1. Are your parents/guardians permanent residential members of North Central Electric Cooperative?
2. Have you received a "Full Ride" scholarship to the school of your choice?
3. Are members of your family, or persons residing in your household, employed by, or a trustee of, ANY electric cooperatives/related entities?

If you answered NO to the first question, and/or answered YES to the second or third questions - Thank you for your interest in our scholarship, but you do not qualify.

Gender
Are your parents/guardians members of North Central Electric Cooperative?
Select all that apply

NON-SCHOOL PERSONAL ACHIEVEMENT

Re-order Organization Description Active Dates Weight Operations
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SCHOOL ACTIVITIES PERSONAL ACHIEVEMENT

Re-order Activity Description Active Dates Weight Operations
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PERSONAL ACHIEVEMENT

SHORT ANSWER QUESTIONS

ATTACHMENTS

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One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.
One file only.
100 MB limit.
Allowed types: gif, jpg, png, svg.

STATEMENT OF APPLICANT, PARENT OR GUARDIAN

We have examined this application, and the records are correct, complete and accurate. In addition, we acknowledge and agree that the cooperative may disclose any or all of the information contained in this application and the supporting documents to the judges of the scholarship competition and any employees of the cooperative or of Ohio’s Electric Cooperatives. Winners’ names and photos will be published in Ohio Cooperative Living magazine, and may also be used on social media or in other co-op publications.

I consent and agree that North Central Electric Cooperative (NCEC), its employees, and agents have the right to take photographs, videotape, or digital recordings of me to use in any media. I agree that NCEC may use such photos and media of me with or without my name and for any lawful purpose, including for example such purposes as publicity, illustration, advertising, web content and the Ohio Cooperative Living magazine.

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