Rita Blanca Electric Cooperative Scholarship Application
Applications open January 1st. Completed applications are due by April 1st each calendar year.
Name
*
First Name
Last Name
Date of Birth
-
Month
-
Day
Year
Date
Mobile Phone Number
*
Home Phone Number
E-mail
*
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Mailing Address
*
Mailing Address
Apt/Unit #
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Parent or Guardian (Father)
Occupation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Parent or Guardian (Mother)
Occupation
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
College Information
*
College/University where you've been accepted
College Major
*
High School attending
*
Current Cumulative GPA
*
What scholastic honors or distinctions have you received?
*
0/600
Description of Financial Need
*
0/600
Upload Personal Essay (future plans & how the scholarship will benefit you)
*
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Number of Siblings in household
Number of Scholarships you've received
Scholarship(s) Details Ex. Name of scholarship(s) and amount(s)
Upload High School Transcript
*
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of
Upload ACT/SAT Score Documents
*
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of
Applicant Photo (jpeg)
*
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Copy of your most recent Cooperative Electric Bill
*
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of
Letter of Recommendation (1)
*
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Letter of Recommendation (2)
*
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Letter of Recommendation (3)
*
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Additional documents, such as a resume or dual credit transcript, may be submitted but are not required.
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Save
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