Home > Community > Scholarship > Power Line Technology Scholarship Power Line Technology Scholarship Application Form Name* First Middle Initial Last Permanent Address* Street Address Apt # City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Mailing Address* Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Student Phone Number*Email*Please ensure this is a personal email that you check regularly. Do not provide your school email address. We will send correspondence to the address you provide. Preferred Method of Contact*Please select ONE option. Email Cell Phone Text Message Parent/Guardian Name(s)*High School*High School GPA*Name of higher institution you plan to attend:*Address of higher institution you plan to attend:* Street Address Apt # City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Upload a copy of your resume: A resume is required to complete your application. Please contact our office if you have issues uploading your resume.document types accepted: doc,docx,pdf Drop files here or Select files Accepted file types: doc, docx, pdf, Max. file size: 30 MB, Max. files: 1. Please write a brief explanation (no less than five sentences but no more than 10) as to why you are interested in pursuing a career in power line technology.*I certify that this information is true, complete and accurate. I authorize release of information to confirm and/or verify this application. I further authorize release of my name in connection with announcements of scholarship awards in the event that I am selected to be a Pioneer Electric Cooperative, Inc. Scholarship recipient.Digital Signature* I understand that checking this box constitutes my digital signature of this form. Confirmation* I understand that my application is NOT COMPLETE until I submit this online application, upload my one-page resume and submit my official high school transcript by 12 p.m. on March 5, 2025. Funds Disclosure* I understand that if selected for a scholarship, I will be attending a college or technical school in the fall of 2025. I understand that the funds will be applied to the fall semester only and this scholarship is non-renewable. How did you hear about our scholarship?Pioneer Electric Employee PresentationTeacher/CounselorParentSocial MediaCAPTCHAPhoneThis field is for validation purposes and should be left unchanged.
