Alfalfa Electric Cooperative Scholarship Application
Application Deadline: April 18, 2025
Senior Scholarship
Alfalfa Electric is excited to offer scholarships to help our cooperative members’ kids with furthering their education. Applications will be accepted until April 15, 2025. Please fill out the information to the best of you ability.
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Student Information
Name:
First Name
Last Name
Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Email:
example@example.com
Phone Number
Please enter a valid phone number.
Parent/Legal Guardian Information
Name:
First Name
Last Name
Phone Number:
Please enter a valid phone number.
Alfalfa Electric Account #
Parent/Guardian address is the same as the students listed above.
*
Yes - same address.
No - I need to provide an alternate address.
Parent/Guardian Address:
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
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Student Survey
High School:
Overall High School GPA:
ACT/SAT Score:
List school and community activities in which you have participated during your junior and senior years:
0/200
List the top five honors, awards or special recognitions you have received. Which award are you most proud of and why?
0/200
Name of college or trade school you plan on attending:
What career do you plan to pursue and why?
0/200
Please explain any factors or circumstances that affect your financial need:
0/200
How do you plan to use any scholarship money received:
0/200
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Please submit two letters of recommendation below.
One letter should be from a school source and one from a charter reference.
*
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Please submit an official copy of your high school transcript below.
*
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All of the information on this form is true and complete to the best of my knowledge. I consent to the release of said information, if awarded the Alfalfa Electric Cooperative, Inc. Scholarship.
Signature of Applicant
Date
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Month
-
Day
Year
Date
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