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Continuing Education Scholarship Application

Continuing Education Scholarships $1,000

EEA has fifteen (15) continuing education scholarships available to individuals who have previously received a student scholarship from EEA as a graduating senior. Individuals can apply for a continuing education scholarship for three additional years. Please note that this student must NOT have a lapse in education and is continuing with their post high school education as a full-time student.

The scholarship committee will not consider this application if information is missing or incomplete. Application is due June 15th.

Recipients must use the scholarship beginning in the next school year following Board approval unless a delay is approved by the Board. If a recipient desires a delay, the recipient should submit a written request to the Board that explains the reason for the delay and the expected school year the scholarship will be used. If the board denies a delay request, the scholarship may be awarded to another applicant.

Applicant's First Name

Applicant's Middle Name

Applicant's Last Name

Physical Address

Mailing Address

City/Town

State

ZIP/Postal Code

Your Email Address

Telephone Number

Your Cell Phone Number

Empire Electric Account Number

Name on Empire Electric Account

Relationship to Empire Electric Account Member

Year You Recieved an Empire Electric Scholarship

Year You Graduated High School

Name of Accredited Institution You Will be Attending.

Address

City/Town

State/Province

ZIP/Postal Code

Student ID

Field of Study

List the names and ages of other children in your family and indicate if they will be attending a college or university in the coming year.

Other Children in Your Family
	Other Children in Your Family First Last College or University Age	Item weight

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Other Financial Aid

List any scholarships, grants, work-study program or financial aid you have applied for or are currently receiving.

Upload Most Recent Academic Transcript - Can not be a screen shot -

One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, pdf, docx, pptx, mp4, mov, wmv.

Upload Letter of Reference from College Professor or Academic Advisor

One file only.
20 MB limit.
Allowed types: gif, jpg, png, bmp, pdf, docx, pptx, mp4, mov, wmv.

List Your School and Community Honors and Activities

Essay

Write an essay outlining your career goals, family situation, financial need and why you are applying for this scholarship.

Submission Date

Applicant's Signature

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