Robert E Martin Collegiate Scholarship Application
Personal Information
First Name:
Last Name:
Home Street Address:    

Primary Phone #:
Date of Birth:
Are YOU an Indiana Members Credit Union Member?
Name of High School:
High School Counselor Name:
High School Graduation Date:
High School Information:
University/College Information:
College/ University Attending in the Fall:
Intended Area of Study:
Undergraduate degree being pursued:
Number of Credit Hours taking:
​Additional Information
What are you most proud of accomplishing during your high school years?
Please Share your high school extracurricular activities.  This includes any paid or unpaid jobs you may have had, participation in school sports or academic clubs, and community volunteer activities.:  
How will earning this scholarship help you live  your financial dreams?
Your application will not be considered COMPLETE until the list of 
SUPPORTING DOCUMENTS have been received.  
Please check the official rules for more details.