Hopi Credit Association
Educational Incentive Award Application
Deadline July 1, 2011
PO Box 1259  Keams Canyon, AZ  86034 - (928) 738-2205 or (800) 516-9091



Eligibility Requirements:

Enrolled member of the Hopi Tribe
Reside on the Hopi Reservation
Graduating Senior from High School in May/June 2011
Accepted/Enrolled as Full Time/Part Time Student in Community College/University
Pursuing a degree in Business/Finance

Completed application should include:

Application
Responses to Essay Questions
Letter of Recommendation from High School Counselor/Teacher
Letter of Recommendation from a Community Leader (must be someone who is not related to you)


General Information:

Name: ______________________________________________________________________________

Address:_____________________________________________________________________________
Date of Birth:_______________________________Tribal Enrollment #:___________________________

Phone Number:_____________________________ Alternate Number: ___________________________


Academic Information:

High School Attended/Location:___________________________________________________________

Cumulative GPA: ________________________

Degree pursuing:     Associates ____Bachelors ____Masters ____Other: ____

Major: ____________________Minor:____________________


Essay Questions - to be completed on a separate sheet(s):

1.Describe how the Hopi Credit Association has improved the Hopi Community?
2.What are your personal goals? How do you plan to achieve them?
3.Describe how your personal goals will contribute to the Hopi Community?
4.Specify any high school accomplishments/awards.
5.Describe any community service activities you are involved in.
6.Explain why you should receive this award.

I hereby certify that the information contained in this application/attachments are true and correct. I give consent for my name, picture and information stated herein to be used for any press releases submitted by Hopi Credit Association.  If and when this application is approved, I will accept and abide by all conditions set forth as an educational award recipient.

Signature of Applicant:__________________________________________________  Date: ____________________