Alabama Municipal Electric Authority

2017 ScholarshipApplication Package

Complete application should be returned to:

Alabama Municipal Electric Authority

80 TechnaCenter Dr.

Montgomery, AL 36117

(334) 387-3504

(800) 239-2632, Ext. 110

www.amea.com

Pamela Poole, Scholarship Program Coordinator

AMEA Member Cities/Utilities

Alexander City Light & Power

Dothan Utilities

Fairhope Public Utilities

City of LaFayette Electric Department

City of Lanett Electric Department

Luverne Electric Board

Opelika Power Services

City of Piedmont Electric Department

Riviera Utilities

Sylacauga Utilities Board

Utilities Board of Tuskegee

Alabama Municipal Electric Authority 80 TechnaCenter Drive Montgomery, AL 36117

Since 1992, the Alabama Municipal Electric Authority (AMEA) and its Members have provided over $2 million in scholarships to graduating high school seniors who receive their electric service from AMEA Members, including Alexander City, Dothan, Fairhope, LaFayette, Lanett, Luverne, Opelika, Piedmont, Riviera Utilities, Sylacauga and Tuskegee.

To be eligible for an AMEA scholarship, a student’s parent and/or legal guardian must receive electric service from an AMEA Member utility. Granted only to graduating high school seniors, the student must attend a four-year college/university, community college, and/or vocational school within the state of Alabama.

In 2017, AMEA and its 11 Member cities will make available 44, $2,500 scholarships.

To download a scholarship application, visit the AMEA web site, www.amea.com, Scholarship Program. Applications are also available at all schools within AMEA Member cities. Application deadline for the 2017 program is Monday, Feb. 13, 2017.

For more information, contact Pamela Poole, Scholarship Program Coordinator, (334) 387-3504, (800) 239-2632, Ext. 110, or pam@amea.com.

APPLICATION PACKAGE FOR SCHOLARSHIPAlabama Municipal Electric Authority

The application (and all attachments thereto) must be signed, completed and submitted to AMEA at 80 TechnaCenter Drive, Montgomery, AL 36117. If an applicant fails to complete the entire ap-plication or fails to submit all the items in the format requested hereunder by the deadline date, the application will not be considered for any purposes or under any circumstances with respect to the scholarships of AMEA.

Please note that the application must be signed by both the student applying for the scholarship and the parent/legal guardian of the applicant and, if either of such signatures is not on the applica-tion, the application will be considered incomplete, and not considered in the application process.

The application with all required attachments and submissions must be postmarked no later than February 13, 2017.

By submitting the application package and the attachments and submissions related to the ap-plication, the applicant and his or her parent/legal guardian signing the application are certifying that the information submitted is true and correct and the applicant and his or her parent/legal guardian are agreeing to the scholarship conditions set forth below.

SCHOLARSHIP CONDITIONS

The terms and conditions on which the scholarships are to be made for the 2017 scholarship year are as follows:

1. The scholarship will only be granted to graduating high school seniors.

2. In order to qualify for the scholarship, the applicant must be a dependent of a customer of an AMEA Member city/utility (electric) at the time the application is made and through graduation from high school.

3. In order to qualify for the scholarship, the student must attend a four-year college, community college, or vocational school in the state of Alabama.

4. The scholarship will be paid by AMEA directly to the educational institution for credit to the student’s account at the institution.

5. The scholarship must be utilized within 16 months following the student’s graduation.

6. The scholarships will be announced and awarded in the spring.

APPLICATION FOR AMEA SCHOLARSHIP(Type or Print Please)

1. Name of Applicant: _______________________________________________________________________ First Middle Last

2. Served by which Municipal Electric Utility: ______________________________________________________

3. Customer Account Number: _________________________________________________________________(used only for verification purposes)

4. Municipal Electric Utility Account Holder’s Name: _________________________________________________

5. Relationship of Account Holder to Applicant: _____________________________________________________

6. Home Address: __________________________________________________________________________Address

_____________________________________________________________________________________ City State Zip

7. Home Telephone: ( ) ____________________________________ ( ) ________________________ Applicant Parent/Legal Guardian

Cell Number: ( ) ___________________________________ ( ) ____________________________ Applicant Parent/Legal Guardian

Email: ________________________________________ ________________________________________ Applicant Parent/Legal Guardian

8. Name of High School Attending: ___________________________ City: _______________________________

9. Date of High School Graduation: ___________________________ High School GPA: ____________________

10. Counselor’s Name: ____________________________________ Telephone: _________________________

Counselor’s Email: ________________________________________________________________________

11. Please check the Appropriate Box:

_____ I HAVE taken the ACT: Score: __________________________ _____ I HAVE NOT Taken the ACT

_____ I HAVE taken the SAT: Score: __________________________ _____ I HAVE NOT Taken the SAT

12. Alabama College or Vocational School you plan to attend: ___________________________________________

_____________________________________________________________________________________ City State Zip

13. Anticipated Course of Study (Major) ____________________________________________________________

_____ 4-Year Bachelor’s Degree _____ 2-Year Community College _____ Vocational School

PLEASE SUBMIT THE FOLLOWING ALONG WITH YOUR APPLICATION:

1. Official High School Transcript

2. Official ACT or SAT Score Certificate (if copy, please have counselor sign it)

3. Please attach a resume’ of all school extracurricular, church, community service, work experience and/or volunteer activities that you desire to be taken into account in your application.

4. Two (2) Letters of Recommendation (No letters from relatives accepted) SEE NEXT PAGE

Complete application should be returned to:

Alabama Municipal Electric Authority

80 TechnaCenter Dr.

Montgomery, AL 36117

(334) 387-3504

(800) 239-2632, Ext. 110

www.amea.com

Pamela Poole, Scholarship Program Coordinator

RELEASE OF INFORMATION

We, the undersigned individuals, the applicant and a parent/legal guardian of the applicant, by signing below authorize the release of any and all academic information from __________________________________________ (Name of High School) and do hereby authorize the guidance counselor and principal of such high school to discuss such information with AMEA. We, the undersigned, by signing below authorize the release of any and all test scores and other information from the American College of Testing (ACT) or the Stanford Achievement Test (SAT) to AMEA.

Date: ______________ Signature of Applicant: ________________________________________

Date: ______________ Signature of Parent/Legal Guardian: _______________________________

By signing below, we acknowledge that we have read the entire application package and do hereby certify that we understand the contents of the application package. Also, by signing below, we each certify that the information provided in the application and each of the attachments submitted with the application are true and correct.

Date: ______________ Signature of Applicant: ________________________________________

Date: ______________ Signature of Parent/Legal Guardian: _______________________________

* All applications will be judged based on grades, ACT or SAT score (if applicable), community involvement, school-related activities, and work experience. The winners will be selected by an independent panel of Montgomery area college guidance personnel.

AMEA Member Cities