EDUCATION FOUNDATION SCHOLARSHIP APPLICATION
Date Created 06/24/2021
APPLICANT INFORMATION (* required)
*  First Name
 *  Last Name
 Last 4 digits of SSN
* Address
 *  City
 *  State
 * Zip Code
* Phone
- - 		Email Address
ACCOUNT INFORMATION
*  LCEC Account No.
*  Cooperative Account Holder's Name
 Relationship of Account Holder to Applicant
Parent / Legal Guardian Phone
- -
EDUCATION INFORMATION
*  Name of High School Attending
City
*  Date of Graduation
 GPA
* I Have taken the SAT If Yes, what was your score?  
* I Have taken the ACT If Yes, what was your score?  
College or Vocational School in which you plan to attend
Office of Registrar's mailing address
Address
 City
 State
 Zip Code
Anticipated Course of Study (Major)
 
Please Attach The Following:
1. High School Transcript (MUST be signed by a School Administrator)
2. ACT or SAT score verification
3. Please attach a list of all school extracurricular, church, community, civic, work and/or volunteer activities that you desire to be considered in your application.
4. One (1) Letter of Recommendation is suggested.
5. Essay - Attach a 250-word typed essay on who are you and what are your personal and educational goals.
     
File NameCreated OnDelete file
CERTIFICATE
I certify that this information contained in this application is true, complete and accurate. I agree to permit the review of this Application and my school records by anyone representing Lea County Electric Education Foundation. I authorize the release of information to confirm and/or verify this application. I further authorize the release of my name and photos in connection with announcements of scholarship awards in the event that I am selected to be a scholarship recipient. I understand that this scholarship is good only for full-time students pursuing an Associate or Bachelor’s degree. The scholarship funds are only applicable towards undergraduate degree only.

We, the undersigned individuals, the applicant and a parent/guardian of the applicant, by signing below authorize the release of any and all academic information from  and do hereby authorize the guidance counselor and principal of such high school to discuss such information with the LCEC Education Foundation. We, the undersigned, by signing below authorize the release of any and all test scores and other information from the American College of Testing (ACT) or the Stanford Achievement Test (SAT) to the LCEC Education Foundation.

By signing below, we acknowledge that we have each read the entire application package and do hereby certify that we understand the contents of the application package. Also, by signing below, we each certify that the information provided in the application and each of the attachments submitted with the application are true and correct. If any of the information provided in the application or any of the attachments is found not to be true and correct, the applicant will be immediately disqualified and, if any scholarship has been awarded, such scholarship shall be rescinded.
 
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