Scholarship | South River Electric Membership Corporation

Name (first and last):

Recent photograph

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Address

City

ZIP Code

Phone Number (xxx) xxx-xxxx:

Email Address:

Date of birth (xx/xx/xxxx):

Letter stating reason for applying:

Think: Why are you applying for this scholarship?

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A letter of recommendation from your school principal, guidance counselor or a teacher.

Non-traditional students (i.e. homeschooled, early college or December graduate) must provide a letter from their work supervisor or community college advisor.

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I have applied to and/or have been accepted by the following college(s):

College or university I will attend:

My major will be:

Career choice:

Name(s) and amount(s) of other college scholarships I have received:

A complete transcript of your high school courses and grades;

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Results of Scholastic Aptitude Test (SAT) or American College Test (ACT)

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Name of father or legal guardian:

Father's place of employment:

Father's occupation:

Name of Mother or legal guardian:

Mother's place of employment:

Mother's occupation:

The following persons are supported by my parent(s) or guardian(s):

List any additional information or comments here:

Class offices and years held

Community, Civic, Church Activities

Hobbies, interests

Extra-Curricular Activities (club, sports, etc.)

A video (under three minutes) introducing yourself.

If shooting video with phone, set resolution to HD.

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A video (under three minutes) explaining your college choice and the career field you choose to pursue.

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