· Any graduating senior residing in Mountain Electric Cooperative’s service area and who intends to enter a two-year or four-year accredited college on a full-time basis in the fall of the 2008 may apply.
· Application must be made on the official Operation Pocket Change (“OPC”) Scholarship Application form. THE FORM MUST BE COMPLETED and must include; two letters of recommendations, a certified transcript of high school grades, ACT or SAT scores (if required), class ranking, a copy of your FAFSA Student Aid Report, a copy of parents or guardian’s tax return and a close-up picture of applicant. Note that picture should be 2-1/2" x 3-1/2" in size, and should be close-up of applicant which would be suitable for newspaper publication, placed in a marked envelope and attached to application.(please do not use staple or paper clip) Applications to a community college or technical school do not require ACT/SAT scores. The application must be turned in to Mountain Electric or the local HS guidance counselor no later than April 22. Applications submitted to Mountain shall be delivered to:
Att: OPC Scholarship Committee
Mountain Electric Cooperative
604 S Church Street
P.O. Box 182
Mountain City, TN 37683
· Financial need, scholarship (GPA, ACT, SAT), accomplishments, other scholarships received, and faculty/employer recommendations will be considered in the selection of the recipient.
· This year, there will be sixteen to twenty (16-20) scholarships available, each in the amount of $2,000.
· The scholarship is available only through the end of this year. The OPC treasurer will make payment directly to the college. The student must present the OPC treasurer with a receipt verifying enrollment, class schedule and appropriate college contact information (including college billing department phone number/address and payment instructions).
· The deadline for submitting documentation is January 1, 2009. Documentation received after the deadline will not be accepted and scholarship recipient will forfeit all rights to the award. If the scholarship recipient does not enter college and/or misses the documentation deadline, the scholarship will be returned to the OPC fund and awarded the following year.
· Students are not eligible to received more than one OPC scholarship.
OPERATION POCKET CHANGE SCHOLARSHIP APPLICATION - 1st Year Student
(Applicant must reside within Mountain Electric Cooperative’s service area)
NAME BIRTHDATE
(Last) (First) (Middle)
SOCIAL SECURITY NUMBER ________________________ PHONE NUMBER
MARITAL STATUS: _____single married: NUMBER OF CHILDREN
PARENTS/GUARDIANS:
NAME(S)
MOUNTAIN ELECTRIC COOPERATIVE ACCOUNT NUMBER
PERMANENT ADDRESS
FATHER'S EMPLOYER, HIS POSITION, ETC.
MOTHER'S EMPLOYER, HER POSITION, ETC.
FATHER AND MOTHER GROSS INCOME FOR 2007
COPY OF 2007 TAX RETURN MUST BE INCLUDED
NUMBER OF DEPENDENT CHILDREN IN FAMILY AND AGE OF EACH
NUMBER IN FAMILY WHO WILL BE IN COLLEGE DURING COMING YEAR
LIST REASONS FOR FINANCIAL NEED:
GRADE POINT AVERAGE _______________ RANK IN SENIOR CLASS of
A.C.T. or S.A.T COMPOSITE SCORE: ________________________________
(For Community Colleges and/or Technical Schools, A.C.T./S.A.T. scores not required)
LIST HIGH SCHOOL HONORS AND AWARDS:
COMMUNITY, SCHOOL AND CHURCH ACTIVITIES/ACHIEVEMENTS IN LAST FOUR YEARS:
WORK EXPERIENCE (part and/or full-time, include name of supervisor)
PLEASE PROVIDE GENERAL INFORMATION ABOUT YOURSELF, YOUR BACKGROUND, EDUCATIONAL GOALS, PROFESSIONAL ASPIRATIONS, INTERESTS AND OTHER SUCH INFORMATION THAT WILL BE OF BENEFIT TO THE SCHOLARSHIP COMMITTEE:
________________________________________________________________________________
(Attach extra sheet if more space is needed)
NAME OF COLLEGE YOU PLAN TO ATTEND: ________________________________________ ____
ANTICIPATED COURSE OF STUDY:
HAVE YOU SUMITTED FOR FAFSA? ______, IF NOT, EXPLAIN WHY
LIST OTHER SCHOLARSHIPS APPLIED FOR AND/OR AMOUNT RECEIVED:
Applicant must have two letters of recommendations from High School Principal, administer, guidance counselor, teacher or employer. Letters of recommendations must be submitted with application.
PERSONS WHO PROVIDE LETTERS OF RECOMMENDATIONS:
NAME _________________________________ OCCUPATION
ADDRESS __________________________________________ PHONE
NAME _________________________________ OCCUPATION
ADDRESS __________________________________________ PHONE
IN ADDITION TO THE ABOVE, THE APPLICATION PACKAGE MUST INCLUDE:
w Certified transcript of high school grades.
w Certified college entrance exam (A.C.T./S.A.T.) score (if Required).
w Certification as to rank in high school graduation class.
w Copy of FAFSA Student Aid Report
w Copy of 2007 Tax Return for Parent(s)/Guardian
w A close-up picture (2 1/2" x 3 1/2") of you, which would be suitable for newspaper publication. Please place picture in a marked envelope and attached to application.
The information provided in this application is true to the best of my knowledge.
(Signature of Applicant) (Date)
(Signature of Parent/Guardian) (Relationship) (Date)
SCHOLARSHIP APPLICATION MUST BE RECEIVED BY: APRIL 22, 2008
RETURN TO: HIGH SCHOOL GUIDANCE COUNSELOR or: OPC Scholarship Committee
P.O. Box 180
Mountain City, TN 37683
OPERATION POCKET CHANGE SCHOLARSHIP APPLICATION - 2nd - 4th Year Student
(Applicant must reside within Mountain Electric Cooperative’s service area)
NAME BIRTHDATE
(Last) (First) (Middle)
SOCIAL SECURITY NUMBER ________________________ PHONE NUMBER
MARITAL STATUS: _____single married: NUMBER OF CHILDREN
PARENTS/GUARDIANS:
NAME(S)
MOUNTAIN ELECTRIC COOPERATIVE ACCOUNT NUMBER
PERMANENT ADDRESS
FATHER'S EMPLOYER, HIS POSITION, ETC.
MOTHER'S EMPLOYER, HER POSITION, ETC.
FATHER AND MOTHER GROSS INCOME FOR 2007
COPY OF 2007 TAX RETURN MUST BE INCLUDED
NUMBER OF DEPENDENT CHILDREN IN FAMILY AND AGE OF EACH
NUMBER IN FAMILY WHO WILL BE IN COLLEGE DURING COMING YEAR
LIST REASONS FOR FINANCIAL NEED:
CURRENT COLLEGE ATTENDING
ADDRESS
COLLEGE GRADE POINT AVERAGE CREDIT HOUR COMPLETED
LIST HIGH SCHOOL/COLLEGE HONORS AND AWARDS:
COMMUNITY, SCHOOL AND CHURCH ACTIVITIES/ACHIEVEMENTS IN LAST FOUR YEARS:
WORK EXPERIENCE (part and/or full-time, include name of supervisor)
PLEASE PROVIDE GENERAL INFORMATION ABOUT YOURSELF, YOUR BACKGROUND, EDUCATIONAL GOALS, PROFESSIONAL ASPIRATIONS, INTERESTS AND OTHER SUCH INFORMATION THAT WILL BE OF BENEFIT TO THE SCHOLARSHIP COMMITTEE:
(Attach extra sheet if more space is needed)
NAME OF COLLEGE YOU PLAN TO ATTEND (If different):
ANTICIPATED COURSE OF STUDY:
HAVE YOU SUMITTED FOR FAFSA? ______, IF NOT, EXPLAIN WHY
LIST OTHER SCHOLARSHIPS APPLIED FOR AND/OR AMOUNT RECEIVED:
Applicant must have two letters of recommendations from High School Principal, administer, guidance counselor, teacher or employer. Letters of recommendations must be submitted with application.
PERSONS WHO PROVIDE LETTERS OF RECOMMENDATIONS:
NAME _________________________________ OCCUPATION
ADDRESS __________________________________________ PHONE
NAME _________________________________ OCCUPATION
ADDRESS __________________________________________ PHONE
IN ADDITION TO THE ABOVE, THE APPLICATION PACKAGE MUST INCLUDE:
w Certified college transcript of grades.
w Copy of 2007 Tax Return for Parent(s)/Guardian/Self
w Copy of FAFSA Student Aid Report
w A close-up picture (2 1/2" x 3 1/2") of you, which would be suitable for newspaper publication. Please place picture in a marked envelope and attached to application.
The information provided in this application is true to the best of my knowledge.
(Signature of Applicant) (Date)
(Signature of Parent/Guardian) (Relationship) (Date)
SCHOLARSHIP APPLICATION MUST BE RECEIVED BY: APRIL 22, 2008
RETURN TO: MEC Business Office or mail to: Mountain Electric Cooperative, Inc.
P.O. Box 180
Mountain City, TN 37683
Att: OPC Scholarship Committee