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Scholarship Application

* All Fields Required

*Applicant's First Name
*Applicant's Last Name:
*Name of Parent or Legal Guardian:
*Citizens Electric Account Number:
*Schools Attended K-12:
 
 
*E-mail Address:
*Cell Phone:
*Home Phone:
*Place of Employment:
*Institution you are planning to attend:
*Have you applied to the school? yes no
*Have you been accepted to the school? yes no
*Major or Type of Training:
* Your Career Goal
*List of all scholarships awarded and amounts:
 
 
 
Please list all extra-curricular activities and the years that you participated in each.
Additional Comments:

Please mail the completed on-line application and required attachments to:
Citizens Electric Corporation
Attn: Denise Gibson
150 Merchant St.
Ste. Genevieve, MO 63670

 
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