2014 UNITED HERITAGE COMMUNITY SCHOLARSHIP SAMPLE APPLICATION ˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ UNITED HERITAGE COMMUNITY SCHOLARSHIP APPLICATION CHECKLIST Scholarship Applicant's Name Sally Smith D Application Form—typed or printed in black/blue ink D Application Form—signed by Student and a Parent or a Legal Guardian D List of Community and Civic Service Activities D List of Extracurricular Activities D List of Scholastic Achievements D Two (2) Letters of Recommendation Please Note: Only one may be from a supervisor/teacher with a school affiliation to the applicant, and the other must be from a supervisor of community service or church projects on which the applicant has worked. D One (1) Essay from the Designated Topics ____ No ___ Is the applicant a member of United Heritage Credit Union? If no, provide the name of the applicant's relative who is a United Heritage Member. Mr. and Mrs. John Smith PLEASE STAPLE ALL ITEMS TOGETHER IN THE ABOVE ORDER. Comments: ˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ UNITED HERITAGE COMMUNITY SCHOLARSHIP 2014 APPLICATION FOR HIGH SCHOOL SENIORS (PAGE 1 OF 2) PLEASE TYPE OR PRINT IN BLACK OR BLUE INK ALL INFORMATION. Application must be signed by the applicant & a parent or guardian. Identification Applicant's Name: Sally Smith _______________________ Address: 123 Heart Lane __ City, State, Zip: Austin, Texas 78758 ___________ Date of Birth: 7/11/1996 Home Phone Number: 512.435.4545 Are you currently a United Heritage member? Yes If Yes, Provide Your Account Number: X _ No ______________ If No, Provide Name and Account Number of Relative that is a United Heritage member: Mr. and Mrs. John Smith; Account #123456 _______________ ________________ Address; City, State, Zip; Phone Number: 123 Heart Lane; Austin, Texas 78758;________ 512.435.4545 ___________________________________________ Education Name of High School: Austin High School __ Address & Phone Number: 456 Education Drive __ __ SAT or ACT Score: 22 Cumulative GPA: Class Rank of 685 58 3.3 on a scale of 4.0 ˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ UNITED HERITAGE COMMUNITY SCHOLARSHIP 2014 APPLICATION FOR HIGH SCHOOL SENIORS (PAGE 2 OF 2) Colleges or Universities to which you have applied for admission: Name of School: University of Texas; Austin, Texas Have you been accepted? _______________________ Yes Name of School: Southwestern University; Georgetown, Texas____________________ Have you been accepted? Not at this time Name of School: University of Massachusetts; Amherst, Massachusetts____________ Have you been accepted? Name of School: Have you been accepted? Yes _______________________ ˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙˙ UNITED HERITAGE COMMUNITY SCHOLARSHIP APPLICATION ADDENDUMS You must reference Sample Application for required format. Community and Civic Service List on a separate Excel spreadsheet(s) All volunteer community and civic activities you have participated in during the past 4 years (e.g., Red Cross, hospital volunteer, recycling project, food kitchen, etc.). Describe your participation in each activity, and include the number of hours per month invested in each endeavor along with total hours for each and then a grand total of hours for all community and civic service. Also include any leadership positions held and any special awards received. Do not list any paid work. Extracurricular Activities List on a separate Excel spreadsheet(s) All extracurricular activities you participated in during the past 4 years (e.g., student government, music/band, drill team, sports, etc.). Describe your participation in each activity and include the number of hours per month invested in each activity along with total hours for each and then a grand total of hours for all extracurricular activities. Also include any leadership positions held and any special awards received. Do not list any paid work. Scholastic Achievement List on a separate Excel spreadsheet(s) All honors courses, AP courses, college prep courses, etc. Letters of Recommendation Submit two letters of recommendation. Only one may be from a supervisor/teacher with a school affiliation to the applicant, and the other must be from a supervisor of community service or church projects on which the applicant has worked. Essay Questions Pick one and Print/Type on a separate sheet of paper (limit essay response to a maximum of 500 words) 1. Which extracurricular activity have you found to be the most meaningful and why? 2. Do you believe in the credit union philosophy of "People Helping People" and why? 3. What is the most challenging community service project you have participated in and why? Statement of Understanding I certify that everything stated and reported in this application is correct to the best of my knowledge at this time. I agree that the decision of United Heritage Credit Union and the Scholarship Selection Committee will be final. Signature of Applicant Signature of Parent/Guardian <sign here> <sign here> If applicant is under 18 years of age, a parent or guardian must also sign above. Date 1/15/14 Date 1/15/14_ United Heritage Community Scholarship Place of Service Coats for Kids Clean-up Bull Creek Project Jack and Jill of America Inc. Youth Alive Austin Children's Museum Thundering Paws Animal Shelter Race for the Cure Austin Police Department St. Thomas More Catholic Church Community and Civic Service Description Helped collect coats for kids that don't have them; schoolwide project Pick up trash, clear weeds at Bull Creek Total Hrs 12 Hour Bkdown: hrs/mo 2 hours/ month 3 3 hours/ month Teen group volunteered at nursing homes, food banks and homeless shelters. Also donated toiletries and clothing every Christmas. Event Organizer: Programs by and for teens to reduce violence in communities and schools. Assisted in teaching young kids how to cook Decorated float for founder's day parade 96 4 hours/ month 192 12 hours/ month Sept-April; 2011-2013 60 20 hours/ month 3 3 hours/ month 2 2 hours/ month May-July; 2010 March; 2012 November; 2011 36 2 hours/ month 336 8 hours/ month Participated in the Race for the Cure: Susan G. Komen Foundations major fundraiser in Austin for breast cancer Project Restore Hope and Police Banquet volunteer Mobile Loaves and Fishes: prepared meals and loaded the truck to deliver sack lunches and clothing for the homeless people downtown. I was in charge of making and delivering the drinks, whether it was hot chocolate in the winter or lemonade in the summer. TOTAL HOURS 740 Dates Oct-Nov; 2010-2012 March; 2010 Sept-April; 2011-2013 Oct-March; 2012-2014 2010-present United Heritage Community Scholarship Organization Extracurricular Activities Varsity Swim Team Position Held Elected Description Leadership 2-hr. practice 5 days/ week at 5:15 Council of Swim a.m.; swim meets; dry land Team practice April & May Yes Concert Band Member No Student Council Cross Country and Track Member No Total Hrs 280 Hours Bkdown: hrs/mo 14 hours/ month 162 National Honor Society SADD Mock Crash Destination Imagination Varsity Runner Member Member Yes Yes No 6 hours/ month FreshmanSenior FreshmanJunior 216 50 hours/ month Junior-Senior FreshmanSenior 4 hours/ month Junior-Senior 2 hours/ month SophomoreSenior 2 hours/ month Freshman 5 hours/ month Junior 5 hours/ month SophomoreSenior 12 hours/ month 800 72 6 18 Member No Elected: Head of Prom Committee table settings Yes PALS In top 2 concert bands Participated in various activities throughout the year Competed at a State, Regional and National level Participated in various activities from cleaning up the school campus to blood drives. SADD (Students Against Destructive Decisions): Assisted with mock crash and sold flowers at homecoming to increase drunkdriving awareness. Years Participated Member No Improve acting group 15 Helped organize the prom PALS (Peer Assistance & Leadership Skills): Visited a PAL Buddy at elementary school each week TOTAL HOURS 135 1704 United Heritage Community Scholarship Honors Courses Freshman Year English 1 Algebra 1 World Geography Biology Spanish 3 AP Courses Freshman Year N/A Sophomore Year English 2 World History Algebra 2 Chemistry Sophomore Year N/A Junior Year Pre-Calculus Physics Ceramics 3 Junior Year English 3 US History Art History Senior Year Anatomy and Physiology Ceramics 4 Senior Year English 4 Government Economics Calculus Scholastic Achievement College Coursework through ACC Composition I Composition II American Literature British Literature Additional Training & Awards CPR Certified, Red Cross Computer Maintenance Award All "A" Alpha Reception - all 4 years 3rd place in poetry at UIL District Competition 1st division ranking in Concert and Sight reading GPA of 4.0 or Higher Award - all 4 years 2011-2012 Selected to represent Aviation students on Airport Advisory Council 2013 Homecoming Nominee Letter of Recommendation #1 from Teacher or Counselor with a School Affiliation to Applicant Letter of Recommendation #2 from Supervisor of Community Service or Church Projects United Heritage Community Scholarship Essay Response – #2 Do you believe in the credit union philosophy of “People Helping People” and why? Essay Questions: 1. Which extracurricular activity have you found to be the most meaningful and why? 2. Do you believe in the credit union philosophy of “People Helping People” and why? 3. What is the most challenging community service project you have participated in and why?