Continuing Education Application

Comments

This field is for validation purposes and should be left unchanged.

Student Information

Student's Name(Required)

First Last

Date of Birth Age

Name of Parent/Legal Guardian, who is a member of RGEC (as it appears on electric bill)(Required)

First Last

RGEC Account Number(Required)

Address(Required)

Street Address City State Zip

Phone(Required)

Email(Required)

(Please use a personal, non-school address, as correspondence will continue after graduation)

I am attending a:(Required)

College or University

Vocational/Trade School

Name of College/University/Vocational School(Required)

Student ID Number(Required)

Field of Study or Major(Required)

Estimated Completion Date

GPA*(Required)

*An official transcript must be sent electronically (to sede@rgec.coop), or by mail, directly from your institution in order for the application to the complete. Official transcript must be received at RGEC by the scholarship deadline, for application to be considered.

Please tell us about yourself. Include hobbies, volunteer work, organizations, etc.(Required)

Referances to family names, specific location, or information that might reveal the identity of the applicant must not be included in the body of the essay. Doing so could result in disqualification.

I am applying for this scholarship in order to:(Required)

If selected as an RGEC scholarship recipient, I hope to use my education to benefit rural America by:(Required)

Which of the 7 Cooperative Principles do you feel is the most important, and why?(Required)

Applicant Photo(Required)

Max. file size: 256 MB.

Please attach a high resolution photo. A school photo is preferred.

Applicant's Electronic Signature(Required)