CTI Scholarship Application

Scholarship Application

CTI Scholarship is for $1,000 dollars to go to a graduating high school student who will be attending an accredited college or trade school. One scholarship will be awarded per school. School Districts available for scholarship are Taylorville, Hillsboro, Nokomis, Pana, and Edinburg. Student’s parent/guardian must have CTI service. Student must have a grade point average of 2.5 or above on a 4.0 scale. Scholarship will be awarded on a one-time basis and is not renewable. Scholarship will be awarded without regard to race, ethnicity, national origin, religion, gender, or disability.

Name of Applicant: *

Home Address: *

Phone Number:

Name of High School attending: *

College or Trade School Choice: *

Grade point average: *

Name of parents/guardians:

Student Signature:

clear

Extra-curricular activities with years of involvement and offices held: (Organizations, clubs, athletics, music, etc.)

Honors/Awards:

Community and/or Other Activities:

Employed?

Yes

Work Activities: (List your employer, job title, and approximate hours you work per week.)

Copy of High School Transcript to date (pdf): *

Statement of 150 words stating your future goals based on the occupation or profession you plan on going into.

0/200 words

Creative piece (essay, painting, video, audio, etc.) showing how CTI's fiber optic service has made a difference in your community.

Creative Piece Submission: *

Submit Creative Piece Electronically

Send/Bring Creative Piece to CTI

Creative Piece: *

Please mail in or drop off creative piece to:

CTI

Marketing

520 N. Cheney St.

Taylorville, IL 62568

CTI

Marketing

1500 School St.

Hillsboro, IL 62049

Creative piece you submit will then be the property of CTI and may be used in future marketing ads and/or social content.

Student Signature:

clear