Eligibility Requirements:

• Student must be a female over the age of 25 as of Dec. 31 of the award year
• Student must be a U.S. Citizen
• Student must be a NH Electric Co-op member
• Student must be enrolled at least part-time during any term or semester at the time of application
• Student must be enrolled in an undergraduate or master's program at an educational institution as defined by the Internal Revenue Code (Bachelors, Associates or certificate program) at the time of application

• Applicant Information

• Name*
  First Last
• Address*
  Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code
• Birthdate*
  MM slash DD slash YYYY
• Phone*
• Email*

• NH Electric Co-op Member Information

• NHEC Account Number*
• Relationship to member if not self*

• Postsecondary Program Information

• Name and address of Postsecondary School*
  School name, Addresss, City, State, Zip
• I am enrolled*
  • Full-time
  • Part-time
• School Type*
  • Community
  • Vocational
  • 4-Year
• If other, please list*
• Year in Postsecondary Program in Upcoming Year*
  • 1
  • 2
  • 3
  • 4
• Anticipated date of graduation*
  MM slash DD slash YYYY
• Major/Field of Study*
• List your community activities, volunteer work and any other awards or recognition that you would like to share.*
  Please list as Activity, Dates, Description. PARTICIPATED IN WITHOUT PAY DURING THE PAST FOUR YEARS (I.E. Red Cross, church work, etc.).
• Community activities file upload
  Accepted file types: pdf, doc, docx, Max. file size: 1 GB.
  If you would prefer to upload a file, instead of filling in the box above, please do so here. (Sorry this feature is not available with "Save and Continue Later")

• Applicant Self-appraisal

• a) Write a short essay that describes a time in your life where you demonstrated leadership and overcame obstacles either through your school, social, or family life.*
  If you would prefer to upload a file, just type “file uploaded” in this box and then attached the file.
• a. Essay upload
  Accepted file types: pdf, doc, docx, Max. file size: 1 GB.
  If you would prefer to upload a document, instead of filling out the box, please upload it here. (Sorry this feature is not available with "Save and Continue Later")
• b) Tell us how you have made a meaningful contribution to your community.*
  If you would prefer to upload a file, just type “file uploaded” in this box and then attached the file.
• b. Essay upload
  Accepted file types: pdf, doc, docx, Max. file size: 1 GB.
  If you would prefer to upload a document, instead of filling out the box, please upload it here. (Sorry this feature is not available with "Save and Continue Later")
• c) Please address briefly how you plan to, or currently are, funding your education.*
  If you would prefer to upload a file, just type “file uploaded” in this box and then attached the file.
• c. Essay upload
  Accepted file types: pdf, doc, docx, Max. file size: 1 GB.
  If you would prefer to upload a document, instead of filling out the box, please upload it here. (please note, file uploads will not be saved with the save & continue later feature)

• Please submit this form no later than July 8, 2022

• Submission of Transcript(s)

• Applicant Acknowledgement
  • Yes, I acknowledge that my transcript(s) must be mailed separately. I understand that if a transcript is not submitted before the deadline, my application will be deemed incomplete.

• Please mail transcripts to: NHEC Kathy Anderson Scholarship 579 Tenney Mountain Highway Plymouth, NH 03264

• CAPTCHA
• Name
  First Last