EDUCATION FOUNDATION SCHOLARSHIP
APPLICATION
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Date Created 02/21/2020 |
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APPLICANT INFORMATION
(* required)
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First Name
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Last Name
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Last 4 digits of SSN
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Address
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City
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State
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Zip Code
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Phone
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Email Address
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| ACCOUNT INFORMATION
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LCEC Account No.
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Cooperative Account Holder's Name
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Relationship of Account Holder to Applicant
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Parent / Legal Guardian Phone
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EDUCATION INFORMATION
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Name
of
High
School
Attending
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City
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Date of Graduation
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GPA
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I Have taken the SAT
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If Yes, what was your score?
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I Have taken the ACT
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If Yes, what was your score?
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College or Vocational School in which you plan to
attend
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| Office of Registrar's mailing address |
Address
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City
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State
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Zip Code
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Anticipated Course of Study (Major)
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| Please Submit The Following
Along With Your Application
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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 how this
scholarship will aid the applicant in their
educational goals. |
| Attaching files is a two step process. You must (1) "Select A File" then (2) select "Upload" for each attachment.
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| File Name | Created On | Delete file |
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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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