Emery Telcom College Scholarship 2020Application Guidelines

Background: The Emery Telcom College Scholarship program offers $1,000 scholarship awards to high school students from Grand, Carbon, San Juan, and Emery Counties. The goal is to provide financial aid to students who have demonstrated strong academics, community involvement and a desire to further their education.

Because of limited funds, Emery Telcom will give priority to applicants who have not been awarded other scholarships or educational financial grants.

The scholarship money can only be used for tuition, school fees and books. The check will be made out to the school, but mailed to the scholarship winner. Money not used by the end of his/her term at the institution will be forfeited and returned to Emery Telcom with no opportunity for reclamation.

Eligibility Requirements: • Must be an Emery Telcom Customer• Must be a citizen or a legal resident of the United States.• Any college-bound high school senior residing in Carbon, Grand, San Juan, or

Emery County may apply for the scholarship.• Must have a grade point average of 3.0 or higher.

Application Requirements:• Must fully complete the provided application form.• Must provide two references – one personal and one school. The references must

include name, address and telephone number.• Must be able to provide acceptance letter or class schedule from a two or four year

post-secondary school, college, university, trade or technical school, if selected asone of the winners.

Mailing Address: Send applications to:

Emery Telcom

PO Box 629 Orangeville, UT 84537

Schedules and Deadlines: • Applications are due by May 22, 2020.• Committee will review all applications. Decisions will be final. The winners will

be notified mid-May.

• Winners must submit an acceptance letter or class schedule from a two year orfour year post-secondary school by July 31st, 2019. Scholarship award will bedeclared null and void if late.

• Scholarship checks will be mailed to the student within 14 days of receiving theacceptance letter or class schedule.

Emery Telcom College Scholarship 2020 Application Form

I. Contact Information

Name of Applicant:____________________________________________________

Name of Emery Telcom account holder:_____________________________________

Mailing Address (Include any PO Box):_____________________________________

City: __________________ State: __________________ Zip _________________

Telephone: Home__________________ Cell __________________ Work __________________

High School: _________________________________________________________

Graduation Date (month & year): _____________________

School you plan to attend: ______________________________________________

Address: ____________________________________________________________

City: __________________ State: __________________ Zip _________________

Planned Field of Study: ________________________________________________

II. Transcript

Please attach a copy of your complete high school transcripts to include your current semester grades.

email address: __________________

Please list two references that we may contact. One must be from your school, and a second must be a personal reference. Please include their address and phone number.

IV. Non-academic assets

Please list after-school activities, hobbies, clubs, organizations, volunteer organizations, community-service activities where you have been involved. If more space is required, please continue on a separate sheet. _____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

V. Essay

Please provide a one-page typed essay (between 400 and 500 words) describing either:

1. How receiving this scholarship will aid you in achieving your long-termeducational and career goals.

2. The role telecommunications plays in helping rural communities grow andprosper in the 21st Century. All submissions become the property of EmeryTelcom.

VI. Indicate

Indicate whether or not you received any other college scholarships and amount of said scholarship. THIS MUST BE INCLUDED ON THE APPLICATION.

____________________________ Applicant Signature

____________________________ Date