COLLEGE SCHOLARSHIP PROGRAM 2016

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1 COLLEGE SCHOLARSHIP PROGRAM 2016 s Communications, c... ~f/f~$ r~~i>cl>fxxw~

2 Mail your completed application And attachments to: Scholarship Committee Wilkes Communications 1400 River Street Wilkesboro, NC All applications must be received By April 1, 2016 ill~e '"" Communico.. ns, Inc.. <is~dlmlll<i> T~~~-

3 Available to High School Seniors COLLEGE SCHOLARSHIP PROGRAM Wilkes Communications is a non-profit organization that is governed by a Board of Directors. Wilkes provides local and long distance phone service, high speed internet service, digital television, security and health monitoring service. In 2016, Wilkes will award scholarships to high seniors. This is for the year 2016 only. Eligibility Applicant must: Be a graduating high school senior. Their primary residence or business must receive their local telephone service from Wilkes Communications. The service must have one of the prefixes listed: Clingman 984; Lomax 957, 928; Champion 973 or Boomer 921 exchanges or be a customer in good standing in our 990 exchange. (cellular telephone service is not included) How to Apply Complete the scholarship application in full, along with a photograph. Have a high school teacher or counselor complete the Educator's Recommendation. In a one-page-or less essay, describe why this scholarship is important to you; why you wish to attend college; and what you would like to be doing in 10 years. Submit two letters of recommendation from local community leaders (telephone company personnel, elected official, or local business representatives) with your application. Letters cannot be from teachers, guidance counselors or other school personnel. Include title and organization for each individual. Include your most recent grade transcript with your application Award Procedure Scholarships will be awarded in April 1, Winners will be selected by a qualified committee. All entries will be acknowledged by April 1, Winners will be notified by mail by April 1, Scholarships will be awarded on a one-time basis and will not be renewable. Award will be paid on proof of registration at an institute of higher education.

4 Scholarship will be awarded without regard to race, ethnicity, national origin, religion, sex, or disability. Incomplete applications will not be considered. Make sure to: Include your application form, along with photograph. Attach your transcript. Attach your one-page essay. Attach your Educator's Recommendation Form. Attach your two letters of recommendation. No faxed copies will be accepted. Postmark your entry to Wilkes Communications by April 1, QUESTIONS: Applications must be postmarked to Wilkes Communications by April 1, Mail completed application and attachments to: Scholarship Committee Wilkes Telecommunications, Inc River St. Wilkesboro, NC 28697

5 COLLEGE SCHOLARSHIP APPLICATION Instructions: 1). Please print or type; 2). Include all requested attachments; and 3). Postmark application to Wilkes Communications by April 1, ). Fill our both sides of this application and mail with attachments to: Scholarship Committee, Wilkes Communications, 1400 River St., Wilkesboro, NC City/State/Zip Telephone# Social Security Name of Parent(s) or Guardian High School School Telephone# University or College you plan to attend. Address of University or College University/College Telephone# (Admissions Office) Have you been accepted? If no, When will you know? Have you applied for other scholarships? yes _ no Have you received other scholarships? _yes _ no If yes, what is the amount of each? High School Honors and Awards Community/Church Activities in which you have been involved Brief Summary of Your College Plans Brief Summary of Your Career Plans PLEASE COMPLETE BOTH SIDES OF THIS FORM

6 Identify the activities in which you have been involved by circling the number of years you have participated in each: Band I Baseball I Basketball Cheerleading I Choir I Cross Country I Debate I Drill Team FBLA I FFA I FHA I Football I Foreign Language I Golf I Newspaper I NHS I Soccer I Speech Student Government Tennis Theater Track Volleyball Wrestling Yearbook Other: Checklist Parents/guardian must be Wilkes Communication customers. Transcript One-page essay Two letters ofrecommendation (not from educators) Original Application along with a photograph Counselor or high school teacher recommendation Postmark to Wilkes Communications by April I, 2016 to: 1400 River St., Wilkesboro, NC QUESTIONS: Work/Employment (outside of school hours) Applicant Certification I hereby certify that the information on this application is complete and correct to the best of my knowledge. I hereby grant permission to Wilkes Telecommunications to contact my references or school, if necessary, and to use my name and likeness in promotional materials in the event that I am selected to receive a scholarship. Signature of Applicant Date

7 EDUCATOR'S RECOMMENDATION FORM Name of Applicant ~--- High School Address/Telephone How Long and In What Capacity Have You Known the Applicant? Please State Why You Feel This Applicant is Qualified to Receive This Scholarship Grades: Attitude: Need: ~ Name of Person Completing Form Title Signature Date

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