COLLEGE SCHOLARSHIP APPLICATION
APPLICANTS MUST LIVE WITHIN NORTHCENTRAL'S SERVICE TERRITORY.
Name
Address
City, State, Zip Code
Home Phone Number
Format: (000) 000-0000.
Cellphone Number
Format: (000) 000-0000.
E-mail Address
example@example.com
Name of High School
Career & Technical Education Student?
YES
NO
School Activities
Leadership Positions Held While In High School
List Awards, Scholarships, Publications, Special Honors, etc.
Extracurricular Activities
College You Plan to Attend
Expected Major/Goals
Expected College Enrollment Date
ACT Score
SAT Score
Grade Point Average
Signature
Date
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
All applications must be submitted by 5 p.m. on Friday, February 26th, 2027.
Contact Dee Russum at drussum@northcentralelectric.com or 662-895-2151 for additional information.
Submit
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