U.S. Embassy Club (USEC)

2019 Community Service Scholarship

Online Student Application

First Name

Last Name

Middle Name

Address

City

Zip/Postal Code

Home Telephone Number

Mobile Phone Number

Email Address

Date of Birth

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Gender

Date of High School Graduation

University/College you currently or

plan to attend

Hours per Term

0Hours

Term 1

0Hours

Term 2

0Hours

Term 3

Latest Cumulative Grade Point Average

Attach proof of GPA and your most recent school transcript. Provide school point system and/or grading system. 

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University/College Address

University/College City

University/College Zip/Postal Code

Current College Level

Course Name

Year of Expected College Graduation

Have you applied for a USEC scholarship?

Have you been a USEC Scholar?

If yes, state the year(s):

Have you applied for any other scholarships for this school year?

If yes, state the scholarship name(s):

STATEMENT OF UNDERSTANDING FOR STUDENTS

 

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. 

 

I hereby understand that if chosen as a scholarship winner, my presence might be requested to support USEC Scholarship events held throughout the year.

 

I hereby understand that if chosen as a scholarship winner, according to U.S. Embassy Club (USEC) Scholarship policy, it is my responsibility to remit to USEC the official documentations as requested by USEC for my scholarship.

 

I hereby understand I will not submit this application without all required attachments and supporting information. Incomplete applications or applications that do not meet eligibility criteria will not be considered for this scholarship.

 

I hereby understand I am the only one eligible for this scholarship and scholarship funds cannot be transferred to my siblings or relatives.

 

I hereby understand if I am in my graduating year, I am only eligible to receive scholarship funds for the terms enrolled in my course.  

List ALL community service and non-school sponsored volunteer activities in which you had a leadership role or part of the planning committee in the past year. Include the: Organization Name - Activity Name & Description - Hours - Date(s).

Community service and non-school sponsored volunteer activities.

List your hobbies, outside interests, extracurricular activities, and school related volunteer activities

List your hobbies, outside interests, extracurricular activities, and school related volunteer activities.