraq
Ireland
Isle of Man
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau SAR China
Republic of North Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar (Burma)
Namibia
Nauru
Nepal
Netherlands
New Caledonia
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
North Korea
Northern Mariana Islands
Norway
Oman
Pakistan
Palau
Palestinian Territories
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Réunion
Romania
Russia
Rwanda
Samoa
San Marino
São Tomé & Príncipe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Sint Maarten
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Georgia & South Sandwich Islands
South Korea
South Sudan
Spain
Sri Lanka
St. Barthélemy
St. Helena
St. Kitts & Nevis
St. Lucia
St. Martin
St. Pierre & Miquelon
St. Vincent & Grenadines
Sudan
Suriname
Svalbard & Jan Mayen
Swaziland
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad & Tobago
Tunisia
Turkey
Turkmenistan
Turks & Caicos Islands
Tuvalu
U.S. Outlying Islands
U.S. Virgin Islands
Uganda
Ukraine
United Arab Emirates
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
Wallis & Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Country
Email
Phone Number
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Parent or Legal Guardians Name
First
Last
Member Number
What High School are you currently attending?
What Post Secondary institution will you be attending in 2024?
What program will you be taking?
Will you be recieving any other scholarships or bursaries? If so, please list.
Will you be applying for a student loan (federal and/or provincial) to help finance your education?
Yes
No
Unsure
Please tell us about yourself. Be sure to include educational accomplishments (awards, honors, sports, committees, etc.), community involvement, and why you deserve a Consolidated Credit Union scholarship or bursary. (Maximum 500 words).
In a few sentences, please tell us how you feel Consolidated Credit Union helps their community.
Please upload a copy or photo of your reference letter here.
Please upload a copy or photo of your proof of acceptance here.
Please upload a copy or photo of your transcript here.
Please upload a high-quality photo of you. Please note, this photo will be used on Consolidated Credit Unions' social media channels, as well as in their Annual Report if you receive a 2024 Consolidated Credit Union Scholarship.
What is your Student ID number for your post secondary institution? Please note: this will only be used to ensure Scholarship funds are deposited to your student account if you are awarded a Consolidated Credit Union Scholarship.
Declaration of Application:
In submitting this application, I do solemnly declare that to the best of my knowledge and belief, the required information supplied is correct and complete in every aspect. That any monies issued on the basis of this application will be used only for valid educational expenses associated with my Post-Secondary studies. If, for any reason, I do not complete my first year of Post-Secondary studies, I will return any of the unused portion of my Scholarship to Consolidated Credit Union. Lastly, if, for any reason, I do not attend a Post-Secondary institution in the year the Scholarship was awarded, the funds, in full, will be returned to Consolidated Credit Union.
Yes
No
Responsibility of Applicant:
I accept that failure to provide the necessary documentation will result in the disqualification of my application.
I agree with the above statement
Photo Release:
By submitting my application, I hereby release to Consolidated Credit Union, its agents and employees, all rights to exhibit this work in print and electronic form publcly or privately and to market and sell copies. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used. I understand that there will be no financial or other reenumeration for recording me, either for intial or subsequent transmission or playback. I have read and understand the foregoing statement, and am competent to execute this agreement.
I agree with the above statement
In submitting this application, I accept responsibility to ensure that Consolidated Credit Union has all of the above required documents, my disqualification based on failure to provide the necessary requirements is my own responsibility.
I agree with the above statements
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