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The Don O. Tootle Scholarship Application

For The 2015 – 2016 Academic Year

AWARDS AVAILABLE:

We’ll be awarding two (2) $1,000 scholarships for furthering education. One will be awarded through our MedPro division and one will be awarded through our Ohio HealthCare division.

ELIGIBILITY:

1.

Applicant must be a member of Ohio HealthCare Federal Credit Union (either through

MedPro or Ohio HealthCare) in good standing and remain so throughout the life of the scholarship.

2.

Applicant must be planning to attend an accredited academic institution during the 2015-2016 academic year.

3.

The applicant must be planning to enroll in a course of study at, and subsequently be accepted to, an accredited academic institution and able to prove that he/she has been accepted.

4.

The applicant must be registered for at least 6 credit hours per semester/quarter.

5.

Employees and Board members of Ohio HealthCare Federal Credit Union and their family members are not eligible.

SELECTION:

The scholarships will be awarded based on a combination of factors including, but not limited to; the essay, extracurricular activities, and community/philanthropic activities. The essay will be judged on content, neatness, spelling, and grammar.

REQUIREMENTS:

1. Application and essay must be completed and received no later than March 31, 2015 - no exceptions

can be made.

INSTRUCTIONS:

1.

Complete ALL parts of the application. Failure to complete will prevent applicant from further consideration.

2.

Sign completed application.

3.

Mail or bring your completed scholarship application and essay to:

Jaime Crooks, Ohio HealthCare Federal Credit Union

3955 W. Dublin Granville Rd. ~ Dublin ~ Ohio ~ 43017

Please forward any questions to Jaime Crooks at (614) 737-6036 or jcrooks@webcuohio.com

.

(You are also welcome to return your completed application to any of our branches –

MedPro (Akron), Town & Grant, or Riverside

JUDGING:

A selection panel, made up of two Credit Union members and two Board members, will judge all applications.

The winners will be notified in May 2015.

***Ohio HealthCare Federal Credit Union reserves the right to use your essay in future print and web site publications.

The Don O. Tootle Scholarship Application

For The 2015 – 2016 Academic Year

Name ________________________________________________________________________

OHCFCU Member Number _______________________________________________________

Address ______________________________________________________________________

City, State, Zip ___________________________ Phone ________________________________

E-mail ___________________________________ Birth date ___________________________

High school/college you attend ___________________________________________________

Signature of Parent or Legal Guardian is required for applicants under age 18:

Parent/Legal Guardian Signature __________________________________________________

Print Name ____________________________________ Date ___________________________

1. Post-secondary institutions you have applied to for the upcoming school year include:

_____________________________________________________________________________

_____________________________________________________________________________

2. How long have you been a member of Ohio HealthCare Federal Credit Union?

_____________________________________________________________________________

2a. How did you learn about Ohio HealthCare FCU?

_______________________________________________________________________

2b. Why did you join Ohio HealthCare FCU?

______________________________________________________________________

***Ohio HealthCare Federal Credit Union reserves the right to use your essay in future print and web site publications.

The Don O. Tootle Scholarship Application

For The 2015 – 2016 Academic Year

Name/Photo/Print/Video Release Agreement

The undersigned hereby irrevocably consents to and authorizes the use and reproduction by Ohio

HealthCare Federal Credit Union (OHCFCU) and its agents or anyone else authorized by OHCFCU the right to use any and all photographs or other types of images, voice recordings and/or video or writings that I have taken or recorded or that OHCFCU has taken or recorded, with or without my name, for any purpose, whatsoever, including but not limited to, purpose of publicity, advertising, banners, illustration, posters, publications, writings and web content, in connection with OHCFCU in print or electronically.

I, my heirs, representatives, executors, administrators, or any other persons acting on my behalf or on the behalf of my estate release OHCFCU and their directors, employees, and agents from all actions, losses, costs, judgments, and expenses including, but not limited to, reasonable attorney fees arising out of or in connection with the use of my writings, testimonial, and/or likeness authorized herein.

I understand and agree that these materials will become the property of the Ohio HealthCare FCU and will not be returned. Additionally, I waive any right to royalties or other compensation arising or related to the use of the photographs, writings, etc.

Signature __________________________________ Date __________________________

Legal Guardian or Parent if a Minor (under age 18):

Signature __________________________________ Date __________________________

***Ohio HealthCare Federal Credit Union reserves the right to use your essay in future print and web site publications.

The Don O. Tootle Scholarship Application

For The 2015 – 2016 Academic Year

Please answer the following questions. Use additional paper if more space is needed.

1.

Please list your community and/or school activities, and your employment history. Please include any leadership positions held.

2.

What are your educational/career/life goals? Why?

3.

What has been your most rewarding community involvement experience and why?

Please answer the following question by attaching your typed, double-spaced response. Have fun and be

creative! (Entries should be no longer than four pages.)

4.

Credit Unions offer a valuable service to their members of all ages. Imagine that it is your job to inform high school students about the advantages of credit union membership. What would your message be?

How would you get the word out?

At times we are only given brief moments to get our message across. As part of your response to the question above, “What would your message be?”, please prepare an elevator speech (a 2-5 sentence

sales pitch) explaining what a credit union is and its advantages.

***Ohio HealthCare Federal Credit Union reserves the right to use your essay in future print and web site publications.

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