Maine Blue Collar Scholarship Application

If you are a student, please fill out the form below to submit your application online. If you want to mail us your application instead, please download it here.

If you are an instructor, please complete an Instructor Scholarship Application.

Full Name:

First Last

Phone Number

Email

Home Address:

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

Name of High School

Year of Graduation

Name of Vocational School

Name of Technical School you plan to attend:

Major

Cost

OR Company you are employed with

List High School/Vocational Honors received and any extracurricular activities

Personal Record

Father or Guardian (indicate which)

Occupation

Mother or Guardian (indicate which)

Occupation

Total number of persons dependent on parents (including self)

Please enter a number less than or equal to 30.

Are you a child of a veteran?

Yes
No

References : 2 persons, not related to you, who know you (Name, Address, and Phone Number)

Reference #1

Reference #2

Work Experience

What part time work have you done during your high school years?

Most Recent Job (Year, Company, and Job Description)

Job #2 (Year, Company, and Job Description)

Job #3 (Year, Company, and Job Description)

A TYPED ESSAY MUST ACCOMPANY THIS SCHOLARSHIP APPLICATION EXPLAINING WHY YOU WISH TO RECEIVE A SCHOLARSHIP, AND ALSO WHAT YOUR FUTURE PLANS MIGHT BE.*

Accepted file types: doc, docx, txt, rtf, ppt, pptx, Max. file size: 20 MB.

Your signature*

By checking this checkbox, I certify that the information that I have submitted in this application is, to the best of my knowledge, honest and correct.

Consent to share*

By checking this checkbox, I certify that the information I have submitted in this application can be used by future employers and I understand that I may be contacted by an employer for an internship or apprenticeship position.

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Student Scholarship Application

Personal Record

References : 2 persons, not related to you, who know you (Name, Address, and Phone Number)

Work Experience