Scholarship Application 2025-2026

Dearborn County Recycling Center Scholarship Application

Please read and complete the entire application. Leave no spaces blank - write "Not Applicable" or "NA" where appropriate. All items must be completed. If you need additional space for answers, please include a separate document with your application.

Application Deadline: March 6, 2026.

The winners will be chosen by April 30, 2026.
Student Information
Name*
Address*
City*
State*
Zip Code*
Date of Birth*

MonthDayYear
Date
Phone Number*
Please enter a valid phone number.
The phone number provided is*

my cell phonehome phonemy parent's cell phone
Email*
example@example.com
List any immediate family members by full name and relationship who are affiliated with the Dearborn County Solid Waste Management District in the capacity of employee, Executive Board member, or Advisory Committee member. (Family members that must be disclosed include parents, step-parents, grandparents, and siblings. Failure to disclose a family relationship will result in scholarship forfeiture. If you do not have any affiliations, please put N/A in the blank.
Name*
Relationship to the applicant*
Affiliation to the Dearborn County Recycling Center

EmployeeExecutive Board MemberCitizens' Advisory Committee Member
School Information
Only students who attend a high school in Dearborn County are eligible for the scholarship. The student must be a senior to apply.
High School*
Graduation date*

MonthDayYear
Date
Name of college or university planning to attend*
Declared Major*
Intended Degree*
Cumulative GPA*
Number of college credits earned during high school*

Short Answer Questions
Please answer the following questions in complete sentences. If you need additional space, you may send a Word document with your application.
1. How would you encourage more people in your community to recycle?*
2. How have you promoted recycling efforts in your area/school?*
3. How does your career path focus on improving the environment?*
4. Please list all of the courses that you have taken during high school that have helped you to prepare for pursuing a degree in environmental science or a related field, and a brief explanation of how those courses inspired you to pick your major.*

Student Activities and Volunteer Hours
Please list your involvement in extracurricular and school activities that you have participated in. We have the right to contact these people regarding your overall achievement, perseverance, cooperation, character, and work habits.

If the contact person is not affiliated with your school, please attach a document with their contact information. You do not have to include Dearborn County Recycling Center employee contact information.

Student Activity Involvement*

	Activity/Club	Your Involvement	Contact Person	Phone or Email of Contact Person
1
2
3
4
5

Type a question

	Number of Hours Volunteered	Date of Service	Organization	Contact Person	Contact Person's Phone or Email
1
2
3
4
5

Document Upload
Please upload any additional information, such as expanded answers or a recommendation letter from a teacher or community leader.

Accepted formats: pdf, doc, docx, jpg, jpeg, png

A maximum of 4 files can be uploaded.
File Upload

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Dearborn County Recycling Center Scholarship Application

Student Information

School Information

Short Answer Questions

Student Activities and Volunteer Hours

Document Upload