Pedernales Electric

PEC Adult Student Scholarship Application

This form is for an adult student seeking to further their education.

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.

Applicant Information

*First Name:
*Last Name:
*Applicant Email Address:
Enter the email address again for accuracy.
*Applicant Email Address:
*Applicant Cell Phone Number:

High School Information

*Name of High School:
*City:
*State:
*Name of Current or Most Recent School:
*City:
*State:
Please upload a copy of your high school transcript (or GED certificate) or college transcript.
*HS Transcript or GED File Upload:

Permanent Mailing Address

*Mailing Address 1:
Mailing Address 2:
*City:
*State:
*Zip Code:

PEC Service Address

*Service Address 1:
Service Address 2:
*City:
*State:
*Zip Code:
*PEC Account Holder Name:
*PEC Account Number:

How did you hear about the scholarship program? Please check all that apply.

	School		Social Media		Texas Co-op Power Magazine		PEC Website		Other

If "Other" selected above, please list how you heard about the scholarship program.

Other Source?:

What type of school do you plan to attend?

*Type of School?:

Below this point DO NOT include names or other information that may identify you or the educational institution you plan to attend.

Academic and/or Technical Skills (25% of Total Score)

Please describe your academic and/or technical skills, coursework, and honors and awards received.

Below, please list your high school and/or college GPA (grade point average) and the GPA Scale it is based on. For example, 3.5 (GPA) out of a possible 4.0 (GPA Scale).
*High School GPA:
*High School GPA Scale:
College GPA (if applicable):
College GPA Scale:
SAT Exam Score (if applicable):
ACT Exam Score (if applicable):

Leadership (Motivation, Character, Ability & Potential) (25% of Total Score)

Please tell us about any work or life experience, community service, and/or extracurricular activities in which you have demonstrated leadership.

Employment History (if applicable)

Employer 1

Employer 1 Name:
Employer 1 City:
Employer 1 State:
Employed From Date:	(MM/DD/YYYY)
Employed To Date:	(MM/DD/YYYY)
Approx. hours worked per week:

Provide a brief description of job duties:

Employer 2

Employer 2 Name:
Employer 2 City:
Employer 2 State:
Employed From Date:	(MM/DD/YYYY)
Employed To Date:	(MM/DD/YYYY)
Approx. hours worked per week:

Provide a brief description of job duties:

Financial Need (25% of Total Score)

Please describe your particular circumstances regarding financial need and the impact a scholarship will have on your situation.

*How many siblings or dependent children live at home?:
Excluding yourself, indicate below how many siblings and/or dependent children will attend college, junior college, or trade/technical school next year.
*Number of siblings/dependents?:

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.

Topic: Tell us about a time when you did not succeed. What did you learn from the experience?
Please attach your essay. Only one file may be attached. File formats accepted are Adobe PDF (.pdf) and Microsoft Word (.doc or .docx). Do not include your name or other identifying information in the essay or in the name of the file that is uploaded.
*Essay Upload:

Application Completion Checklist

I have reviewed my application to ensure that all necessary information is provided. I understand that incomplete applications or substitute forms will not be processed or considered for scholarship awards.

I am currently over 18 years of age with a GED or high school diploma, a PEC member or reside in a household served by PEC and in good standing, and plan to attend a university, college, junior college, technical, or trade school to obtain an undergraduate degree or trade certification.

I hereby certify that all information provided in this form and in all attachments is true and correct. I understand that any false or misleading statements contained in any of these documents may result in rejection of my application and disqualification from the Scholarship Program.

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.