NHEC Foundation Scholarship Application 2021 NHEC Foundation Scholarship Application Today's Date - must be mm/dd/yyyy format * Required MM slash DD slash YYYY 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 Monday, June 21, 2021. 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 * Required Parent Signature ( if student is less than 18 years old) Applicant InformationName * Required First Last Address * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Phone * RequiredEmail * Required Name of Parent/Guardian * Required First Last Does the parent/guardian reside at the same address? * Required Yes No Address of Parent/Guardian * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code New Hampshire Electric Co-op Member InformationMember Name & Relationship to NHEC Account Member (if not self) * Required NHEC Electric Account Number * Required High School InformationHigh School Name * Required Telephone Number * RequiredGraduation Date: - must be mm/dd/yyyy format * Required MM slash DD slash YYYY Post Secondary InformationName of Postsecondary School for which Applicant’s Scholarship is Requested” * Required Address of the Postsecondary School for which Applicant’s Scholarship is Requested” * Required Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code I am enrolled, or plan to enroll in a * Required Community/Vocational Institution 4-year College/University My enrollment is or will be * Required Less than part-time Part-time Full-time Year in Postsecondary Program During the Up-Coming Year (please check one) * Required 1st year 2nd year 3rd year 4th year 5th year Anticipated Date of Graduation from Postsecondary Program: - must be mm/dd/yyyy format * Required MM slash DD slash YYYY Major Field of Study Applicant Plans to Pursue * Required Work Experience/Activities/VolunteerismPlease upload a document that lists the following: * RequiredAccepted file types: pdf, doc, rtf, txt, docx, Max. file size: 1 GB.1. Participation in school activities. Include activity name, number of years of membership and any positions held. 2. Participation in community activities. Include activity name, number of years of membership and any positions held. 3. Work experience. Include positions held and for what time period. 4. Volunteer experience. Include any volunteer activities you have participated in, number of years and any responsibilities for the activity. Essay QuestionIf money were no object, what would you create/build for the betterment of your community? * RequiredTell the committee one fun fact about New Hampshire Electric Co-op. * RequiredYou may upload your response as well.Accepted file types: pdf, doc, rtf, txt, docx, Max. file size: 1 GB.please note, file uploads will not be saved with the save & continue later featureSubmission of Transcripts: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 Foundation Scholarship 579 Tenney Mountain Highway Plymouth, NH 03264 CAPTCHACommentsThis field is for validation purposes and should be left unchanged.