Hardin County Savings Bank Scholarship Application Special Notes: Please attach your high school transcript This application should be returned to Mrs. Akers no later than April 15th of the current academic year. Scholarship will be paid after the first grading period and no later than January of the students freshman year.

Name: ( Last, First, Middle Initial): Address:

Phone:

Parent/guardian: Number living in the home:

Number of children attending college:

List of names of college/vocational programs you have applied to:

List of Academic Awards and Honors:

List School extra-curricular Activities and leadership positions held:

List of community service activities(church, community groups, etc,)

List and describe part time positions you have held or work experience.

Describe your career objectives or occupational plans:

Briefly explain why you feel you quality for this scholarship:

Applicant Signature: ____________________________________ Date _________________________