Please fill out the fields in the form below. One of our representatives will contact you within one business day to complete the process.

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Applicant Information

  • OKFull Name is required
  • OKAddress is required
  • OKCity is required
  • OKZip is required
  • OK Account # (opened on or before October 15, 2015) is required
  • Date of Birth

    OKDate of Birth is required
  • Home Phone

    OKHome Phone is required
  • Cell Phone

    OptionalOKCell Phone is required
  • OKE-mail is required
  • Social Security Number

    OKSocial Security Number is required
  • OKMother’s Name is required
  • OKFather’s Name is required
  • OKAverage Yearly Family Income is required
  • OKNo. of Family Members is required


  • OKHigh School is required
  • OKHigh School GPA is required
  • OKCollege, University, or Seminary at which you are enrolled is required
  • OKGrade is required
  • OK/Classification is required
  • OKHigh School Years attended is required
  • OKSAT Verbal is required
  • OKSAT Math is required
  • OKMajor is required
  • OKMinor is required
  • OKSchool Street Adress is required
  • OKSchool City is required
  • OKSchool State is required
  • OKSchool Zip is required
  • OKACT Composite is required
  • OptionalOKList any other scholarships received is required
  • OKExtracurricular Activities is required

Disclaimer and Signature

    I certify that my answers are true and complete to the best of my knowledge.

    If requested, I agree to give proof of the information on this application. I understand that the Alabama Teachers Credit Union Scholarship Committee will review all the information provided. If awarded a scholarship, I agree to the use of my name, address, photograph and/or biographical information for advertising or publicity purposes, without further compensation. I agree to the Rules and release Alabama Teachers Credit Union and its directors, officers, employees and agents from any and all liability with respect to the award.

  • OKSecurity Code is required