202 1 BURRIS SCHOLARSHIP APPLICATION In loving memory of Dave Burris Friend, Teacher, Board Member and Raconteur Applicants must meet at least one of the following requirements to qualify for the Lake County Educational FCU Scholarship: 1) Current senior at Auburn Career Center, iSTEM ECHS, or North Olmsted High School. 2) Current senior attending public school in Lake County, Ohio, or 3) Current credit union member’s son or daughter (senior student). Required materials: 1) This completed application. Generic applications will not be accepted. Use additional pages, if necessary, 2) Two letters of recommendation (from teachers, principal, counselors, employers, etc.), AND (3) Your high school transcripts. All materials due by Wednesday, April 16 , 202 1 , before 5:00 p.m. Remit to ATTN: Miranda McConoughey, Lake County Educational Federal Credit Union, 1595 Mentor Avenue, Painesville, Ohio 44077, or via email at Miranda@lakecountyedufcu.org NAME: ___________________________________________________________________________________________________ Last First ADDRESS: _________________________________________________________________________________________________ House/Apartment Number Street Name City SCHOOL DISTRICT: __________________________________________________________________________________________ PHONE: _______________________________ EMAIL: ____________________________________________________________ CURRENT CUMULATIVE GPA _____________(ON A SCALE OF)____________ ACT SCORE________ SAT SCORE________ FAMILY BACKGROUND NAME OCCUPATION PLACE OF EMPLOYMENT PARENT/GUARDIAN PARENT/GUARDIAN SIBLINGS NAME AGE LIVING HOME? (Y/N) ATTENDING COLLEGE? (Y/N) GRADE/YEAR (Next Year) COLLEGE CHOICES NAME OF COLLEGE/UNIVERSITY APPLIED ? (Y/N) ACCEPTED? (Y/N) MAJOR /MINOR HAVE YOU MADE YOUR FINAL CHOICE OF SCHOOLS? IF SO, WHICH SCHOOL WILL YOU BE ATTENDING AND WHEN? SCHOOL ACTIVITIES (CHRONOLOGICAL) COMMUNITY ACTIVITIES/CLUBS/ORGANIZATIONS (CHRONOLOGICAL) WORK EXPERIENCE (CHRONOLOGICAL) GRADE WORK EXPERIENCE LENGTH OF EMPLOYMENT/HONORS PLEASE DESCRIBE YOUR MAJOR OR FIELD OF INTEREST, INCLUDING WHERE YOU SEE YOURSELF IN FIVE YEARS. GRADE ACTIVITY OFFICE HELD/HONORS GRADE ACTIVITY OFFICE HELD/HONORS SCHOLARSHIPS/FINANCIAL AID SCHOLARSHIP NAME STATUS AMOUNT PER YEAR HOW MUCH FINANCIAL ASSISTANCE FOR COLLEGE EXPENSES CAN YOU EXPECT ANNUALLY FROM PARENTS, RELATIVES, OR OTHER SOURCES? EXPLAIN OTHER CIRCUMSTANCES CREATING AN EXCEPTIONAL FINANCIAL NEED.