ICUL Service Corporation

ICU Foundation Individual Scholarship Application

Please indicate from the choices below the type of educational program:
Educational Program Type

(max = $2,500 CUNA, $1,000 others)
Is CU work full-time or part-time?

Are you a volunteer at the CU?

(If yes, please list past postions)
Will you lose all wages while attending this event?

Will you use vacation or personal days while attending this event?

Will your chapter or credit union help pay for this session?

Indicate total number of chapter meetings held per year.
Provide titles and dates of sessions
If you receive a scholarship, who will pay the balance of the expenses related to the program?

Please see Web site or printable application form for details regarding scholarship eligibility requirements.  Thank you for your submission.

If you click on the "submit" button below and the confirmation page does not appear, please scroll up to confirm all required information has been included on the form, then click on "submit" again.
I acknowledge that my CEO/Supervisor at the credit union is aware of my application for this scholarship and my interest in attending this course/event.

Provide the name, title and phone number of CU CEO or official

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