FacebookThis field is for validation purposes and should be left unchanged.Applicant DetailsApplicant Name(Required) First Last Date of Birth (MM/DD/YYYY)(Required) Month Day Year What High School Do You Attend?Address(Required) Street Address Address Line 2 City State AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email Address(Required) Home PhoneCell PhoneCCEC Account Number(Required)Can be found on electric billName on Account(Required) First Last Relationship to Applicant(Required)Account Holder Phone Number(Required)Account Holder Email(Required)School InformationCollege You Are Attending(Required)Have you been accepted?(Required)Course of StudyHow are you paying for college?(Required) Self Parents Spouse Grants Scholarships Student Loans Financial Need Statement — Please explain your financial circumstances and how receiving this scholarship would affect your ability to attend college. Consider including information about your family’s financial situation, expected college expense, scholarships or financial aid you have received or anticipate receiving, your personal contribution toward educational costs, employment, number of dependents in your family, or any unusual financial circumstances that may affect your ability to pay for college. Please provide specific information that will help the scholarship committee understand your level of financial need. This accounts for 50% of your total application score.(Required)Self AmountParents AmountSpouse AmountGrants AmountScholarships AmountStudent Loans AmountHouseholdTotal Number of People Living in Your Home(Required)Number of Children in College(Required)Number of Children in Grade School(Required)Number of Children Under School Age(Required)Number of Others Living in Your Home(Required)Related DocumentsPlease attach the following documents: Your most recent federal tax return(s) or FAFSA form, Cover Letter, Transcript, Test Scores, and Extracurricular Activity List. PDF files are preferred. Drop files here or Select files Max. file size: 900 MB. Applicant Consent(Required) I hereby acknowledge that the attached application submitted to Carteret-Craven Electric Cooperative is accurate and complete, to the best of my knowledge. I understand that by typing my full name and pressing the Submit button, this form submission will be stamped with today’s date and authorized by me as if I had signed my signature.Applicant Signature (Full Name)(Required)
