Academic Scholarship Application Form

Name(Required)

First Last

Address

Street Address Address Line 2 City State ZIP Code

Email(Required)

Phone Number(Required)

KEC Account Number(Required)

Note: Parental information is not required of adult, non-dependent applicants. If adult applicant is married, spouse’s information must be included.

Parents’ or Spouse’s Name(s)

Father or Adult Applicant's Place of Employment

Mother or Adult Applicant's Place of Employment

Did you receive a high school diploma or equivalent?(Required)

Yes

High School or College Grade Point Average (4.0 point scale)(Required)

SAT Score

ACT Score

If none, please explain.

Are you currently attending school?(Required)

(Current enrollment is not required to apply.)

Yes

If yes, where are you attending school?

If no, where and when did you last attend school?

What post-secondary institution do you plan to attend?(Required)

What do you plan to major in?(Required)

What are the tuition and fees per year (not including room and board)?(Required)

What date do you plan to attend that post-secondary institution? (MM/DD/YYYY)(Required)

How much other financial aid have you received to date?

Loans(Required)

Scholarships or Grants(Required)

Total Gross Income for Household(Required)

Number of Family Members Residing in Household(Required)

Other Factors Which Influence Financial Need

What is your understanding of KEC's Operation Round Up® program?(Required)

(Describe in your own words)

Please attach the following:

High School Transcript or Current College Transcript(Required)

(Last 2 years. Attach explanation if not available.)

Max. file size: 100 MB.

Personal Essay: Provide one-page essay (up to 400 words, double-spaced with 12-point font). In the essay, tell us about yourself (such as: interests, background, hobbies, interesting experiences) and who/what has influenced your selection of a college major.

Essay(Required)

Max. file size: 100 MB.

Photo/Video: Upload a photo and video to Dropbox. See requirements:

Video and Photo Requirements for Application

Video & Photo Requirements for Application

Photo

Upload a high-resolution copy of your senior picture to our Dropbox

Video

Create a video (1 to 2 minutes) and include:

Your first and last name.
The high school you are going to graduate from (if applicable).
The school you plan to attend.
Your major (if you know it).
What is something about you that people would be surprised to learn?

Please follow these tips while filming your video:

Record with your phone horizontally (landscape).
Limit background noise.
Stand facing a window to ensure your face has good lighting.
Dress in business casual attire.

Upload the video to our Dropbox when complete

Scholarship videos will be used during the application review process. Winners' photos and videos will be featured on Kootenai Electric Cooperative’s social media, web site, and newsletter.

2 Letters of Recommendation:

Letter of Recommendation #1(Required)

Max. file size: 100 MB.

Letter of Recommendation #2(Required)

Max. file size: 100 MB.

Provide a list of extracurricular activities, memberships in organizations, honors and other recognitions:

Applicant Signature (Full Name)(Required)

Name

This field is for validation purposes and should be left unchanged.