2019 Robert Reynolds Scholarship

Sun, 03/17/2019 - 11:44
by Marilyn Wood

Below please find an application for The Robert Reynolds Memorial/Insurance Club of Pittsburgh Scholarship Award sponsored by the Allegheny Chapter CPCU Society and Independent Insurance Agents of Pittsburgh for a member’s son/daughter or grandchild.

 

Please read the application carefully due to certain criteria that is necessary for the application to be considered eligible.  One $1,000 award will be given to a son/grandson or a daughter/granddaughter of current member during our luncheon program on Thursday, May 16, 2019 at the Pittsburgh Wyndham Grand.  All applications must be completed and returned to the Insurance Club of Pittsburgh NO LATER than April 16 2019.  Our committee will review all applications based upon SAT scores, Grade Point Average, Class Rank as well as, Social/Community and Extracurricular activities.  Once our committee reaches a decision, we will notify the winner and request the honor of their presence, along with their parent(s)/guardian, at our luncheon program for the award presentation.

 

The Insurance Club of Pittsburgh would like to thank the Allegheny Chapter CPCU Society and Independent Insurance Agents of Pittsburgh for their sponsorship of this generous award and wish all the applicants the best of luck with all their future endeavors.

 

If you have any questions, please feel free to contact Elaine Barnes at the Club office at 412/489-5626 or via email at icp@insclubpgh.com

 

 

Robert Reynolds Memorial

Insurance Club of Pittsburgh

Scholarship Award

Entrance Application

 

 

In order to qualify for this scholarship, the applicant must be the son/daughter or grandchild of a member in good standing of the Insurance Club of Pittsburgh or the Allegheny Chapter, CPCU Society.  Said member must be involved with said organization for at least 2 years prior to the submission of this application.  Any child of an officer, director or employee of the club is not eligible for the award.

 

The applicant must be a high school senior and have the application properly completed by all designated individuals to be eligible for said scholarship award.

 

SECTION A:  TO BE COMPLETED BY APPLICANT

 

NAME:                                                                                                                                                                        

 

AGE:                                      

 

ADDRESS:                                                                                                                                                                 

 

TELEPHONE:                                                                                                                                                            

 

SCHOOL CURRENTLY ATTENDING:                                                                                                                     

 

SCHOOL ADDRESS:                                                                                                                                                

 

SOCIAL ACTIVITES, COMMUNITY/VOLUNTEER SERVICES:                                                                             

                                                                                                                                                                                     

(Please attach additional page)

 

I have read the qualifications and requirements of application and understand the same.

 

Applicant Signature:                                                                                                                                                   

 

 

SECTION B: TO BE COMPLETED BY PARENT AND/OR GUARDIAN.

 

NAME:                                                                                                                                                                        

 

ADDRESS:                                                                                                                                                                 

 

TELEPHONE:                                                                                                                                                            

 

EMPLOYER:                                                                                                                                                              

 

EMPLOYER ADDRESS:                                                                                                                                           

 

I have read the qualification and requirements of application and understand the same.

 

Parent/Guardian Signature:                                                                                                                                       

 

Page 2

Scholarship Application

 

 

 

SECTION C:  TO BE COMPLETED BY HIGH SCHOOL REPRESENTATIVE

 

SAT Scores:                                                                                                                                                               

 

Grade Point Average / Class Rank:                                                   /                                                                      

 

Extracurricular Activities:                                                                                                                                           

                                                                                                                                                                                   

                                                                                                                                                                                   

                                                                                                                                                                                   

                                                                                                                                                                                   

 

School Name:                                                                                                                                                            

 

High School Representative’s Name:                                                                                                                        

 

Telephone:                                                                                                                                                                 

 

Representative’s Signature:                                                                                                                                      

 

Title:                                                                                                                                                                           

 

 

 

SECTION D:  TO BE COMPLETED BY INSURANCE CLUB OF PITTSBURGH/ALLEGHENY CHAPTER CPCU SOCIETY

 

This is to certify that                                                                is a member in good standing of The Insurance Club of Pittsburgh or the Allegheny Chapter CPCU Society, for at least 2 years.

 

Authorized Representatives Signature:                                                                                             

 

 

HIGH SCHOOL REPRESENTATIVE to mail completed application in its entirety by April 16, 2019 to:

 

Insurance Club of Pittsburgh

5177 Campbells Run Road

 Suite 370

Pittsburgh, PA  15275

email:  icp@insclubpgh.com

412/489-5626 P

412/444-4450 F

 

Any applications received after April 16 2019 will be ineligible for award.

 


Comments (1)


Any applications received after April 16 2019 will be ineligible for award.
1 year 3 months ago