Kiamichi Electric Foundation Scholarship Application Form (Operation Round Up)

Kiamichi Electric Foundation Scholarship Application Form (Operation Round Up)

All questions must be completed before application will be considered.
Scholarship Criteria

1. Scholarship recipients must be members of the Kiamichi Electric Cooperative or live in the household of a KEC member.

2. All students receiving scholarship funds must be enrolled in a state-accredited community college, university, or CareerTech in Oklahoma or a school from a neighboring state that charges in-state tuition to Oklahoma students.

3. Scholarship recipients must be full-time students of such a college or university, enrolled in 12 hours or more per semester.

4. Students receiving ORU scholarship funds must maintain a cumulative grade point average of 2.8 in their major area of concentration.

Scholarship funding will be used only for college or university tuition costs, books, and other classroom-related items as approved by the foundation.

5. KEC Foundation board members may choose to interview finalists before the awarding of scholarships each year. The finalists will be judged on these criteria:
- Financial Need
- Grade Point Average
- Leadership Skills: and
- Participation in extra-curricular activities
6. If a student selected to receive a scholarship cannot complete their education, the funds will be returned to the foundation.

7. Finalists agree to provide a picture to be published in a cooperative publication and local newspaper.

The deadline for applying is April 1st

Funds will not be sent to the school until after the institution's drop date.

Suppose a student changes schools after scholarship submissions. In that case, it will be the student's responsibility to inform the cooperative and provide the correct name and mailing address of the higher education institution the student is now attending.
Name*

First NameLast Name
Email*
example@example.com
KEC Account Number*
Phone Number*
Date of Birth*

MonthDayYear
Date
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Place of Employment
Immediate Supervisor

First NameLast Name
Employer Phone Number

Education Information
Name of High School*
Date Expected to Graduate*

MonthDayYear
Date
Latest GPA Score*
Are you a member of any organization in your school?*
Are you a member of any organization outside your school? *
Please list any leadership positions you have undertaken during high school.*

Name of educational institution you will be attending.*
Student ID Number*
This number is assigned when you enroll
Address of educational institution you will be attending (please confirm bursar office address-checks cannot be mailed to your home address)*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Parental/Guardian Information
Name of Mother or Guardian

First NameLast Name
Address of Mother

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Name of Father or Guardian

First NameLast Name
Address of Father (if not the same as above)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Other Members in Household

Please list all other forms of scholarship assistance, loans or other financial aid you will receive for the upcoming school year:*
Please list three references (other than a director or employee of Kiamichi Electric Cooperative, Inc. or a KEC Foundation, Inc. board member).*

Information contained in this application is for the purpose of obtaining scholarship funding from the KEC Foundation Inc., on behalf of the undersigned. Each undersigned understands that the information provided herein is used in deciding scolarship funding, and each undersigned represents and warrants that the information provided is true and complete and the KEC Foundation, Inc., may consider this application as continuing to be true and correct until a written notice of a change is provided. The KEC Foundation, Inc. is authorized to make all inquiries deemed necessary to verify accuracy of the statements made herein. All information in this application will remain confidential and will be used only for the purpose of determining ORU scholarship eigibility.
Applicant's Signature*

Powered by Jotform SignClear
Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
On a separate sheet of paper, type an essay of at least 250 words but no more than 500. In this essay, address your goals related to your ongoing education and why you should be considered for this scholarship.

The essay must be neatly typed.

The essay must be submitted, or the application will not be considered.

Please upload the essay as a PDF, and the file name should be FIRST NAME LAST NAME.

Please submit an essay along with your application using the link provided below.
File Upload*

Cancelof
Should be Empty:

Kiamichi Electric Foundation Scholarship Application Form (Operation Round Up)

Education Information

Parental/Guardian Information