Pedernales Electric

PEC Senior Student Scholarship Application

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.

Student Information

*First Name:
*Last Name:
*Student Email Address:
Enter the email address again for accuracy.
*Student Email Address:
*Parent/Guardian Email Address:
Enter the email address again for accuracy.
*Parent/Guardian Email Address:
*Student Cell Phone Number:
*Parent/Guardian Cell Phone Number:

High School Information

*Name of High School:
*City:
*State:

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, honors, and awards received during your high school career.

Below, please list your high school 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).
*GPA:
*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 your work experience, community service, and/or extracurricular activities. Some examples are organizations/activities in which you have participated or leadership positions held.

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. Discuss how you have saved or prepared for the cost of higher education, your individual family living situation, and whether or not you intend to work while pursuing higher education.

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

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 a high school senior, my parent or legal guardian is a PEC member in good standing, and I 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.