CACHE BANK & TRUST
SCHOLARSHIP APPLICATION
NAME: SS#
ADDRESS: TELEPHONE:
CITY/STATE: ZIP:
Parent / Guardian Name:
Occupation:
Parent / Guardian Name:
Occupation:
Applicant a U.S. citizen? Yes No
Male Female
Are you employed? If so, employer’s name:
How many hours per week? May we contact your employer?
High school attending now
Rank in graduating class Size of class
Your cumulative grade point average
After completing this application please mail to:
Cache Bank and Trust
ATTN: Kathi
PO Box 337060
Greeley, CO 80633
COLLEGE / CAREER PLANS
Name and location of institution you plan to attend in the fall:
Have you been accepted? Yes No
In what subject do you plan to major?
Have you been offered any other scholarship? If so, amount:
ACTIVITIES AND HONORS
Briefly list all school activities in which you have participated in the past 4 years. Include any awards, honors, offices or leadership positions held.
List all community and volunteer activities in which you have participated, without pay, during the past 4 years.
Please list any other special activities, achievements or accomplishments that have influenced you in a positive way in the past 4 years.
WORK EXPERIENCE
Please give job description, employer, and dates employed.
FINANCIAL INFORMATION
Do you have savings for college?
Number of children in family - Preschool K-12 College
Please state your need for a scholarship and what value it would be to you.
ESSAY QUESTION
Please write a 200-300 word essay on a separate paper, typed and double spaced, explaining your educational and career goals. Include how this scholarship would assist you in obtaining these goals.
ADDITIONAL INFORMATION
In the space provided below, please give any additional information about you or your family that might help the selection committee better understand you and your circumstances.