Application must be completed in detail and received before April 2, 2011 in order to be considered for scholarship. Please use additional paper if necessary. Applications will be reviewed and a drawing will be held from the applications accepted to determine winners.
Please Tell Us About Yourself
Name:
Address:
Home Phone:
Parent(s)/Guardian(s):
Parent(s)/Guardian(s) Occupations:
Number of dependent children in family (including applicant):
List all HOTEC accounts that you or your parents are billed for:
Name of School:
Have you received any other scholarships? Yes / No
If yes, how much?
List academic honors, school related clubs, activities, and achievements:
Please tell us about your hobbies:
Please tell us about your educational plans and your goals for the future:
Please Tell Us About Your Service Activities
How I have tried to help my family:
How I have tried to help my peers/friends:
How I have tried to help my community:
Please Tell Us What You Know About Cooperatives
How should cooperatives differ from other businesses in serving their communities and why:
Please tell us why you believe you should be considered for this scholarship.