Menu
Contact Us
Account Login
Home
My Account
Bill Payment Options
Levelized Billing
Water Heater Maintenance Program
RESP Loan Program
Outdoor Lighting
Operation Round-Up®
Mobile Apps Support
New Service
Start Service at Existing Location
New Construction
Commercial Service
Report An Outage
Energy Saving Tools
Capital Credits
My Co-op
Office Directions
Member Newsletter
Annual Report
Bylaws
Notice of PURPA Hearing
Safety
Board of Directors
Careers
Our Service Area
Renewable Energy
My Community
EMC/FFA Career Development Event
SPARK Energy Education Program
Operation Round-Up®
Bright Ideas
Youth Tour
Scholarships
Close
2023 Scholarship Application – Deadline January 31, 2023
Amicalola EMC Account Number of Your Home
*
Name
*
First
Last
Last 4 Digits of SSN
*
Home Mailing Address
*
Street Address
City
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
State
ZIP Code
Phone
*
Email
*
County of Residence
*
Bartow
Cherokee
Dawson
Fannin
Forsyth
Gilmer
Gordon
Lumpkin
Murray
Pickens
Parents' Name(s)
*
Name of High School
*
Cherokee High
Creekview High
Dawson High
Gilmer High
Lumpkin High
Pickens High
Other
Are You A Senior?
*
Yes
No
High School Grade Point Average
*
Please Select
100
99
98
97
96
95
94
93
92
91
90
89
88
87
86
85
84
83
82
81
80
79
78
77
76
75
74
73
72
71
70
S.A.T., A.C.T., or COMPASS/ASSET Score(Deprecated)
Note if SAT score is based on old 2-part or new 3-part test
S.A.T. Score (Verbal + Math)
A.C.T. Score (Composite)
Membership in Organizations/Other Factors Which Influence Financial Need
Includes Offices Held and Honors & Recognitions
College or technical college which you plan to attend:
Financial Need Assessment
Will be handled as strictly confidential information.
Total Adjusted Gross Income for Household
*
(from most recent income tax return, may ask for verification)
Other Factors Which Influence Financial Need (Depracated)
High School Transcript or Current College/Technical School Transcript
*
Accepted file types: doc, docx, jpg, pdf.
Agreement
*
I certify that all information reported on this application is true and correct to the best of my knowledge. If I am selected as a finalist, i agree to submit a high resolution, digital photo by Feb. 24, 2023 for presentation purposes.
This iframe contains the logic required to handle AJAX powered Gravity Forms.
Your browser is out of date!
Update your browser to view this website correctly.
Update my browser now
×