Scholarship Form

Name(Required)

First Last

Date of Birth(Required)

Mailing Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone Number(Required)

Email Address(Required)

School currently attending

GPA

School you plan to attend

Desired Major

Have you been accepted?

Yes

TBD

Please list any extracurricular activities, including school activities, sports, and employment(Required)

(Please provide as much detail as possible, for example: hours, responsibilities, leadership, etc.)

Please list any religious, community, and civic involvement(Required)

(Please provide as much detail as possible, for example: hours, responsibilities, leadership, etc.)

Please list any academic achievements(Required)

(Please provide as much detail as possible, for example: awards, honor roll, scholarships, etc.)

Do you have a relative employed at Cornerstone Bank?

Yes

I do not know

If yes, what it the employee’s name and what is their relationship to you?

Where did you hear about the Cornerstone Bank Scholarship?

Essay Instructions

One page, typed, identifying why you think you should be the recipient of our scholarship along with your major field of study and how it relates to your career goals. Please include your response to the following prompt:

Our Company’s customer promise, Built on Trust, is not just a brand, but also a corporate focus. Whether a business or personal partnership, Cornerstone Bank rests on the foundation that relationships are built on trust. We stand by our core values of teamwork, relationships, user-friendly, solutions based, and transparency. Name a time that you embraced one of the Cornerstone core values.

Attach Essay(Required)

Accepted file types: pdf, docx, Max. file size: 16 MB.

Attach Transcript(Required)

Accepted file types: pdf, docx, Max. file size: 16 MB.

Student Signature(Required)

Date(Required)

Parent/Legal Guardian Signature

(If student is under the age of 18)

Date

CAPTCHA