2025 Academic Scholarship Application

Applicant Information

Name*

First Last

Address*

Street Address Address Line 2 City State ZIP Code

Mobile Phone*

Email Address*

Parent/Guardian Information

Parent/Guardian Name*

First Last

Parent/Guardian JCREMC 10-digit Account #*

Parent/Guardian Mobile Phone*

Parent/Guardian Email Address*

Education Information

Name of High School*

College/University or Trade School You Plan to Attend*

Intended Field of Study*

Personal Achievements – School Activities

List the activities in which you participated during your school attendance (such as class officer, plays, athletics, music, clubs, etc.) and the years of involvement.*

Organization	Years	Offices Held if Any

Personal Achievements – Non-School Activities (including employement)

List the name of the group, organization or activity in which you participated, and the years of involvement.*

Activity	Years	Offices/Positions Held

Upload Essay

Scholarship Essay*

In your opinion, what is the biggest challenge electric cooperatives face and how do you suggest this challenge be addressed? **Essays must cite any sources used. Please be sure your name is on your essay before uploading.

Max. file size: 256 MB.

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Deadline

All application materials must be uploaded, delivered to the JCREMC office, or postmarked by Saturday, February 1, 2025.

Note: The “Statement of Applicant” form and official transcript are required to complete your application materials. They must be submitted separately via U.S. mail by the application deadline. Download the Statement of Applicant form here.

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Email

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SCHOLARSHIP FORM