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Awards and Achievements
Enter all academic honors, awards, and/or other vocational or academic/athletic activity recognitions.
Volunteer/ Community Involvement
How have you volunteered your time in the community? Please list the name of of each organization, with which you've been involved, along with a description of activity performed and the number of hours volunteered.
Clubs, Societies and Class Offices
List all clubs, societies, sports and class offices held. Briefly describe responsibilities in each.
Employment History
Briefly describe your employment history, your responsibilities on the job, and the number
of hours worked per week.
College/University Name:
Where will you be enrolled following graduation from high school?
Course of Study / Major
What course of study will you follow in your higher education?
Future Volunteer/Community Involvement
Briefly describe how you plan to stay involved in the community.
Career Plans
Briefly describe your career plans for the future.
School Transcript
Please attach a scan of your official school transcript. Accepted digital formats: jpg, gif, png, bmp, pdf.
Reference Letter # 1
Please attach a reference letter from a community leader/volunteer program coordinator. Accepted digital formats: jpg, gif, png, bmp, pdf.
Reference Letter # 2
Please attach a reference letter from a high school teacher or counselor. Accepted digital formats: jpg, gif, png, bmp, pdf.
C.L.A.S.S. Essay
Please attach a personal essay describing how you best fit into the definition of C.L.A.S.S. Accepted formats: pdf; doc.
Additional Instructions
If you are not able to attach the documents listed above as digital files, please mail a complete package with your name and address to First County Bank, The Richard E. Taber Citizenship Award, 117 Prospect Street, Stamford, CT 06901, Attn: RoseMary Ogden. Your application will not be considered complete until all required documents have been received.
Applicant Signature
Please type your name in the space below. This will serve as your digital signature and your certification that all the information you have submitted is true and correct.