Walter Harrison Scholarship 2023 Scholarship Fund Criteria:1. The recipient’s primary residence must be the household of an EMC member or EMC employee. EMC members and employees are also eligible. 2. The recipient must be enrolled in an accredited program, either full-time or part-time. 3. The recipient must be an undergraduate student only. 4. The scholarship fund will be in the form of a grant program with funds being paid to the college, university or technical school. 5. A person may submit an application each year, but previous winners are not eligible for a second scholarship. 6. The scholarship fund will provide $1,000 for each scholarship winner’s educational expenses. The number of scholarships will depend on the fund earnings. 7. Scholarship use must commence within one year of date of issuance and be totally utilized within two years of the date of issuance. The school shall return any unused funds to the scholarship fund. 8. The scholarship may be used at any two-year or four-year accredited college or university in Georgia including technical schools. 9. A combination of need and academic ability will be used in determining scholarship fund winners. 10. Each EMC may submit one application for each one-time $1,000 that they have contributed to the fund to the executive committee for consideration in choosing the scholarship fund winners. 11. An executive committee will oversee the scholarship fund. This committee will consist of the Chairman of the Board of GEMC, the Vice-Chairman of the Board of GEMC, the Chairman of the Services Committee, the Manager of Planters EMC, the Manager of Excelsior EMC, and the Chief Executive Officer of GEMC (ex officio member). 12. Georgia Southern University will administer the scholarship fund. 13. Scholarship winners must notify their EMC Walter Harrison Scholarship Coordinator of their acceptance of the award and the name of the school they plan to attend by June 1st or they will forfeit the scholarship. Applicant Information *First Name: *Last Name: *Mailing Address: Apt/Unit: *City: *State: *Zip Code: *Email Address: *Phone: *Last 4 digits of SSN: Place of Employment: *Applicant's Electric Cooperative: Spouse Information (if applicable) Spouse's First Name: Spouse's Last Name: Mailing Address: Apt/Unit: City: State: Zip Code: Phone Number: Place of Employment: Parent/Guardian Information Father's/Guardian's First Name: Father's/Guardian's Last Name: Mailing Address: Apt/Unit: City: State: Zip Code: Phone Number: Place of Employment: Mother's/Guardian's First Name: Mother's/Guardian's Last Name: Mailing Address: Apt/Unit: City: State: Zip Code: Phone Number: Place of Employment: Academic Performance and Potential High School or College Grade Point Average (4.0 scale). *GPA : Please list your participation in extracurricular activities: Membership in Organizations: Offices Held in Organizations: Honors and Recognitions Received: Other Activities: College or technical school which you plan to attend or currently attend *Name of School: *Contact Person: *Mailing Address: *City: *State: *Zip Code: *Phone Number: Please indicate EITHER the date you will begin attending college/technical schoool, OR your current status in college/technical school. Date you will begin attending: (MM/DD/YYYY) Status in college/tech school: Freshman Sophomore Junior Senior/Other *Tuition per quarter/semester: Financial Need Assessment Proof of financial information submitted may be required if scholarship is awarded.Financial information will be handled as strictly confidential information.Please list your Total Adjusted Gross Income for household (Total AGI) from your most recent income tax return. *Total AGI: *Other Household Income: *Family Members residing in household: Other factors which influence financial need: Required Documents Please upload the following items with your application: A. Acceptance letter or other evidence to confirm admission to a Georgia college or technical school. If student is not yet accepted this information will be required at the time the scholarship is awarded. B. Two-page autobiographical sketch with reference to future plans and goals as well as your involvement in the community. Do not reveal your name, the name of your cooperative or your place of residence in the bio, as any such references will be marked out before being submitted to the judges, which will not make for an attractive, readable document. C. High school transcript or current college/technical school transcript (unless student graduated more than 10 years ago). D. S.A.T., A.C.T score. If you did not take the S.A.T. or A.C.T., you may submit an ACCUPLACER score. E. Two letters of recommendation. Admission Confirmation: *Autobiographical Sketch: *Transcript: *S.A.T./A.C.T. Score: *First Recommendation Letter: *Second Recommendation Letter: I certify that all information reported on this application is true and correct to the best of my knowledge. Click here to draw your signature. Applicant's Signature With your mouse, draw your signature. Then click Finish. Date: (MM/DD/YYYY)
