American Coalition for Ethanol

Three (3) $1,000 Scholarships!

Deadline to submit your application is April 30th, 2023. Winners will be notified on or around May 15th, 2023.

American Coalition for Ethanol

"*" indicates required fields

Applicant Data

Name*

First Last

Email*

Phone*

Address*

Street Address City State ZIP Code

Date of birth*

Gender at Birth*

Please indicate your status (For statistical purposes only)*

Employee Parent/Guardian Information

I am a*

Member

Employee

Shareholder

Employee of a Company that is a(n):*

Ethanol Producer Member of the American Coalition for Ethanol

Voting Member of the American Coalition for Ethanol

Associate Member of the American Coalition for Ethanol

Member Company Name*

Employee Name*

First Last

Division/ Subsidiary

Relationship to Applicant*

The applicant is a dependent of the member/employee*

Employee Job Title*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Email*

Phone*

High School Information

High School Name*

High School Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

High School Phone*

High School Graduation Date*

Month and Year

High School Graduation Year*

GPA*

Please enter a number from 0.0 to 4.0.

Post-Secondary School Information

What post-secondary school are you attending or planning to attend?*

If unknown, please list in order of preference the schools to which you have applied. Use official School name, no abbreviations.

Type*

4 year College or University

2 year Community or Junior College

Vocational/ Technical School

Other

If "Other", please explain:

Post-Secondary School Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code