2025 PNRC Educational Foundation Scholarship Application Submission Deadline: Friday, April 18, 2025 Your Name First Name * Last Name * Mailing Address Address Line 1 * Address Line 2 City * State * Select option... Alabama Alaska Arizona Arkansas California Colorado Connecticut DC Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming DC Zip/Postal Code * Email * Home Phone * Mobile Phone * Parent/Guardian Information Mother/Guardian Name First Name * Last Name * Email * Father/Guardian Name First Name * Last Name * Email * Academic Information Home School District * The school district that serves the area where you live. School Name * The name of the school that you attend. Schools can include public, private, parochial, charter, magnet, virtual, boarding or homeschooled. Guidance Office Please provide the contact name, email and phone number for you assigned guidance counselor. We will be contacting them to request GPA verification and school ranking. Guidance Counselor First Name * Last Name * Guidance Counselor's Email * Guidance Counselor's Phone * GPA * School Athletics, Clubs & Organizations List activity name, years participated & offices held or awards received Activity 1 * Activity 2 Activity 3 Activity 4 Activity 5 Community/Volunteer Activities List type of activity, organization name, length of involvement and number of hours served per year Activity 1 * Activity 2 Activity 3 Activity 4 Activity 5 Work Experience List employer, length of employment and job title/description Employer 1 Employer 2 Employer 3 Institutions to which you have applied List institution name, if you have been accepted, proposed field of study and if it is a two or four-year program. Institution 1 Institution 2 Institution 3 Institution 4 Declaration Statement Detail top 3 ways you demonstrate leadership, community engagement & work ethic. Example 1 * Example 2 * Example 3 * Essay | File must be in .DOC, .DOCX or .PDF format Answer the following question and upload document below. How do you foster, build & nurture connections & relationships in your community? Upload Essay Answer File * Comments Use this field if you have notes about your responses to the above questions
