Lineman Scholarship Application Lineman Scholarship Application Name * First Name First Name Last Name Last Name Address * Street Address Street Address Street Address Line 2 Street Address Line 2 City City State / Province State / Province Postal / Zip Code Postal / Zip Code Date of birth E-mail * Phone Number * Area Code Area Code Phone Phone Number Have you applied for the WGTC lineman program? * Yes No Have you been accepted into the WGTC Lineman Program? * Yes No If you have been accepted when is your program start date? Have you obtained a Commercial Driver’s Licenses (CDL)? * Yes No If you answered “No” to the previous question, have you obtained a Commercial Instructional Permit (CLP)? * Yes No Are you related to any employee, retiree, foundation trustee or director of CFEMC? * Yes No If so, who and what is the relationship? Have you been convicted of a felony? * Yes No Name of high school * Graduation/GED Date * Most recent work experience: Current employer Position Date of employment Address Street Address Street Address Street Address Line 2 Street Address Line 2 City City State / Province State / Province Postal / Zip Code Postal / Zip Code Recommendation letters (one professional, one personal) Professional Recommendation letter * Drop a file here or click to upload Choose File Maximum file size: 134.22MB Personal Recommendation letter * Drop a file here or click to upload Choose File Maximum file size: 134.22MB How did you hear about this scholarship? * Household or family income as listed on most recent year’s tax return $ * 250-500 word essay explaining “Why I want to be a lineman” * Drop a file here or click to upload Choose File Maximum file size: 134.22MB I certify that all information reported on this application is true and correct to the best of my knowledge. I also agree to submit a certificate of completion at the end of the lineman training to Coweta-Fayette EMC. * Yes I grant permission to Coweta-Fayette EMC to use my images or videos for communication and publicity purposes. I grant permission to Coweta-Fayette EMC to text/or call me via the cell phone listed on this from. * Yes Date * Submit If you are human, leave this field blank.
