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, 2023, 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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Below this point DO NOT include names or other information that may identify you or the educational institution you plan to attend.
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Academic and/or Technical Skills (25% of Total Score) |
Please describe your academic and/or technical skills, coursework, and honors and awards received. |
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Leadership (Motivation, Character, Ability & Potential) (25% of Total Score)
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Please tell us about any work or life experience, community service, and/or extracurricular activities in which you have demonstrated leadership. |
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Employment History (if applicable) |
Employer 1 |
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Provide a brief description of job duties: |
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Employer 2 |
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Provide a brief description of job duties: |
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Financial Need (25% of Total Score) |
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Please describe your particular circumstances regarding financial need and the impact a scholarship will have on your situation. |
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Essay (25% of Total Score: Content - 10, Originality - 10, Grammar - 5) Essays will be judged on content, originality, structure and grammar. Judges will look for writing that is clear, articulate and logically organized. Essays must be 500-700 words, double-spaced, 12-pt. Arial font with 1-inch margins. |
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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. |