The Golden Spread Electric Cooperative Directors' Memorial Scholarship

In addition to this application, please submit the following:

Completed applications must be returned to the address below by March 15.

If you have any questions, you may call The Opportunity Plan office at (806) 655-2528.

The Opportunity Plan, Inc.
P.O. Box 1035
Canyon, TX 79015

Name: *

Last Name, First Name, Middle Initial

Street: *

City: *

State: *

Zip: *

Home Phone Number: *

Work Phone Number:

Applicant membership status

Applicant is a: *

of: *

Electric Cooperative

High School: *

High School Graduation Date: *

Were You Employed During High School?: *

If so, where?:

Do You Plan To Work While Attending College?: *

If so, where?:

College Applicant Will Be Attending: *

Have You Been Accepted To This College?: *

Major: *

Father's Name: *

Father's Occupation: *

Father's Address: *

Father's Phone Number: *

Mother's Name: *

Mother's Occupation: *

Mother's Address: *

Mother's Phone Number: *

Number of brothers and sisters: *

Number of brothers and sisters who will also be attending college this year: *

List any other scholarship received and the amount of each:

Please explain in your own words your need for financial aid in college: *

Student's Signature: *

Type your name.

Parent's Signature: *

Type your name.

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