This form is for an adult student seeking to further their education.
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Online submission with required documents must be completed by 11:59 p.m. on March 20, 2024, Central Standard Time.
If you require more than one session to complete this form, you can save your data ON THIS COMPUTER and complete the form later. Click the 'Save my data' button at the bottom of the paqe.
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Applicant Information |
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High School Information |
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Permanent Mailing Address |
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PEC Service Address |
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Academic and/or Technical Skills (25% of Total Score) |
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Leadership (Motivation, Character, Ability & Potential) (25% of Total Score)
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Employment History (if applicable) |
Employer 1 |
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Employer 2 |
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Financial Need (25% of Total Score) |
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Essay (25% of Total Score) |
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Resume (optional) |
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Application Completion Checklist |
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After clicking Submit, an email confirmation will be delivered to the Student's Email Address entered into this application. Please check the SPAM or junk mail folder if the email is not received. If the confirmation email cannot be located after checking your SPAM folders, please email scholarships@peci.com for further assistance. |