Midsouth Scholarship Application

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MidSouth Electric Scholarship Application

Eligibility

Parent or Legal Guardian must be a MidSouth Electric Co-op member or current MidSouth EC employee.
Student must be living with the Parent or Legal Guardian whose permanent residence is in the MidSouth Electric Co-op Service Territory.
Student must be a 2022 graduating senior entering a College, University, Trade or Technical School.

Full Name*

First Name

Initial

Last Name

Age*

Name of High School*

Class Ranking *

GPA (on 4.0 scale)*

SAT/ACT Score*

Home Address*

Address Line 1

City

State

ZIP Code

Phone*

Email*

Name of Parent/Legal Guardians*

Midsouth EC Account #*

Father/Legal Guardian's Employer*

Occupation *

Mother/Legal Guardian's Employer *

Occupation*

Number of children living at home next year (excluding yourself)?*

Number of children that will be in college next year (including yourself)? *

Total Yearly Family Income?*

$0-20,000 $20,000-40,000 $40,000-60,000 $60,000-80,000 $80,000-100,000 Over $100,000

Post Secondary Plans

To which college(s) have you applied for admission?*

To which college(s) have you been accepted? *

What do you plan to major in? *

What is your intended career?*

Scholarship/Financial Aid Information

Please list all sources you will have for attending college?*

Please list all scholarships for which you have applied, including the source, amount, and status (pending, received, or not selected). *

Have you applied for financial aid?*

Yes No

If yes, what is the status (pending, received, or not selected)?*

If financial aid was awarded, what is the amount?*

Have you applied for any student loans?*

Yes No

If yes, what is the status (pending, received, or not selected)? *

If a student loan was approved, what is the amount? *

Awards, Recognitions, and Activities

Please list all academic awards, honors and/or achievements that you have received in high school. *

Please list all school-related extracurricular activity, club or council that you have been involved in.*

Please list all awards, achievements and activities (including hobbies and community involvement) that you have been involved in outside of school.*

Work History

Please list all job experiences beginning with your most recent job. Include all temporary, part-time and summer employment experiences.*