2024 Indiana Municipal Electric Association Scholarship Eligibility

Applicant Information

First Name
MI
Last Name
Date
Address
City
County
State
Zip
Telephone
Date of Birth

Additional Information

High School Information
School Name
GPA
Guidance/Academic Advisor
Address
City
County
State
Zip
Other School Information
Post-Secondary Institution Selected
Degree Sought
Other Sources of Financial Assistance Sought
Other Sources of Financial Assistance Received
Parent Information
Parent Name
Address
City
County
State
Zip
Municipal Member where Parent is employed
Job Title
Participation Information
Extracurricular Activities
Community/Volunteer Involvement
What Career Goals do you hope to achieve during the following time frame:
One (1) Year
Five (5) Year
List Your Proudest Accomplishments
Why do you feel you would be a good candidate for the IMEA scholarship?
I understand the terms and conditions of the scholarship and certify that the preceding statements are true to the best of my knowledge.

Essay

Essay
Please provide the Scholarship Committee a one – page essay about your intended field of study and future career plans, describe a personal experience that influenced your decision to pursue a particular field of study. Highlight any honors, awards, or certifications that demonstrate your academic excellence. Include any other information you want to share about yourself Maximum length 300 words.
I hereby give my permission to the Indiana Municipal Electric Association (IMEA) to use my name and photograph in all forms of media for the purpose of announcing, advertising and promoting the IMEA Educational Scholarship Program.
Applicant Name
Date
(If applicant is under the age of 18, please have the parent/legal guardian complete the below section)
If scholarship recipient is under the age of 18, I , Parent/legal guardian of the individual named above, have read this release and approve of the above listed terms.
Guardian Name
Date
   - denotes required fields