Delta-­‐Montrose Electric Association Scholarship Application Complete this application form to apply for one of DMEA’s post-­‐high school education scholarships. Return completed form to: DMEA Scholarship Committee Attn: Phil Sanchez PO Box 910 Montrose, CO 81402 Application Deadline: Friday, January 29, 2016 (Late or incomplete applications will not be considered) APPLICANT REQUIREMENTS .............................................................................................................. Applicants must be dependents of a DMEA member and meet one of the following requirements to be eligible: • 3.5 GPA or higher on a 4.0 scale • ACT score of 25 or higher (high school applicants only) • SAT score of 1130 or higher (high school applicants only) Applicants must be planning to enroll in or currently enrolled full-­‐time in a college, university, community college, or vocational/technical school. All schools must be accredited. Ineligible applicants will not be considered. APPLICANT INFORMATION Full Name: Current Mailing Address: Home Phone: Other Phone: Permanent Physical Address: Parent(s)/Guardian(s) Names: Parent(s)/Guardian(s) Address (if different): Email Address: DMEA Account Number: QUESTIONS: Visit www.dmea.com or contact Phil Sanchez, phil.sanchez@dmea.com, (970) 240-­‐1207. 1 CURRENT HIGH SCHOOL OR COLLEGE INFORMATION High school seniors must attach an official transcript. Students currently or previously enrolled in college or vocational schools must include the most recent college transcripts. Current college freshman, judges require more than one semester or quarter of grades. If this applies to you, attach your high school transcripts as well. High School Name & Address: Counselor Name: Date of Graduation: ACT Cumulative Score: High School GPA: SAT Cumulative Score: College Name & Address (if currently enrolled): Current Class Status: ____ Freshman ____ Sophomore ____ Junior ____ Senior College GPA: Anticipated Graduation Year: POST HIGH SCHOOL EDUCATION INFORMATION Name and Address of College/University/Accredited Institution You Plan to Attend: School Type (i.e. 4-­‐year college, vocational-­‐technical, etc.): Your Intended Major/Course of Study: Continue to next page. QUESTIONS: Visit www.dmea.com or contact Phil Sanchez, phil.sanchez@dmea.com, (970) 240-­‐1207. 2 ACTIVITIES, ACHEIVEMENTS, & HONORS 1. Please list your high school and/or college honors, community and school activities, and personal achievements. 2. Describe your work experience (for example, food server, babysitting, lawn mowing, office work, etc.). Indicate dates of employment and approximate number of hours worked each week. 3. Describe your educational and career goals, both short and long-­‐term. QUESTIONS: Visit www.dmea.com or contact Phil Sanchez, phil.sanchez@dmea.com, (970) 240-­‐1207. 3 4. Statement of need: Please be specific about why you need this scholarship and how it would impact your ability to further your education. ESSAY ......................................................................................................................................................... Describe the value of DMEA to you and your family, as well as your local community. Minimum 250 words. Use a separate sheet of paper. REQUIRED ATTACHMENTS ................................................................................................................. Attach the following items with this scholarship application. Your application will not be considered if any of these items are missing. o Official high school or college transcripts o Copy of official ACT and/or SAT results o One letter of recommendation o Completed application form o 250-­‐word minimum essay SIGNATURE .............................................................................................................................................. I understand that the information in this application and all supporting documents become the property of DMEA and may be released to scholarship funding organizations or other persons responsible for the administration of financial aid. By signing this application, I am aware that this scholarship will be presented at the time of graduation and announced at the Annual Meeting of DMEA. Date: Signature: DMEA is an equal opportunity provider and employer. QUESTIONS: Visit www.dmea.com or contact Phil Sanchez, phil.sanchez@dmea.com, (970) 240-­‐1207. 4