Good Neighbor Scholarship Application

All application requirements must be postmarked or submitted online by March 15 to qualify.

Applicant's Full Name:

Applicant's Address:

Applicant's Preferred Contact Phone Number:

Applicant's Email:

Current Job(s):

School Currently Attending:

Planned Post-Secondary Institution:

Planned Field of Study:

CEC Member's Account Number:

CEC Account Holder's Name:

CEC Account Holder's Relationship to Applicant:

Attach 500-Word Essay Here

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Attach Appropriate, High Resolution Portrait (school or sport) Style Photo Here

One file only.
100 MB limit.
Allowed types: gif, jpg, png, svg.

Attach Letter of Acceptance Here *

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

Attach Letter of Recommendation Here

One file only.
100 MB limit.
Allowed types: txt, rtf, pdf, doc, docx, odt, ppt, pptx, odp, xls, xlsx, ods.

List non-paid volunteer activities you have participated in.

List non-paid leadership activities you have participated in.

By checking below and submitting this application you permit CEC to use your name and photo for communication purposes.

Applicant must check here to sign this application

CEC Account Holder must check here to sign this application.

Please enter today's date.

Optional: How did you hear about this opportunity?

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