2017 Yellowstone Valley Electric Cooperative

Ray Michels Memorial

Scholarship Application Form

Application must be complete to be accepted. Please type or print neatly in ink.

Be sure to attach all required documents securely.

Name: ______

Home Address: ______City______State_____Zip______

Home Phone:______

Father’s Name______Mother’s Name______

YVEC Electric Account # ______

Number of Children in Family: list names and grade level

______

______

______

______

College you are or will be attending:______

Name of High School where you graduated or will be graduating from:______

Number in graduating class______Your rank in class______Grade Point Average______

SAT and or ACT Score______

Applicant Checklist

(The following is enclosed)

_____ Application form

____ Leadership including school and community activities, awards, honors and work experience

____ Personal statement of 250 words or less about how your leadership, school and community activities will influence your career goals

____ High school and/or college transcripts

____ One letter of recommendation

Applicant’s Signature:______Date:______

*Note: This scholarship is for students enrolling in a two year college or vo-tech school.

Yellowstone Valley Electric Cooperative

PO Box 249 Huntley, MT 59037

(406) 348-3411 or 1-800-736-5323

Two $1,000 Scholarships for 2017

Yellowstone Valley Electric Cooperative is offering two $1,000 general scholarships.

Guidelines

1. The applicant or the dependent applicant’s parent/guardian is currently receiving electric service from Yellowstone Valley Electric Cooperative at their residence, is a member of Yellowstone Valley Electric Cooperative and is not an employee or board member. The applicant must be a U.S. citizen.

2. The applicant must be a student who is enrolled or planning to enroll in a full time course of study at an accredited two-year college, vocational or technical school for

the upcoming fall term.

3. Scholarships are based on the following criteria:

Leadership - including school and community activities, awards, honors 50%

and work experience

Academic achievement - grade-point average and SAT or ACT scores 25%

Personal statement of 250 words about how your leadership, school and

community activities will influence your career goals 25 %

4. The completed scholarship application is due to the YVEC office by March 17, 2017. The decision will be made with notification to the student. If the recipient is a graduating senior, the school will announce the name at graduation or an award’s assembly.