Scholarship Application - General Info - Electrical League of Arkansas

Education
School Name (School Applicant Will Attend)
Department and Major
Department Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Class you will be in next fall (Junior/Senior)
Expected graduation date (month/year)
Degree expected
What was your grade point average last semester (A=4.0)?
What is your cumulative grade point average (A=4.0)?
College/University Attended
Dates Attended
Degree Earned (if any)
College/University Attended
Dates Attended
Degree Earned (if any)
College/University Attended
Dates Attended
Degree Earned (if any)
College/University Attended
Dates Attended
Degree Earned (if any)
Current and Past School Activities and Honors
Activities and Honors:
Community Activities and Honors
Activities and Honors:
Optional: Hometown Newspaper

(This information will be used to send an announcement of the award to your local newspaper)
Hometown Newspaper Name
Hometown Newspaper Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Student Statement
Please describe why you are applying for the scholarship, your qualifications, and your educational and career goals. Please limit your statement to 500 words max.

Scholarship Application Statement
The information provided in my application is, to the best of my knowledge, complete and accurate, and I understand that false statements on this application will disqualify me from the scholarship.

I, certify with my signature below to give permission for any college or school to release to the Electrical League of Arkansas Scholarship Program any information necessary to process my application to the Program.
Name

First NameLast Name
Email
example@example.com
Signature

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Applicant Information