Peoples Bank / Non-Traditional Scholarship Application This field is hidden when viewing the formName*(Last), (First), (M.I.), (Maiden)Name* First Last SAU Student ID#*Please check all that apply* I am a current Peoples Bank employee I am a child of a Peoples Bank employee I am a high school student from Waldo, McNeil, Emerson or Magnolia I am a non-traditional student Phone(###)###-####Email* Enter Email Confirm Email Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Graduation / Date last attended high school*(month, year)Name of high school attended*Date of GED Completion (if applicable)(month, year)How many colleges/universities have you attended in the past?* One Two Three Four None (for incoming freshman) College/university #1College/university #1*Years attended*Hours earned*College/university #1 location*College/university #2College/university #2*Years attended*Hours earned*College/university #2 location*College/university #3College/university #3*Years attended*Hours earned*College/university #3 location*College/university #4College/university #4*Years attended*Hours earned*College/university #4 location*Academic InformationCurrent academic classification* Freshman Sophomore Junior Senior Graduate Cumulative grade point average*Incoming freshman may use high school GPA.Most recent semester grade point average*Hours earned*Anticipated date of graduation*(month, year)Major field of study (academic department)*Additional considerationsCareer plans:*Please describe any special circumstances that you feel should be considered with your application for this scholarship.*List any other financial aid/scholarships that you are receiving:*Please note:Remember, you may be eligible for other types of financial aid. Contact the Office of Financial Aid for further information. Official transcripts from other institutions must be on file in the Office of the Registrar before the scholarship application will be considered. By submitting this application, I certify that the information provided on this application is true. I also certify that I have not been awarded a baccalaureate degree.By submitting this application I also acknowledge that I understand the requirements.This field is hidden when viewing the formWeb Lead Source Δ
