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Home Schooled Student Scholarship Application

Home Schooled Student Scholarship for Graduating Home School Seniors- $1,000

Two (2) scholarships in the amount of $1,000 each will be available to Home School students who pursue educational programs that typically require two or more years to complete.
Recipients must be a dependent of a member of EEA and must use the scholarship beginning in the next school year following graduation unless a delay is approved by the Board. If the scholarship is not used, it may be awarded to another applicant.

The scholarship committee will not consider this application if information is missing or incomplete, or if it is turned in late. Applications are due February 15. All submissions are time stamped to verify submission date.

Applicant's First Name

Applicant's Middle Name

Applicant's Last Name

Physical Address

Mailing Address

City/Town

State

ZIP/Postal Code

Name of Parent(s) or Guardian(s)

Telephone Number

Your Email Address

Empire Electric Account Number

Relationship to Empire Electric Account Member

Year of Graduation

Planned Field of Study

Name of Accredited Institution You Will be Attending.

Address of Institution

City/Town

State/Province

ZIP/Postal Code

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

more items

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

List any scholarships, grants, work-study programs or other financial aid you have applied for.

Upload Most Recent Academic Transcript

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

Upload ACT and/or SAT Scores if available.

Unlimited number of files can be uploaded to this field.
20 MB limit.
Allowed types: gif, jpg, png, bmp, pdf, docx, pptx, mp4, mov, wmv.

Upload Two Reference Letters from Teacher, Counselor, or Employer

Unlimited number of files can be uploaded to this field.
20 MB limit.
Allowed types: gif, jpg, png, bmp, pdf, docx, pptx, mp4, mov, wmv.

List Your High School and Community Honors and Activities

Write an Essay

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

Today's Date

Applicant's Signature

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