NHEC Foundation Scholarship Application

Today's Date*

*Applicant must be at least a senior in high school at the time the application is submitted. College students and non-traditional students are eligible and welcome to apply. *Applicant must be enrolled, or planning to enroll full-time in an accredited undergraduate educational or training institution. Funds will also be awarded to students attending out-of-state institutions. *Applicant must be a member of the NH Electric Co-op, or be residing with a parent or legal guardian that is a member of the NH Electric Co-op. *Scholarship funds will be paid to an accredited educational/training institution beyond the high school level upon notification by the scholarship recipient. No money will be paid directly to the recipient. For first-year or transfer students; scholarship funds will be paid to the educational institution after one semester of school has been complete and proper documentation has been provided to the NHEC Foundation Scholarship. *All entries will be judged on the following: work experience; activities, leadership and community contributions; educational and career objectives and overall scholastic achievement. Based on those scores, select applicants will be invited for a personal interview conducted by the awards committee. *Previous winners may reapply and are eligible for additional scholarships. *Applications may be obtained by calling the NH Electric Co-op headquarters office at 1-800-698-2007 or by visiting our website at https://www.nhec.com/nhec-foundation/scholarships/ *Deadline to apply is Friday, June 17, 2023. All mailed applications must be post-marked by this date.

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 Name*

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

My enrollment is or will be*

Less than part-time
Part-time
Full-time

Year in Postsecondary Program During the Up-Coming Year (please check one)*

Anticipated Date of Graduation from Postsecondary Program:*

Major Field of Study Applicant Plans to Pursue*

2023 NHEC Foundation Scholarship Application

Applicant Information

New Hampshire Electric Co-op Member Information

High School Information

Post Secondary Information

Work Experience/Activities/Volunteerism

Essay Question

Submission of Transcripts:

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

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