(Asterisks indicate required field)
Name of Applicant (First Middle Last)
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Name of Secondary or High School
Year of Graduation
Year of Birth
After application is received and acknowledged, this page will be placed in a sealed envelope and will not be opened until after selection of scholarship recipients has been made. The Committee and the Board of Directors will have no knowledge of this information during the selection process.
High School (name and address)
When do you expect to finish?
Program of StudyAutomotive Collision, Repair & RefinishingAutomotive TechnologyCarpentryDiesel and Heavy-Duty Equipment RepairElectricalHVAC MasonryMechanical Design & Engineering TechnologyMechatronicsPlumbing & HeatingPrecision Machining TechnologySustainable ArchitectureWelding & Metal Fab
Briefly describe your career plans
What are your plans for the summer?
What course of study have you followed in high school?
What honors, awards, prizes or distinctions have you received?
What activities in school, other than sports, have you participated in? Also please list any offices that you have held.
Describe any other group activities in the community in which you have participated and list offices held in organizations.
List and describe your hobbies and interests.
If you want to share, describe any extraordinary responsibilities you have at home.
What work experience have you had?
Submit an essay of 500 - 1000 words. ou may use either of these prompts for your essay: Prompt #1: In your own words, explain the importance of technical education and the contribution you hope to make to society with the skills you have learned and will gain in the future. Prompt #2: Discuss a situation in depth that taught you a valuable life lesson or describe how a mentor, teacher or employer had a positive impact on you.
The Utility Contractors Association of Connecticut is an active, collegial group of professionals engaged in utility work and the industries that support it. We welcome prospective members at events throughout the year.
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