Scholarship Application

If submitting an electronic application, you must still submit the 2026 Scholastic Record and Student Evaluation Form.

Scholarship Application

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Please choose a phone number

Email(Required)

Name of Parent or Guardian(Required)

First Last

Parent or Guardian Phone Number

Parent or Guardian REMC Account Number(Required)

Name of High School(Required)

College or University You Plan to Attend(Required)

Major/Course of Study(Required)

Address of College or University(Required)

Street Address Address Line 2 City State ZIP Code

School Type(Required)

College/University

Community College

Vo-Tech

Accredited?(Required)

Yes

Personal Achievements – School Activities

List the activities you participated in related to school, such as plays, student council, athletics, etc.

Click the + button to add a new row

Organization

Years

Office or Leadership Role

Personal Achievements – Non School Activities

List the name of the organization or activity in which you participated, years of participation and any leadership roles held

Click the + button to add a new row

Organization

Years

Office or Leadership Role

Please list any unusual or personal circumstances you feel warrant attention

Please attach Scholastic Record and Student Evaluation Form (to be completed by high school principal or counselors)(Required)

Max. file size: 128 MB.

Please attach transcript of applicant's grades, signed by school official. Transcripts can also be emailed to transcripts@hcremc.com.(Required)

Max. file size: 128 MB.

Applicant Electronic Signature (Full Name)(Required)

Parent or Guardian Electronic Signature (Full Name)(Required)

Untitled

Security Check

Scholarship Application