Hinton Community Scholarship
Fund
Official Application Form
The Hinton Community Scholarship Fund offers financial assistance to students pursuing continuing education.
To qualify, students must: 1) be a graduate from Hinton High School; and 2) complete this application form.
Approved schools for continuing education at which scholarships may be used include the following accredited institutions: 1) Two or four year colleges; 2) Trade or technical schools; 3) Business colleges; 4) Nursing schools; or 5) Specialized training schools (such as beauty college).
Applications must
be submitted by April 1.
All entries MUST be submitted on this form to Iowa Prairie
Bank of Hinton. Entries may be submitted in person to the bank at 225 N. Floyd
Ave., Hinton or mailed to P.O. Box 1035, Hinton, IA 51024.
Student's Full Name:_________________________ Social
Security No.:__________________
Student's Address:__________________________________________
Parents Name:______________________________________
Parent's Address:__________________________________________
Current Grade Point Average:_______ Please attach grade transcript
A. Estimate the cost
for one year including: Tuition, text books,
fees, room and board?
______________________________________________________________________________
B. Where will you live: At Home Dormitory Apartment Other
C.
How do you anticipate meeting these costs?
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
In a brief paragraph, indicate your desired objectives with
regard to your further education and training, listing your specific area of
study:_______________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
List activities (including school, community, church, etc.)
in which you have actively participated.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
List work experiences you have had, either as a volunteer or
on a paid basis.
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
_______________________________________________________________________________
How many people in you household are expected to be in
college at least half time during the next school year?
_______________________________________
List other scholarships or grants for which you have made
application.
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
______________________________________________________________________________
Student's Signature:_______________________________ Date:__________________________