College Scholarship Online Application

Deadline for Application - March 15, 2018

NOTE: Please review the scholarship guidelines BEFORE applying for a scholarship. Applicants must be certificateholders, or children or grandchildren of certificateholders, of Assured Life Association of Greenwood Village, Colorado. There is no restriction as to age, sex or area of study. Applicants must be seniors in high school, undergraduates, or graduate students, must be taking a minimum of 12 credits and have at least a 2.50 GPA. 

All fields are required for submission unless otherwise specified. 

Please Use Your Permanent Address
Student/Applicant Currently is a:





Member/Certificate Information
Use my photo for publication in Society magazine or on Society website:
Current Education Information

 

 

 

 
Check List for Application Requirements
Check the appropriate answer for items completed/attached.:
Certificate Number Provided:
Certificateholder Name Provided:
Transcript Uploaded:
Transcript Sent Under Separate Cover:
List of Extracurricular Activities/Awards Uploaded:
Essay Uploaded:
Photo Uploaded:
Enter security code:
 Security code

 

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Per Moves for Seniors, since 1960, life expectancy has increased by three and a half years.
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