COMMUNITY

Scholarship Application

First Name (required)

Last Name (required)

Email (required)

Home Address (required)

City (required)

State/Region (required)

Phone Number (required)

Date of Birth (required)

Name of High School (required)

High School Address (required)

Principal or Head of School (required)

Guidance Counselor (required)

School Phone Number (required)

List colleges or universities to which you have applied (required)
Please tell us if you've been accepted to any of the listed schools

Have you or an immediate family member maintained a customer relationship with The Village Bank since at least 1/1/25? (required)

Yes No

Interests and activities (required)
List your personal interests and talents, as well as school, athletic, and other extracurricular activities.

Community Involvement (required)
Tell us about your community involvement/charitable activities, as this is a major factor in our decision-making process.

Describe the nature of the college program you plan to pursue, and why. (required)

School Photo (required)
Please upload a photo of yourself, which, if selected, will be used by the Bank in promotional announcements.

Tell us about, through an essay of not more than 1,200 words, what makes you who you are today. (required)
Discuss your background, identity, interests, or talents.

Acceptance (required)

I hereby certify that the information given above is correct and that the essay is my own original material. I agree that the Bank may use my name, photo, and town/city in promotional announcements. Parent or Guardian approval is required for applicants aged 17 years or younger.

Parent or Guardian Name

COMMUNITY

Scholarship Application

Get it Now

Facebook

Instagram

LinkedIn

Vimeo