2016 Scholarship South River Electric Membership Corporation Power Source Volunteers

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2016 Scholarship South River Electric Membership Corporation Power Source Volunteers At least one $1,000 and two $500 scholarships will be awarded in 2016 through the South River EMC Power Source Volunteers. These scholarships will be awarded to students who live in the South River EMC service area. Objective: To provide financial aid to qualifying South River EMC members and their children. Eligibility: 1. Must live in a home, which receives electric service from South River EMC. 2. Must currently be a senior in high school. 3. A candidate must have a recommendation from either his or her high school principal, guidance counselor or teacher. 4. Candidates must apply no later than January 22, 2016. 5. Candidates must have taken the SAT or ACT and submit scores with application. Terms of the Scholarships: 1. At least one scholarship in the amount of $1,000 and two in the amount of $500 will be awarded. 2. The scholarship is non-renewable. 3. The amount of the scholarship will be paid directly to the college or university attended by the recipient beginning in the fall semester. 4. Scholarship winners will be recognized at the South River EMC Annual Meeting of Members in April. 5. Scholarship winners must provide proof of acceptance, as well as their school ID number, by June 30. Basis of Awards: Factors considered in granting scholarships may include, but are not limited to: character, moral standards, citizenship, past and present academic performance (as outlined in Eligibility section), letters of recommendation, statements of career goals and qualifications and extra-curricular activities. Selection Committee: The scholarship committee of the Power Source Volunteers will coordinate the scholarship applications and qualifications, as well as determining final recipients. Applications: Applications may be obtained from South River EMC offices, on www.sremc.com or by contacting the office at 910-892-8071 ext. 2151.

2 APPLICATION 2016 Scholarship South River Electric Membership Corporation Power Source Volunteers SCHOLARSHIP CRITERIA: Factors considered in granting scholarships may include, but are not limited to: character, moral standards, citizenship, past and present academic performance (as outlined in Eligibility section), letters of recommendation, statements of career goals and qualification, and extra-curricular activities. In addition, an accredited college or university must have accepted the applicant. INCLUDED WITH THIS APPLICATION: 1. A recent photograph; 2. A letter stating your reason for applying for the scholarship; 3. A letter of recommendation from your school principal, guidance counselor or a teacher; 4. A complete transcript of your high school courses and grades (must be sealed); 5. Results of Scholastic Aptitude Test (SAT) or American College Test (ACT). Name Phone ( ) Address City Zip Email Address Cell Phone ( ) Date of birth SREMC Account # I have applied to and/or have been accepted by the following college(s): College or university I will attend My major will be Career choice Name(s) and amount(s) of other college scholarships I have received:

3 Name of Father or legal guardian Father's place of employment Father's occupation Name of Mother or legal guardian Mother s place of employment Mother's occupation The following persons are supported by my parent(s) or guardian(s). First Name Age Grade Occupation Additional information, comments: GPA AND CLASS STANDING: Grade Point Average: (single digit system i.e. "3.5" "4.2" etc.) Class Standing: Number in graduating class of students. STATEMENTS OF ELIGIBILITY AND CAREER GOALS: On a separate sheet please provide the following information. 1. Write a descriptive paragraph that details your qualifications for a scholarship and indicate why you believe you should be selected as a recipient.

4 2. Write a paragraph describing your career goals and why you chose that career. The following information should be completed using this sheet. You may attach additional sheets as needed. CLASS OFFICE(S) AND YEAR HELD HONOR(S) AND YEAR RECEIVED EXTRA-CURRICULAR ACTIVITIES CLUB/SPORT/ETC. YEAR(S) PARTICIPATED OFFICE(S) HELD/YEAR(S) COMMUNITY, CIVIC, CHURCH ACTIVITIES HOBBIES, INTERESTS I have included ALL items requested (Page 1) and answered ALL questions. I understand that incomplete applications will not be considered. (Signature)

5 PLEASE RETURN NO LATER THAN JANUARY 22, 2016 TO: South River EMC PSV Scholarships PO Box 931 Dunn, NC 28335 17494 US 421 South Dunn, NC 28334 6491 Ramsey St. Fayetteville, NC 28311 For questions in regard to this application, please contact the Cooperative at 910-892-8071 x 2151 or sremc@sremc.com.