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Continuing Education Application Form

Online Application Form

The deadline to complete the application is April 1, 2021.

Scholarship Requirements

Current seniors or high school graduates
You must be enrolled as a full-time student in an accredited university or college, including junior, community, vocational or technical college
Scholarship merit is based on G.P.A., achievements, extra-curricular activities, community, and school involvement
Anyone may apply, but preference will be given to those in the Lane-Scott Electric Cooperative, Inc. service territory and the City of Dighton
Recipients will be eligible for one award only

Scholarship Application

Name

Email

Home Street Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Mailing Address (if different than street address)

Address 2

City/Town

State/Province

ZIP/Postal Code

Telephone Number

Present Age

Parent(s) or Guardian(s) name(s)

Parents or Guardians Phone Number

List All Schools Attended (High School and College), Dates Attended, and G.P.A.

Present Year in College or Vocational School (if you are now attending):

1st year

2nd year

3rd year

4th year

5th year

More than 5th year

College or Vocational School you plan to attend next year:

City and State of the college or vocational school:

Reasons for selecting or returning to this school:

Academic Honors you received in High School

High School activities and interests

College / Vocational school activities and interests (if applicable)

Give a brief record of your employment

State your educational goals and plans for the future

If you have special financial needs, please specify

Today's Date

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