GEICC Scholarship Application

GEICC Scholarship Application
Scholarship criteria

1. A minimum of five (5) - $1000 scholarships are available to be awarded.
2. Applicants must be a graduating high school senior in the state of Georgia and pursuing higher education in a STEM field.
3. A GPA of 2.5 or better is required to apply.
4. Scholarships will be awarded without regard to race, sex, creed, national origin or disability.
5. Students must submit an application in its entirety no later than 11:59 p.m., Sunday, March 9, 2025
6. If selected, the recipient grants GEICC the right to use their name and photo(s) for various publicity campaigns.*

*Your photo will ONLY be used for recognition purposes if you are selected as a scholarship recipient. It will not be available to the selection committee during the evaluation process.
Name*

First NameLast Name
Email Address*
Physical Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Mailing Address (only if different from physical address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Phone Number*
Please enter a valid phone number.
High School Name*
High School Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
GPA*
#1 College/Technical School you have applied to:*
Have you received an acceptance?*

YesNo
#2 College/Technical School you have applied to:
Have you received an acceptance?

YesNo
#3 College/Technical School you have applied to:
Have you received an acceptance?

YesNo
What is your potential area of study?*
Select all CTAE Pathways in which you are currently enrolled or have completed:*

Architecture and Construction ClusterEnergy ClusterInformation Technology ClusterScience, Technology, Engineering, and Mathematics Cluster (STEM)Transportation, Distribution, and Logistics Cluster
Select the following programs in which you participate:*

Skills USARobotics (FIRST, VEX, FTC, etc.)TSA (Technology Student Association)Dual EnrollmentOther
If "other" please provide the program name:
Describe your level of participation in these programs, along with any leadership positions you have held. *
List the community service projects you have been involved in and provide details about your role and the length of time involved. *
List the extra curricular activities in which you are involved. Detail your role in these organizations, the length of time you have been involved, and any leadership positions you have held. *
Work Experience: Company #1*
Position at Company #1*
Dates of Employment at Company #1*
Responsibilities at Company #1*
Work Experience: Company #2
Position at Company #2
Dates of Employment at Company #2
Responsibilities at Company #2
Work Experience: Company #3
Position at Company #3
Dates of Employment at Company #3
Responsibilities at Company #3
In your opinion, what impact does energy have on the state of Georgia?*
List all the electricity suppliers and gas marketers in your county.*
Name and title of your Counselor, CTAE Leader, or Teacher*
Their email address*
example@example.com
Their phone number*
Please enter a valid phone number.
Upload a copy of your latest transcript in a PDF format.*

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Upload a recent photo of yourself. *

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Please verify that you are human*
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