NHEC Foundation Scholarship Application

Today's Date *

Dear Applicant: Please complete this application so we can determine your eligibility for receiving funds set aside to help students who are seeking a full-time post-secondary degree in a vocational, technical, college or university. Applicants must be enrolled, or planning to enroll, in an accredited undergraduate educational or training institution. If any questions are not applicable to your current situation, please include an explanatory note referring to the question by section. You are responsible for ensuring that all documents are submitted accurately and by the deadline. Applications not meeting the application requirements and deadline conditions (including those that are incomplete at the deadline) will not be processed.

Certification and Permission to use "Recipient Information" to Announce Scholarship Winners:

In submitting this application I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship granted. I agree that if I am offered and accept an award from The NH Electric Co-op Foundation that my name, the name of my community, the name and address of my school, the amount of the award, and the names of the postsecondary institution I will attend may be used in press releases, public announcements, and other fundraising or promotional materials in all media, including the internet.

Applicant Signature *

Parent Signature ( if student is less than 18 years old)

Applicant Information

Name *

First Last

Address *

Street Address Address Line 2 City State ZIP Code

Phone *

Email *

Name of Parent/Guardian *

First Last

Does the parent/guardian reside at the same address? *

Yes
No

Address of Parent/Guardian *

Street Address Address Line 2 City State ZIP Code

New Hampshire Electric Co-op Member Information

Member Name & Relationship to NHEC Account Member (if not self) *

NHEC Electric Account Number *

High School Information

High School City/State: *

Telephone Number *

Graduation Date: *

Post Secondary Information

Name of Postsecondary School for which Applicant’s Scholarship is Requested” *

Address of the Postsecondary School for which Applicant’s Scholarship is Requested” *

Street Address Address Line 2 City State ZIP Code

I am enrolled, or plan to enroll in a *

Community/Vocational Institution
4-year College/University
Other Other
Other Other

My enrollment is or will be *

Less than part-time
Part-time
Full-time

Anticipated Date of Graduation from Postsecondary Program: *

Major Field of Study Applicant Plans to Pursue *

NHEC Foundation Scholarship Application

2018 NHEC Foundation Scholarship Application

Applicant Information

New Hampshire Electric Co-op Member Information

High School Information

Post Secondary Information

Work Experience/Activities/Volunteerism

Essay Questions

Submission of Transcripts:

Please Mail Transcripts to: NHEC Foundation Scholarship 579 Tenney Mountain Highway Plymouth, NH 03264