Lineworker Scholarship Application

Applicant Information

Application deadline is May 1, 2021 For questions related to the Line Worker Scholarship program, please contact Sara Thielbar, thielbars@nhec.com, or 603.536.8884

Applicant Name

First Last

Applicant Address

Street Address Address Line 2 City State ZIP Code

Phone

Email

Date of Birth

NHEC Member Information

Name

First Last

What is your relationship to this member? (if not self) *

NHEC Account Number

Residence

Permanent
Seasonal

Educational Information

High School Name

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

Graduation Date

GED Date

Line School/Apprentice Program Information

Name of Line School/Apprentice Program you are requesting funds for: *

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Have you already been accepted into the program? *

Yes
No

Accepted Date

Anticipated Start Date

Anticipated Graduation Date

Application Questions:

Why do you want to be a line worker? *

Tell us about your involvement with sports, activities or clubs. *

Outside of school, what is your favorite hobby or activity, and why? *

If applicable, please list any work history within the past 5 years. *

Upload your resume (optional)

Please list any community activities you have been involved with: *

Tell us how you plan to pay for line school. Please include any loans or grants you have obtained or anticipate receiving. *

Please add any additional information you feel the scholarship committee should know. *

Please upload (2) Letters of Recommendation *

Drop files here or

Official High School/GED/College Transcripts *

Drop files here or

Applicant's Statement

Please check the following boxes and acknowledge the following statements: *

Applicants are not obligated to apply to or work for New Hampshire Electric Co-op upon completion of the lineworker program.
New Hampshire Electric Co-op is not obligated to offer scholarship recipients a job upon completion of the lineworker program.
No further money will be awarded in the event that an applicant fails to complete the program.
In the event that a recipient fails or withdraws from the program, the recipient will be asked to repay the scholarship funds previously received.
In the event the recipient withdraws from Line School or the Apprentice Program, the money will be returned to New Hampshire Electric Co-op within three months of resignation.
I authorize New Hampshire Electric Co-op to release information announcing my name and town upon receiving a scholarship for publicity purposes.

The applicant agrees to the following terms:

Applicant's Signature

I agree with the above applicant statement.

Applicant Name *

First Last

Parent/Guardian Name (if under age 18)

First Last

CAPTCHA

Lineworker Scholarship Application