EmailMe Form - 2026 LOCAL 15 IBEW SCHOLARSHIP

Applicant Information

First Name *

Middle Name

Last Name *

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Telephone Number *

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Cell

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Email *

Test Score(s)

If applicable - include documentation for all scores listed. Verification for accessibility to above documents may be performed if considered for the Scholarship Award

Current Cumulative

GPA *

ACT (Optional)

SAT (Optional)

Community College, Technical School, College or University you will be attending

School Name *

School Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Direct phone number for the department at your school in charge of scholarships

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Direct email for the school scholarship department

Student ID # *

Expected Date of Graduation *

MM / DD / YYYY

Course Major/Associate, Bachelor/Masters Degree *

Extra-curricular and/or Community Service *

Local 15 Member’s Name *

Relationship to Local 15 Member *

Please attach unofficial transcript

Please attach 500 word (max) essay *