Scholarship - Home Bank

Please read the entire list of instructions below carefully. Incomplete applications or applications with missing information and attachments may not be considered.

To be eligible, you must be a high school senior planning to attend full time undergraduate studies at an accredited two year or four year college, university, vocational or tech school in Indiana for the entire upcoming academic year and an active account holder at Home Bank. (Children, grandchildren and siblings of Home Bank employees are not eligible).

A total of four scholarships in the amount of $1,000.00 each will be awarded. In addition, Home Bank will donate $500 in the name of each winner to a 501(c)3 non-profit organization of his/her choice. If selected as a recipient, you must provide proof of enrollment to a two year or four year college, university, vocational or tech school in Indiana.

The deadline is Friday, March 8, 2024 at 4:00pm.

For questions about this application, please contact Tana Lobb (765-558-3804 or tlobb@homebanksb.com).

Name

First Name

Middle Name

Last Name

Fields Group

Street Address

Address Line 2

City

State

ZIP Code

Phone

Date of Birth

High School

Graduation Date

Current High School GPA

Current Class Rank

SAT Score

ACT Score

Academic Honors Diploma?

Yes

Days Absent in 9th GradeYou may need to consult your school's administration to answer this question.

Days Absent in 10th GradeYou may need to consult your school's administration to answer this question.

Days Absent in 11th GradeYou may need to consult your school's administration to answer this question.

Days Absent in 12th GradeYou may need to consult your school's administration to answer this question.

Name of college or university you are planning to attend:

Address

Street Address

Address Line 2

City

State / Province / Region

ZIP Code

Country

Major, Program, or Field of Study

Have you been accepted?

Yes

Number of full-time college/university students living in household

Number of high school students living in household

Number of middle school students living in household

Number of elementary school students living in household

Number of pre-elementary school students living in household

Number of full-time workers living in household

Number of part-time workers living in household

Select the category that indicates your gross household annual income, including child support, social security, and disability income.Select the category that indicates your gross household annual income, including child support, social security, and disability income.

Employer

Hours worked per week (approximate)

Dates of Employment

Nature of work

I hereby affirm that the information provided on this form is accurate and complete to the best of my knowledge.

Pick anyone in history or fiction to converse with for an hour. Explain your choice and describe what you would talk about.Pick anyone in history or fiction to converse with for an hour. Explain your choice and describe what you would talk about.

Copy of your High School Grade Transcript

No file(s) selected

Two letters of recommendation from non-relatives

No file(s) selected

Scholarship Application

Section I: Applicant Information

Section II: Education Information

Section III: Post-Secondary Information

Section IV: Family & Household Information

Section V: School & Community Activities
List school & community activities (including church and volunteer activities) in which you have participated during the past 4 years. Begin with the most recent activity in which you have participated.

Section VI: Work Experience
List the work experiences in which you have participated during the past 4 years. Begin with your most recent or current position. If needed, an additional sheet may be attached.

Scholarship Application Essay
Please write a brief essay in response to the essay question below.

Scholarship Application

Section I: Applicant Information

Section II: Education Information

Section III: Post-Secondary Information

Section IV: Family & Household Information

Section V: School & Community ActivitiesList school & community activities (including church and volunteer activities) in which you have participated during the past 4 years. Begin with the most recent activity in which you have participated.

Section VI: Work ExperienceList the work experiences in which you have participated during the past 4 years. Begin with your most recent or current position. If needed, an additional sheet may be attached.

Scholarship Application EssayPlease write a brief essay in response to the essay question below.

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Section V: School & Community Activities
List school & community activities (including church and volunteer activities) in which you have participated during the past 4 years. Begin with the most recent activity in which you have participated.

Section VI: Work Experience
List the work experiences in which you have participated during the past 4 years. Begin with your most recent or current position. If needed, an additional sheet may be attached.

Scholarship Application Essay
Please write a brief essay in response to the essay question below.