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2024 Academic Scholarship Application

Applicant Information

Applicant Name (Last, First, Middle Initial)

Date of Birth

Mailing Address

City, State, Zip

Cell Phone Number

E-mail Address

Mother/Guardian Name

Mother's Cell Phone Number

Mother's Employer & Occupation

Father/Guardian Name

Father's Cell Phone Number

Father's Employer & Occupation

Do you live FULL-TIME with a parent/guardian who is an ACTIVE MEMBER residing FULL-TIME in FEC's service territory?

Yes

If you answered no, please stop here. You are not eligible for this scholarship.

FEC Account Information

FEC Account Number (must be a residence)

FEC Service Location (physical address, city, state, and zip of your residence)

A. Family Profile

Household Income

$20,000/yr.

$20,100 - $37,999/yr.

$38,000 - $69,999/yr.

$70,000/yr. +

$100,000/yr. +

Number in Family

Number of siblings living at home

Number of siblings currently attending college

B. Academic Profile

Name of High School

Expected Date of Graduation

Please attach a copy of your fall and spring (2023-2024) course schedule, signed and dated by your high school counselor

One file only.
4 MB limit.
Allowed types: pdf.

Please attach an official transcript from the high school you most recently attended including your SAT, ACT or other achievement test scores

One file only.
4 MB limit.
Allowed types: pdf.

C. Extracurricular Participation

School Extracurricular Activities

List up to 10 of your most significant school extracurricular activities in priority order.

Year	Organization/Activity	Role in Activity	Operations
Year	Organization/Activity	Role in Activity

Community Service Activities

List up to 8 of your most significant community service activities in priority order.

Year	Organization/Activity	Role in Activity	Operations
Year	Organization/Activity	Role in Activity

Awards/Honors

List up to 7 of your most significant leadership positions, honors or awards in priority order.

Year	Organization/Activity	Role in Activity	Operations
Year	Organization/Activity	Role in Activity

D. Work Experience

Describe your work experience in chronological order (e.g. food server, babysitting, lawncare, office work, etc.)

Year	Job-Related Skills	Average Hours Per Week	Operations
Year	Job-Related Skills	Average Hours Per Week

E. Essay Questions

Goals and Aspirations

Write a brief summary of your plans as they relate to your educational and career objectives and long-term goals.

Applicant's Narrative

Explain why you need financial assistance AND why you merit this scholarship. Be persuasive. Include any additional information you feel will be helpful to the Scholarship Committee.

Other Scholarships Received and Amounts of Each

List any scholarships you have already received and the amount of each.

Name of Scholarship	Awarded From	Amount	Operations
Name of Scholarship	Awarded From	Amount

College/Universities Applied To

List the colleges or universities you have applied to along with the campus location and your chosen field of study.

Institution and Campus Location	Chosen Field of Study	Have You Been Accepted	What will your class status be this fall?	Type of College or University	Operations
Institution and Campus Location	Chosen Field of Study	Have You Been Accepted Yes No	What will your class status be this fall? Freshman Sophmore Junior Senior	Type of College or University 4-Year College or University 2-Year College or University

Letters of Recommendation

Please attach three original signed letters of recommendation (i.e. teachers, employer, civic leaders, clery - not related to you

Maximum 3 files.
10 MB limit.
Allowed types: pdf, doc.

Acknowledgements:

I acknowledge that, if I am chosen as a scholarship recipient, I must provide proof of acceptance and enrollment from an accredited college of which I will be considered a full-time student for the first semester following my high school graduation.

I agree to permit the review of this application by members of the Fayette Electric Cooperative Scholarship Committee.

If you are chosen as a scholarship recipient, your parent/guardian will be required to fill out an affidavit certifying that you do live with them in a residence served by this cooperative. They will also be asked to sign a photo release form allowing your photo to be used in various publications, on social media posts announcing the winners and on Fayette Electric Cooperative's website.

Applicant Signature

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Date Submitted

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2024 Academic Scholarship Application