The Canoochee EMC Foundation, Inc.

Round Up Scholarships

  1. To be eligible to receive a Canoochee EMC Round Up Scholarship, the following must apply: You are a high school senior, and your home (i.e., your permanent residence) is served by Canoochee EMC. (Where you attend high school does not matter if you are our customer.)
  2. In addition, you must graduate from high school at the end of the current school year,
  3. You must begin college or vocational-technical school within one year after graduation.
  4. A minimum of five scholarships will be awarded.
  5. Each CEMC Foundation, Inc. Scholarship will be worth $1,000 and the Mary Shuptrine Tootle Scholarship will be $1500 and either scholarship will be non-renewable.
  6. The scholarship must be used at an accredited college, university or vocational-technical school.
  7. A scholarship committee will judge the scholarship applications. Financial need and academic ability will be considered. School, community and work activities; and an essay also will contribute to the applicant’s overall score.
  8. Scholarship recipients will be chosen from among all eligible applicants, based on all aspects of the selection process.
  9. If for some reason the recipient fails to enroll and attend their school of choice, the scholarship funds will be reimbursed to the Foundation.

Note: These criteria apply to scholarships to be awarded in 2015. They are subject to change in future years.

DEADLINE TO APPLY: APRIL 2, 2016


The Canoochee EMC Foundation, Inc.

Round Up Scholarship Application

INSTRUCTIONS

Please be sure to complete the scholarship application form and attach ALL of the following:

1.  A copy of your high school transcript showing your current grade point average.

2.  A copy of your official SAT/ACT results. (These must match the scores you provide in Part B of this application. If you have not taken both the SAT and ACT, scores from one will be sufficient.)

3.  A brief essay on Canoochee EMC was formed in 1938, please discuss how you feel rural electrification has changed our rural communities. Please remove any reference to the school that you may attend, or anything that would possibly identify you as an applicant. (Recommended length: 1 to 2 pages.)

4.  A letter of acceptance to the college or technical school that you plan to attend.

Send your completed and signed application with attachments to:

Joseph A. Sikes, Canoochee EMC

P.O. Box 487, Reidsville, GA 30453

Application deadline is April 2, 2016

If you have any questions about the Canoochee EMC Round Up Scholarship,

please call (800) 342-0134, ext. 2027.


CANOOCHEE EMC ROUND UP SCHOLARSHIP

APPLICATION FORM

NAME:______

ADDRESS: ______

(CITY) ______(STATE)______(ZIP CODE) ______

TELEPHONE #:______CANOOCHEE MEMBER # ______

HIGH SCHOOL: ______

MOTHER’S NAME: ______

ADDRESS: ______

______

PHONE: (HOME) ______(WORK) ______

FATHER’S NAME: ______

ADDRESS______

______

PHONE: (HOME) ______(WORK) ______

A. FINANCIAL NEED – (This information will be kept strictly confidential.)

1.  Parents’ Annual Income –

___$0-24,999 ____$25,000-49,999 ___$50,000-74,999 ___$75,000-$99,999

___$100,000-125,000

2.  Total number of dependents in your family/household (include yourself & parents too):

a.  Dependents’ Ages:______

b.  Number currently attending a college or technical school: ______

3.  Father’s Occupation & Employer:______

4.  Mother’s Occupation & Employer:______

5.  Explain your need for this scholarship:______

6.  Other scholarships, grants or financial awards that you have received or expect to receive:

______

B. ACADEMIC ABILITY – (Remember to attach a copy of your current high school transcript.)

1.  Cumulative Grade Point Average (from transcript): weighted & non-weighted

2.  SAT and ACT Scores (Be sure to attach proof of these scores.)

a.  Highest SAT Scores: Verbal Math Writing______Total

b.  Highest Composite Score from ACT:

3.  High School Scholastic Awards and Honors: ______

C. OTHER ACTIVITIES – (List the following for high school years only.)

1.  Membership in school organizations; indicate which years and include any offices you held:

2.  Other high school activities (sports, etc.):

3.  Community service activities (not school-related):

4.  Work experience: Are you currently employed? If yes, what type of work and how many hours a week? How long have you had this job? Have you had other work experience? If yes, what type and when?

NOTE: Be sure your annual income is included in Part A, No. 2 of this form.

AFFIRMATION: All information provided on this application and accompanying attachments is complete and accurate to the best of my knowledge.

Applicant Signature Parent/Guardian Signature

REMEMBER to include all attachments. See instruction page.


Interview Questions

Please answer the following questions to the best of your ability:

  1. What are your strengths?
  2. What are your weaknesses?
  3. What adjectives would you use to describe yourself?
  4. What past accomplishments gave you satisfaction?
  5. Where do you see yourself in 20 years?
  6. Explain how you overcame any hardships in your family over the past four years. ______

Note: If you need additional space, use the reverse side.