Scholarship Application | FMBA Local 70

How the process works

Start or save a draft: You can save and come back later using your Application ID and secure link.
Parent/guardian approval: After you submit, a parent/guardian receives an email link to review and approve.
School verification: After parent approval, a school administrator uploads grades and completes the rating scale.
FMBA review: The committee reviews the complete application package.
Decision: Your status updates to awarded or rejected.

Student Information

First Name *

Middle Name

Last Name *

Email Address * ?

Confirm Email Address *

Date of Birth

Sex

Home Address Line 1 Home Address Line 2

City

State

Zip Code

How long a resident at your present address?

Telephone Number

School Information

Name of Secondary (High) School

School Address

Secondary School Telephone No. Date of Expected Graduation (MM/YYYY) Other schools attended

School Administrator/Counselor First Name *

School Administrator/Counselor Last Name *

School Administrator/Counselor Email * ?

Confirm school administrator email *

Family / Applications

Parent First Name *

Parent Last Name *

Parent email * ?

Confirm parent email *

Parent(s) occupation

Total family income for last calendar year

Number of persons totally dependent on income

To what schools are you making applications? (list below)

Achievements / Activities

List any scholastic distinctions or honors you have won

Your work experience

List all your extra-curricular and community activities (Please describe in detail) What are your hobbies and recreational activities?

Statement & Signature Statement of plans for the future

I certify that all information I have provided in this scholarship application and in any supporting materials is true, complete, and accurate to the best of my knowledge. I understand that FMBA Local 70 may verify the information submitted (including contacting references, my school, and/or other parties as needed), and I agree to cooperate with any reasonable requests for clarification. I understand that any false statements, omissions, or misleading information may result in disqualification or denial of an award, and if discovered after an award is granted, may require repayment and/or may result in revocation of the award.

Signature of Applicant (type name that matches the name fields above) * ?