2025 ECF Scholarship Application

2025 Scholarship Application
Applicant's Name*

First NameMiddle NameLast Name
Last 4 Digits of SSN*
Which Alabama Electric Cooperative provides your electric service?*
What is your Cooperative Account Number?*
Used for member verification purposes.
What is the name of the Cooperative Account Holder?*
What is the relationship of the account holder to the applicant?*
(e.g. parent, grandparent, etc.)

2025 Scholarship Application
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Email Address*
Applicant's Phone Number*
Parent/Guardian Phone Number*
Name of High School*
High School City*
Date of High School Graduation*

MonthDayYear
Date
High School GPA*
Have you taken the ACT?*

YesNo
ACT Score
Have you taken the SAT?*

YesNo
SAT Score
Which College or Vocational School do you plan to attend?*
Planned College/Vocational School City*
Anticipated Course of Study (Major)*

2025 Scholarship Application
Please upload a copy of your high school transcript, signed by a School Administrator.*

Cancelof
Upload supporting documentation for your ACT or SAT score.*

Cancelof
Please provide a list of all extracurricular, church, community, civic, work, and/or volunteer activities that you desire to be taken into account in your application*

I have a list of activities to attachI will type a list of activities
Please attach a list of activities*

Cancelof
Please list below:*
Please provide 3 letters of recommendation*

Cancelof

Acknowledgements

The Foundation does not, and will not discriminate, on the basis of race, color, sex, religion, or national origin, or any other basis in either the application process or int he consideration and granting of the scholarships provided by the Foundation. The districts established by the Foundation are based on the territories of the electric cooperatives who created the Foundation. As a result, the scholarship for which you are applying is based upon the service territory of the electric cooperative of which your parent/guardian is a member.

By submitting the application and attachments and submissions related to the application, the applicant is certifying that the information submitted is true and correct and the applicatnt is agreeing to the scholarship conditions set forth below.

Scholarship Conditions
1. Scholarships shall be transmitted to the accredited school selected by the scholarship recipient.
2. Scholarship shall be granted only to graduating high school seniors.
3. The scholarships shall be announced and awarded in the spring prior to the recipient's graduation, but are contingent and subject to the scholarship recipient graduating from high school and passing any required graduation exam.
4. The one-time scholarship will be available for use by the student for the immediate 4 academic years following the student’s high school graduation.
5. The scholarship will be paid by the Foundation directly to the educational institution for credit to the student’s account at the institution with notification of receipt to be received from the educational institution.
6. In order to qualify for the partial scholarship, the student must attend a four year college, a junior college, a technical school or vocational school of the scholarship recipient’s choice provided that such school chosen is an accredited institution.
7. In order for the scholarship funds to be received to the benefit of the scholarship recipient, the student must enroll on a full-time basis at the institution selected, which full-time status must be certified to by the institution. Failure to qualify as a full-time student will result in a rescission of the scholarship with the funds being returned from the institution to the Foundation. There are no exceptions to this rule, and except as determined by the Foundation on a nondiscriminatory basis, there will be no deferral of enrollment.
8. In order to qualify for the scholarship, the applicant must be a dependent child of a member of a participating Alabama electric cooperative at the time the application is made and through graduation from high school.
9. The scholarships will not be awarded solely based on need, nor will need be a predominate basis upon which any determination is made.
10. If an applicant’s parents live in two different districts established by the Foundation, the applicant shall only be permitted to apply for a scholarship in one district.
Release of Information

By signing below, I authorize the release of any and all academic information from {nameOf} and do hereby authorize the guidance counselor and principal of such high school to discuss such information with the Foundation. I, the undersigned, by signing below authorize the release of any and all test scores and other information from the American College of Testing or the Stanford Achievement Test to the Foundation.

Certification

By signing below, I acknowledge that I have each read the entire application package and do hereby certify that I understand the contents of the application package. Also, by signing below, I certify that the information provided in the application and each of the attachments submitted with the application are true and correct. If any of the information provided in the application or any of the attachments is found not to be true and correct, the applicant will be immediately disqualified and, if any scholarship has been awarded, such scholarship shall be rescinded.
Signature of Applicant or Parent/Guardian (if student is under 18 years of age)

Powered by Jotform SignClear
If student is under 18 years of age, a parent/guardian must sign this application or the application will not be considered complete.
Please verify that you are human*
Should be Empty:

2025 Scholarship Application

2025 Scholarship Application

2025 Scholarship Application