SCHOLARSHIP APPLICATION
JASPER-NEWTON ELECTRIC EDUCATION FUND
DEADLINE
for RETURNING this APPLICATION is MARCH 2, 2007
Name ____________________________Soc. Sec. # _________________Telephone
____________
Address __________________________________City/State
______________________________
Father’s Name ____________________________ Mother’s Name
__________________________
Father’s Employer _________________________ Mother’s Employer
_______________________
Father’s Occupation ________________________ Mother’s Occupation
_____________________
Number of Dependent children in family (including Applicant)
______________________________
How many other family members are currently in college?
________________________________
Are you or your parent’s current members of Jasper-Newton Electric
Cooperative? ___________
If yes, give name(s), address & account number (s) under which
account is billed _____________
_______________________________________________________________________________
Who is the JNEC Director from your district?
__________________________________________
Which college or university do you plan to attend? 1st choice:
______________________________
2nd choice:
_____________________________ Have you applied for admission? ________
Estimate college expenses for one (1)
year:______________________________________________
Have you received any other scholarships? ________________ If so, how much? _____________
List academic honors received in High School:
__________________________________________
_______________________________________________________________________________
List school related clubs, activities, and achievements:
___________________________________
_______________________________________________________________________________
List community clubs, activities, achievements:
_________________________________________
_______________________________________________________________________________
What are your favorite hobbies or recreational activities?
________________________________
_______________________________________________________________________________
Do you have any supervised occupational activities? _______ Please,
give name of employer, type of
work and length of service:
____________________________________________________
Attach a page in your own handwriting & approximately 100 words in
length, your response to:
“My future life plans and how this
scholarship will aid me.”
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SCHOLARSHIP APPLICATION
JASPER-NEWTON ELECTRIC EDUCATION FUND
I agree to permit the
review of this Application and my school records by anyone representing the
Jasper-Newton Electric Education Fund.
________________________________________
Applicant’s Signature
________________________________________ _______________
Parent’s Signature Date
THIS
SECTION COMPLETED BY YOUR GUIDANCE COUNSELOR ONLY:
Ranked # ____________________ in a class of
___________________________
High School Average _______________________ Quartile _______________________
Counselor’s Signature
_________________________________________________________________
SCHOLARSHIP APPLICATION CHECKLIST
This Application is NOT complete without each of the following:
·
An
official transcript from Applicant’s school
·
A copy of
SAT/ACT scores (if available)
·
Two (2)
letters of recommendation
·
Sign
& complete all questions/requirements of Application
DEADLINE
for RETURNING this APPLICATION is MARCH 2, 2007
PLEASE RETURN COMPLETED APPLICATION
TO:
Jasper-Newton Electric Education Fund
Attn: Bonita Smith
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