Application for the SouthEast Bank Scholars Program – University of Tennessee at Chattanooga Application deadline is Tuesday, April 15, 2014 Please return to Jaclyn York at Jaclyn-wooten-york@utc.edu or mail to UTC College of Business 615 McCallie Avenue Dept 6056 Chattanooga, TN 37403 Eligibility Criteria – SouthEast Bank Scholars must meet the following criteria: Be a first-time freshman entering the Fall 2014 term, Be a Tennessee resident, Have a minimum 3.25 GPA for the first 7 semesters of high school or 23 ACT composite (1070 SAT), Demonstrate financial need as determined by the Free Application for Federal Student Aid (FAFSA), Be enrolled full time in a degree program, Be majoring in either Accounting or Finance, Demonstrate involvement in community service/leadership. Application Requirements – Interested first-time freshmen, entering UTC for Fall 2014, who feel they meet the above criteria should: Submit this application, including a 250 word essay (addressed below), Have an official high school transcript on file with the UTC Admissions Office, containing at least seven (7) semesters of course work. Have official results of your ACT (SAT) exam on file with the UTC Admissions Office, Have your FAFSA on file with UTC Financial Aid by April 15, 2014. The FAFSA is available beginning January 1st, 2014 and should be filed promptly. Biographical Information Legal Name: ____________________________________________________________________ Preferred First Name:__________________________UTC ID #____________________ Permanent Home Address:________________________________________________________ City:________________________________State:_______________ Zip:__________________ Extracurricular and Personal Activities List your principal extracurricular and individual activities in the order of their interest to you. Activity Approx. Time Spent Position Held or Years of Hrs/WK Wks/YR Honors Won Participation _________________ ________ _________ ______________ __________ _________________ ________ _________ ______________ __________ _________________ ________ _________ ______________ __________ _________________ ________ _________ ______________ __________ _________________ ________ _________ ______________ __________ rev 10.2013 Name __________________________________ UTC ID# _________ Essay On a separate sheet of paper, write an essay on one of the topics below and attach the completed essay (including your name and University ID#) to this application. Please limit your response to 250 words or less. 1. Elaborate on your involvement in community service or leadership roles, specifically noting initiative taken and leadership shown. 2. Describe a community activity or project in which you had (or have) a leadership role. How did you specifically contribute to its success? What did the project achieve? 3. Why is participating in community service or leadership important to you? Community Service/Leadership For the following community service/leadership activities, check all that apply and indicate the number of hours you devote to each. Particpant? Hrs/Week Officer? Church/Religious Group ______________________ _________ _____________ Boy/Girl Scouts ______________________ _________ _____________ Health/Safety Group ______________________ _________ _____________ Peer Counseling ______________________ _________ _____________ Tutoring ______________________ _________ _____________ Community Improvement Project ______________________ _________ _____________ Recreation Project ______________________ _________ _____________ Other:___________________ ______________________ _________ _____________ Signature I certify that all of the above statements made in this application are true, complete, and accurate to the best of my knowledge and belief and are made in good faith. I also realize that all submissions are subject to verification. I am authorizing the release of my name for use and disclosure by SouthEast Bank in connection with promotional purposes related to the SouthEast Bank Scholars, including but not limited to online announcements on the SouthEast Bank website and in any and all media, including, by way of illustration, but not limitation, the display, broadcast, or rebroadcast of films, videotapes, or still photographs of me, and the preparation and dissemination of any advertising and promotional materials used to promote the SouthEast Bank Scholars Program. I certify I am not an employee of SouthEast Bank or any of its affiliates, nor the immediate family member of any employees thereof. False submissions are subject to disqualification. Applicant’s Signature_____________________________________ Date: _______________________ rev 10.2013