Application form

* Required Fields

2025 PSFCU Rising Star

Personal Information

Please enter N/A if not applicable

Last Name:

First Name:

Middle Initial :

Your Maiden Name:

Date of Birth:

/ /

Place of Birth:

Permanent Address:

Permanent Address 2:

City:

State:

ZIP:

Phone:

Email Address:

Cellular Phone:

PSFCU Account #:

PSFCU Member Since (year):

Academic Information

Your Current Status as of fall semester 2025:

Full Time Student

Part Time Student

Your Current Status as of fall semester 2025:

Middle school

High school

College Undergraduate

College Graduate

Year in your current program:

Length of your program:

Your current/intended major (college students only):

List all institutions attended since high school (middle school students should incude their middle school information only)

School Name:

Address:

Address 2:

City:

State:

ZIP:

List and briefly describe your academic distinctions/honors/awards (up to 10)

List, in order of importance, academic honors, awards, distinctions etc. received during the past 4 years (candidates who interrupted their schooling should list awards received while they were in school) :

List your 5 most important extracurricular achievements and briefly describe them.

Achievement:

Date:

/ /

Description:

Essay

Question 1.

1) Mandatory. Answer the following essay question (under 3000 words) on an attached sheet of paper with your name. Please describe in detail the achievement on which you have based your application, including why in your opinion you deserve to win this award.

Essay Answer 1:

Along with this application please submit the following:

Transcripts from ALL academic institutions.
Letter of reference, with recommendation written by a professor or mentor in support of the application. Please note that recommendations from family members are not permitted. Please indicate below the names and contact numbers of the people whom you asked to write your letters.
Applicants should utilize tables on the application form. Additional materials in support of the candidate, constituting proof of the achievement, should be submitted along with the application.
Applicants must be PSFCU members at the time of application.

IMPORTANT! E-mailed, Faxed, hand delivered (left in PSFCU branches) applications will not be considered.

Upload file:

Certification and Release Authorization

The following information must be completed for the applicant to be considered for a scholarship award.

I certify this information is true, complete and accurate

I authorize the release of this information to confirm and/or verify this application

I agree to use any scholarship funds awarded at an accredited educational institution

I authorize Polish & Slavic Federal Credit Union to publish my name and/or photo for use of PSFCU promotional materials, news releases and/or social media

Security Code:

Rates