Scholarship Application
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Student Information
First Name
Last Name
Preferred Name
Street Address
City
State
Arkansas
Oklahoma
ZIP
Student Email Address (accessible after graduation)
Student Cell Phone Number
Do you have any family members who work for Ozarks Electric Cooperative or OzarksGo?
Yes
No
Please list the name of and relationship to any family members employed by Ozarks Electric or OzarksGo
Parent/Guardian Information
Parent/Guardian Name
Parent/Guardian Cell Phone Number
Parent/Guardian Email Address
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Academic Information
School
Please select...
Cave Springs High School
Don Tyson School of Innovation
Elkins High School
Farmington High School
Fayetteville Christian
Fayetteville High School
Greenland High School
Haas Hall Academy
Har-Ber High School
Huntsville High School
The New School
Lincoln High School
Ozark Catholic Academy
Prairie Grove High School
Premier High School
Prism Education Center
St. Paul High School
Shiloh Christian
Springdale High School
Stilwell High School
Watts High School
West Fork High School
Westville High School
Other
School Name
GPA
ACT or SAT Composite Score
High School Counselor Name
High School Counselor Email
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Goals and Community Involvement
Commitment to Community is one of the seven cooperative principles. How are you involved with your school, community and family? Include activities you participate in, honors or awards you’ve received, work experience, etc.
Which school do you plan to attend, and what degree or program do you intend to pursue?
Have you received or do you expect to receive any other scholarships or financial assistance for your education? If so, please list.
Please provide a statement explaining why you are applying for this scholarship, as well as your education and career goals.
Documents
Recommendation Letter
One letter of recommendation from a teacher, counselor or other community contact is required to complete your application. Recommendation letters from family members will not be accepted.
Transcript
A copy of your most recent transcript at the time of submission is required to complete your application.
How did you hear about this scholarship opportunity?
I certify that all information provided in this application is true and that all written responses are my own work.
Agree
Type your name as you would sign it
Record Type Name
Program ID