SECU Bridge to Career Scholarship Application
GUIDELINES:
To be considered for this scholarship program, a student must:
Be a US citizen, North Carolina resident and present a valid Social Security card and a current NC Driver’s
License or Identification Card.
Be in one of the following target groups:
o Unemployment insurance claimants
o Unemployed and underemployed adults (Note: Underemployed will be defined as individuals earning
200% below the federal poverty level listed on page three of this application. Preference will be given to
students with limited or no access to financial aid from other programs.)
o Military veterans
o Members of the NC National Guard.
Documentation of proof of the above will be required (2018 tax return, DD214, current paystub, unemployment
information).
Students must be enrolled in one of two Continuing Education pathways: Health Care or Bio Pharma.
Classes that qualify under these pathways include, Nurse Aide I, Phlebotomy, Bio Works and Advanced Bio
Works.
Not be a Director, employee, or immediate family member of an employee of the State Employees’ Credit Union
or SECU Foundation.
If chosen as a finalist, applicant will be contacted for an interview.
If chosen as a recipient, scholarship recipients must consent to the release of their names and images for
publications written/distributed by the System Office, the local Community College, and/or the State Employees’
Credit Union and its Foundation.
Return applications to your program director:
Biopharma: Leslie Isenhour - (919) 209-2593
Healthcare: Connie Grady - (919) 464-2355
Applications are due no later than 12:00 noon
Friday, October 11, 2019
SECU Bridge to Career Scholarship Application
Student’s Name: __________________________________________________________ Social Security #: _____________________ (required)
Address: ______________________________________________________ City: ______________________ State: ________ Zip: ___________
Telephone #: ________________________________________________ NC Driver’s License #: ____________________________________
Email: __________________________________________________________________________________________________________________________
Race: ________________________________________________________ Gender: Male Female
Pathway Applied for: ______________________________________ County of Residence: _____________________________________
I qualify for this scholarship under the following criteria (please check all that apply):
I am currently unemployed. (Beginning date of unemployment: _____________________)
I am a military veteran.
I am a member of the NC National Guard.
I am working and earn wages at or below 200% of the federal poverty guidelines (see guidelines).
If you are qualifying under the criteria “working and earn wages at or below 200% of the federal poverty guidelines”,
please indicate the number of dependents living in your household that you are responsible for.
Number of dependents: __________ Ages: _______________________________
Explain in your own words why you should receive these funds:
I certify that I am NOT a director, employee or family member of an employee of the SECU or the SECU Foundation. ______
(Initial)
I hereby verify that all the information given by me on this application form is complete and accurate to the best of my
knowledge.
____________________________________________________ _____________________ _____________________________
Signature Date
Work History
Have you worked in the past 12 months? No Yes If yes, complete the following:
Employer/Job Title
Start/End Date
Weeks
Employed
Hourly Wage
Hours Per
Week
Comments
2019 SECU Underemployed Adult Guidelines
200% of the Federal Poverty Guidelines
SOURCE: Federal Register, Vol. 82, No. 12 February 1, 2019, pp. 167-168. Retrieved from
https://www.federalregister.gov/documents/2019/02/01/2019-00621/annual-update-of-the-hhs-poverty-
guidelines
(Actual Guidelines on Federal Register listed at 100%)
Family
Unit
200% of
Poverty Guidelines
1
24,980.00
2
33,820.00
3
46,660.00
4
51,500.00
5
60,340.00
6
69,180.00
7
78,020.00
8
86,860.00
For each additional person, add $8,840.
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