Name (First, Middle Initial, Last)
Mailing Address (Address, City, County, Zip/Postal Code)
Phone
Email
Date of Birth
Gender FemaleMaleNon-binaryPrefer not to say
Which of the following best describes you? Native American or Alaska NativeBlack or African AmericanAsian or Pacific IslanderWhite or CaucasianHispanic or LatinoMultiracial or BiracialA race/ethnicity not listed here How did you hear about this scholarship? In which county do you attend school? Cecil CountyKent CountyQueen Anne's County What is the name of your high school? What is the address of your high school? What grade are you in? 9th10th11th12th When is your anticipated graduation date? What is your current GPA? What CTE program are you currently associated with? What is the name of your CTE program coordinator? What is your program coordinator's email? What is your program coordinator's phone number? What is your enrollment status? AcceptedPendingEnrolled What is your intended career field? When is your projected graduation date/ date of program completion? Please list the items you will need to be successful in your Vocational or Technical Program, along with the price of each item. Items should reasonable and manageable. Should any size be associated with the item, please list that as well. Example: Steel toed boots, Men's size 10, $150. Please feel free to include links to any specific item. Please upload a Letter of Acknowledgement from your Program Coordinator. This letter must acknowledge i) the name of the student requesting funds ii) the amount of funding requested iii) contain a signature from the Program Coordinator. Write a brief statement of 250 words or less describing your need for the USRC CTE Student Equipment Fund. Please feel free to attach any documents that will tell us more about who you are. Signature of Parent/ Guardian Date of Signature By checking this box I acknowledge that I am electronically signing this scholarship application and that the information contained within this application is both accurate and correct. I agree
