Please print the application, complete and mail to:

Adirondack Actuaries Club

The Max Weinstein Scholarship

(Applications are accepted on an ongoing basis)

Please note that this scholarship is only available to freshmen, sophomores, and juniors who have passed at least 1 exam and preference will be given to local candidates

Date

Name 

Home Address 

College Address  

Date of Birth         

Home Telephone #      College Telephone # 

E-mail 

EDUCATION

College or University Currently Attending 

Anticipated Date of Graduation 

Major     Type of Degree 

Cumulative GPA 

Credits     Completed         Needed to Graduate       Currently Taking 

ACTUARIAL EXAMS (passed or anticipate taking)

INTERNSHIPS/WORK HISTORY (please include Employer, Dates and Responsibilities)

CAREER OBJECTIVES

Please write a brief discussion of your career objectives and any other comments that may prove helpful to your consideration for this award.