(IEC) Memorial Scholarship Form 2024 IEC Scholarship Form Please complete this form to the best of your ability. * Denotes a required field. Eligibility Are you currently a high school senior? * Yes No You do not meet the eligibility requirements for this scholarship. I am the child of an electric cooperative member who is currently receiving services from the cooperative * Yes No If YES, of which Electric Cooperative is your family a member? * Select your co-op Adams Electric CooperativeClay Electric Co-operative, Inc.Clinton County Electric Cooperative, Inc.Coles-Moultrie Electric CooperativeCorn Belt Energy CorporationEastern Illini Electric CooperativeEgyptian Electric Cooperative AssociationEnerStar Electric CooperativeIllinois Electric CooperativeJo-Carroll EnergyM.J.M. Electric Cooperative, Inc.McDonough Power CooperativeMenard Electric CooperativeMonroe County Electric Cooperative, Inc.Norris Electric CooperativePrairie Power IncRural Electric Convenience Cooperative Co.Rock Energy CooperativeShelby Electric CooperativeSouthern Illinois Power CooperativeSouthEastern Illinois Electric Cooperative, Inc.Southern Illinois Electric CooperativeSouthwestern Illinois Electric Cooperative, Inc.Spoon River Electric CooperativeTri-County Electric Cooperative, Inc.Wayne-White Counties Electric CooperativeWestern Illinois Electrical Coop. I am the child of an electric cooperative employee or director * Yes No If YES, of which Electric Cooperative is your parent an employee or director? * Select your co-op Adams Electric CooperativeClay Electric Co-operative, Inc.Clinton County Electric Cooperative, Inc.Coles-Moultrie Electric CooperativeCorn Belt Energy CorporationEastern Illini Electric CooperativeEgyptian Electric Cooperative AssociationEnerStar Electric CooperativeIllinois Electric CooperativeJo-Carroll EnergyM.J.M. Electric Cooperative, Inc.McDonough Power CooperativeMenard Electric CooperativeMonroe County Electric Cooperative, Inc.Norris Electric CooperativePrairie Power IncRural Electric Convenience Cooperative Co.Rock Energy CooperativeShelby Electric CooperativeSouthern Illinois Power CooperativeSouthEastern Illinois Electric Cooperative, Inc.Southern Illinois Electric CooperativeSouthwestern Illinois Electric Cooperative, Inc.Spoon River Electric CooperativeTri-County Electric Cooperative, Inc.Wayne-White Counties Electric CooperativeWestern Illinois Electrical Coop. You do not meet the Cooperative eligibility requirements for this scholarship. I will be attending a two-year Illinois community college in the fall * Yes No The community college must be located in the state of Illinois. List the Illinois community college(s) to which you are applying * I will be attending a two-year or four-year accredited college or university in the fall * Yes No List the 4-Year two-year or four-year accredited colleges or universities to which you are applying * You do not meet the eligibility requirements for this scholarship. Contact information First Name * Last Name * Address * Address Line Two City * State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming Zip code * Phone Number * * This is my cell phone number This is my home phone number Email Address (Do Not Use Your School Email) * Confirm Email Address (Do Not Use Your School Email) * Confim your Email Address Name of Parent or Guardian * Parents/Guardian Cell Phone Number * Parent/Guardian Email Address * Confirm Parent/Guardian Email Address * Confirm Email Address High School Information High School Attending * H.S. Grade Point Average (100 point scale) * (e.g. if your school uses a 4 point scale, multiply your G.P.A. by 25. If your school uses a 5 point scale, multiply your G.P.A. by 20) Do you have a current SAT or ACT score? Yes No Most Recent SAT Score Most Recent ACT Score Work and Volunteer Experience List up to 15 positions held (i.e. clerk at local grocery store), for what time period, and whether volunteer or for pay. Please do not make any reference to name, county or home location. Position * When did you start? * For how long? * Volunteer or Paid Position * Volunteer Paid plus2 Add minus2 Remove Participation in School and Community Activities List up to 15 activities (both school and non-school) in which you have participated, along with years of membership or participation and offices held. Please do not make any reference to name, county, or home location. (Example: "High School Soccer, "Team Captain") Type of Organization * Don't use specific names When did you start? * For how long? * Leadership Position * If no leadership position, enter "N/A." plus2 Add minus2 Remove Biography Biographical Statement * Write a brief biographical statement (approximately 250 words or less) that includes your educational goals, financial need and other pertinent information about yourself that you feel is important. You may paste your biographical statement from Word here. Please do not make any reference to name, county or home location. Essays Please submit an essay of 500 words or less in your own words. The question to answer is: In the next 20 years, what will electric cooperatives mean to your community? How can they support/engage young adult members? You may paste your essay from Microsoft Word into this text area. If using Firefox or Chrome, this text area is expandable by clicking and dragging the bottom right corner. Cooperative's Supporting Community Essay * Paste from a text editor. We do not advise writing your essay from scratch in this field. A page refresh or something similar could cause you to lose everything. Please submit an essay of 500 words or less in your own words: Recall a time when you made a positive difference in someone else’s life. (Someone who is not a family member.) What did you do? How did it make them feel? How did it make you feel? What motivated you to do this? Character Essay * Paste from a text editor. We do not advise writing your essay from scratch in this field. A page refresh or something similar could cause you to lose everything. If you are human, leave this field blank.
