Scholarship Application | Dirigo FCU

Short Answers

Why are you applying for this scholarship?*

What degree program do you intend to pursue and why did you choose that course of study?*

In what school and community activities have you participated?*

Applicant Details

Member's Name*

First Last

Member's Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Member's Phone*

Member's Email*

Member's High School*

Member's College*

By submitting this form, I certify that this information is complete and accurate. I authorize the release of this information to confirm and/or verify this application. I further grant Dirigo Federal Credit Union the right to use my name and/or photograph in connection with any Dirigo Federal Credit Union promotions, including advertising, related to this scholarship program. This grant is made without claim of any kind, including compensation.