Apply Rhode Island CPCU Scholarship Fund Application Step 1 of 3 33% 1. About the ApplicantYour Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Home PhoneDate of Birth MM slash DD slash YYYY Your Email Address Enter Email Confirm Email 2. About family member (or self) currently working in insurance industryName First Last Relationship Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Employer Business Phone 3. School presently attending and your status (freshman, sophomore, etc.)School Status 4. What recognition have you received in school for scholastic excellence? (i.e. honors, prizes, scholarships etc.)5. Please explain how your present and recent grades reflect your commitment to education advancement and career aspirations.6. Among the extra-curricular school activities in which you have taken part, please list and explain those that are most meaningful to you and why. Also indicate if you held a leadership role.7. List any organizations outside of school in which you have been active during the past two years and your reasons for participating. Also indicate if you held a leadership role.8. Please list any certifications that you have attained.9. What are your career aspirations? Please be explicit.10. Why do you believe that you are deserving of this scholarship?11. List below the name of a person who knows your academic record well and whom you have asked to send a letter of recommendation to the selection committee.Name First Last Address Street Address Address Line 2 City State / Province / Region ZIP / Postal Code 12. List any employers, and positions held during your school years.13. At what schools have you applied and been accepted? What school do you plan to attend?14. The space below may be used to enter any additional information that you believe is worth sharing with the selection committee.15. Please attach transcript, SAT scores or any other supporting documentation.PDF's only please Drop files here or Select files Accepted file types: pdf, jpg, jpeg, png, Max. file size: 100 MB. 16. By checking this box I hereby affirm that I have completed this entire application and that I have answered the foregoing questions truthfully.(Required) I agree.
