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SOUTH HOLLAND BUSINESS ASSOCIATION FOUNDATION

SCHOLARSHIP APPLICATION

***For any required field that doesn't apply to you, please type N/A.

PERSONAL INFORMATION

Full Name

Home Address

Home Phone

Cell Phone

Email Address

Date of Birth

Month

Day

Year

FAMILY INFORMATION

Parent/Guardian/Spouse

Name

Occupation

Employer

What company are you connected to that makes you eligible for this scholarship? (The company must be an active SHBA member.)

SCHOOL INFORMATION

(Complete this section only if you’re a current 8th grader or high school senior.)

Elementary or High School(s) attended:

Contact Name of Principal or Teacher:

Date of Graduation:

ACT Composite Score:

Grade Point Average:

SAT Composite Score:

COLLEGE INFORMATION

(If questions in this section do not apply, please type N/A in the field.)

Name of College/University Currently Attending:

Course of Study:

Number of Hours Completed:

Cumulative Grade Point Avg.:

Anticipated Date of Graduation:

School ID Number:

EMPLOYMENT HISTORY

Have you been employed in any summer or part-time jobs during your high school or college years?

Yes

If so, please list them with the corresponding Dates, Job Title/Type, Employer, and Number of Hours per Week:

List and describe any extracurricular activities, community service, leadership roles, awards, and hobbies:

Please list any additional information you believe is relevant to your scholarship application:

Must submit a Personal Statement (250 words or less): Why do you deserve this scholarship?

Provide One Letter of Recommendation from a Teacher, School Advisor, or Principal:

Provide your Official or Unofficial Transcript:

***If you have trouble uploading your documents above, please complete and submit the application in its entirety and email your personal statement and letter of recommendation to servingsouthholland@gmail.com.

Kindly arrange to have your elementary school (8th graders), high school (graduating Seniors) or college transcripts (college students who have completed a minimum of 24 credit hours) sent directly to the South Holland Business Association Foundation via email (servingsouthholland@gmail.com) or mail to P.O. Box 334, South Holland, IL, no later than June 19, 2026.

SIGNATURE & CONSENT

By signing below, I confirm that the information provided is true and accurate to the best of my knowledge.

I agree to provide any further information requested by the SHBA Foundation and authorize the verification of all details included in this application.

Signature

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Date:

COMPLETED APPLICATIONS AND TRANSCRIPTS

(INCLUDING FINAL TRANSCRIPT FOR SPRING 2025)

MUST BE SUBMITTED BY

Friday, June 19, 2026 at 11:59 pm

Submit via email to: connect@shba.org

OR Mail to:

SHBA Foundation

P.O. Box 334 South Holland, Illinois 60473

SOUTH HOLLAND BUSINESS ASSOCIATION FOUNDATION

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