CFCU Scholarship Application

Fields marked with * are required


Student Information

*Student Name: Last: First:
*Mailing Address:
*City: *State: *Zip:
*Date of Birth (MM-DD-YYYY): *Telephone Number:
*Name of High School:
*Guidance Counselor's Name:
*High School GPA: How Long You Lived In The School District:
Do You Plan To Live With Your
Parents Or Relatives While Attending School?
Yes No
SAT Scores
Math
Writing
Reading
TOTAL
Other / ACT Scores: