Scholarship Application | Western Cooperative Electric

Student Name:

Address:

City/Town:

State/Province:

ZIP/Postal Code:

Parent(s) or Guardian Name:

WCE Account #:

Birthdate:

Home Phone Number:

Cell Phone Number:

Personal Email Address:

School Email Address:

HIGH SCHOOL INFORMATION: High School Attended:

Grade Point Average (4.0 scale):

Please list all high school sponsored activities you participated in during your high school career. Include organizations and offices held, club memberships, honors, drama, athletics, activities, etc.:

ACADEMIC INFORMATION: Name and location of school you plan to attend:

Degree you will be pursuing:

What are your academic and career goals?:

COMMUNITY SERVICE, VOLUNTEERING & WORK EXPERIENCE Please list any non-high school affiliated activities, volunteering, and work experience that demonstrate how you serve others or give back to the community. (i.e., employer, family, neighborhood, faith organizations, etc.; other advocacy or awareness efforts):

ESSAY Please write a 500-word essay on how growing up in your community helped shape who you are today and the person you aspire to be in the future. Think about certain challenges you faced and how you overcame them or an opportunity you were afforded that you may not have been given if you had grown up under different circumstances. Finish the essay with your post-graduation plans and why you would like to pursue that path.:

Sign that the above information is true

Sign above