Eligible Applicants Must

AM Community Credit Union will award two $500.00 non-renewable scholarships to area high school seniors who demonstrate academic achievement, community service, and who will be furthering their education through a local college or university.

Eligible Applicants Must:

 Be a member or dependent of a member in good standing of AM Community Credit Union  Be a graduating senior  Be accepted as an incoming freshman to either Gateway Technical College, Carthage College, or University of Wisconsin - Parkside

All Applicants Must Submit:

 A complete AM Community Credit Union scholarship application and essay  Transcript from high school listed on application  Notice of acceptance to chosen post secondary school

Scholarship applications (including essay, high school transcript, and notice of acceptance) must be submitted to the Education Foundation of Kenosha. Winners will be notified by mail. Awards will be presented after successful completion of one semester or trimester and receipt of college transcript confirming a G.P.A. of 2.5 or higher. Completed applications should be forwarded by March 15th to the following:

Education Foundation of Kenosha Att: Robert Wells 3600 52nd Street Kenosha, WI 53144 Phone: 359-6388 Fax: 359-7712

I certify that the information contained in this application is true and accurate to the best of my knowledge and that I understand if selected the conditions surrounding payment of any award.

______Applicant Signature Date

Personal Information (Only complete applications will be considered.)

Applicants Name ______Social Security Number ______

Address ______Phone Number ______

City, State, Zip ______AMCCU Account Number ______

How long have you been a member of AM Community Credit Union? ______

Parent / Guardian ______AMCCU Account Number ______

Address ______

City, State, Zip ______

All entries become the sole property of AM Community Credit Union and the Education Foundation of Kenosha. Qualified entries will be reviewed and administered by the Education Foundation of Kenosha; their award decisions are final.

By signing below, scholarship winners agree to allow AM Community Credit Union and the Education Foundation of Kenosha to use his / her name, photograph or video likeness for promotional and publicity purposes.

______Print Applicants Name Date

______Applicants Signature

______Print Parent / Guardian Name Date (Parent / Guardian signature required if applicant is under age 18)

______Parent / Guardian Signature Educational Information

High School ______Graduation Date ______

School Address ______School Phone Number ______

______

Attach a copy of your high school transcript and G.P.A. Max 20% ______

Which local College / University will you attend? (Please check one)

Gateway Technical College ____ University of Wisconsin – Parkside ____ Carthage College ____

Field of Study: ______

Activities Information

During your school years, in what school activities did you participate? Indicate the number of years spent in each and the offices held. ______

______

Community Involvement: ______

______

Max 20% ______Essay (One page, double spaced, Font size 12 pt.)

On a separate piece of paper, please complete an essay on the following topic:

. Explain the benefit of a cooperative business structure on consumer financial services.

Max 60% ______