2026 Scholarship Application
Student Information
First Name
Last Name
Email
Phone
Record Type Name
Parent Information
Enter Electric Account #
First Name
Last Name
Phone
Mailing Address
Street
City
State Abbreviation
Please select...
AL
AK
AZ
AR
CA
CO
CT
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Zip Code
Additional Information
Have you attended Taylor Electric’s Youth Leadership Congress:
Yes
No
Name of high school
Applications must be received at Taylor Electric Cooperative by April 4, 2026