Online Scholarship Application

Name*

Email*

Telephone*

Do you have a relative in the Barnstable County Utilities Association?*

Yes

If yes, please answer the following:

What is the relative’s name?

What is the relationship to Applicant?

What is the relative’s affiliation with BCWUA?

Applicant’s High School*

Date of Graduation*

Intended Major Field of Study*

Colleges Applied To

College Acceptances (if known)

College Chosen (if known)

Program

2-Year

4-Year

Listed Scholarships / Honors Received

High School Extra Curricular Activities

Community Volunteer Work

Employer’s Name (if currently employed)

Parent/Guardian's Name(s)

Parent/Guardian's Address(es)

You will receive a confirmation email when your information has been received. To complete your application, please respond to the confirmation email and include:

A letter that describes yourself, including your ambitions and goals
Two character reference letters
Two educational reference letters
Copy of high school or college transcript

I understand that my application will not be complete until I send the requested documents.

website

Barnstable County Water Utilities Association

Providing quality education and training for water utility professionals

Online Scholarship Application