Adult/Undergraduate Scholarship Application
Applicant Information
Scholarship Type:
Undergraduate College Scholarship
Adult College Scholarship
First Name
Last Name
Per
manent Address
Street
City
State
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
Email Address
Phone Number
Employer
Name of parent or guardian with Adams Electric account
Adams Account Number
Primary residence of PA?
Please select...
Yes
No
Education
High School Graduation Year/Year GED Earned
Degrees/Certifications earned since high school
What post-secondary school are you currently attending?
What degree/certification are you working toward (must be undergraduate study)?
What degree/certification are you working toward?
I attend classes...(check all that apply)
In-person
Online
Full-time
Part-time
If the program is accredited, by what governing body?
When did you begin the program (month/year)?
When will you complete the program (month/year)?
I have completed ___ credits (Must have completed one semester).
My program requires ___credits for completion.
Estimated cost of entire program (tuition, books, etc.).
Essays
How will this degree or program benefit you and your community in the future?
How are you meeting your financial responsibilities for continued education? May include school-to-work programs or other scholarship support.
What do you do with your time outside of school (community involvement, family, work, etc.)?
Why should you be considered for an Adams Electric scholarship? Please share any examples or supporting information you would like the scholarship committee to consider when reviewing your application, such as other financial obligations, family members attending college, commitments, awards, experiences, etc. (100 - 250 words required)
I confirm that I am 13 years old or older.
Yes
File Attachments
Transcript
Transcript/Acceptance Letter
Head and shoulder photo