*2025 Rock Energy Cooperative Scholarship Application

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Outages/Emergencies & Non-Emergencies: 866-752-4550

Headquarters:
2815 Kennedy Road, P.O. Box 1758
Janesville, WI 53547

South Location:
15229 Willowbrook Road, P.O. Box 126
South Beloit, IL 61080

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*2025 Rock Energy Cooperative Scholarship Application

Name

Address

City/Town

State/Province

ZIP/Postal Code

Date of Birth

Phone Number

Rock Energy account number

High school attending

Parent's/guardian's names and occupations

Number in household

Number in household attending college during 2024-2025 school year

What majors and minors do you intend to pursue?

What is the estimated cost of tuition and housing per year?

What school(s) do you plan to attend next year?

What school organizations/special activities have you participated in?

What leadership roles have you taken in these school organizations?

What community organizations/special activities have you participated in?

What leadership roles have you taken in these community organizations?

What honors/awards have you received?

What are your hobbies, talents, special interests?

What are your educational and career plans?

In your own words, describe the advantages that Rock Energy offers to its members:

List any experiences you have had with Rock Energy

Briefly tell us why you deserve this scholarship:

Upload your school transcript

One file only.
100 MB limit.
Allowed types: gif, jpg, png, bmp, eps, tif, pict, psd, txt, rtf, html, odf, pdf, doc, docx, ppt, pptx, xls, xlsx, xml, avi, mov, mp3, ogg, wav, bz2, dmg, gz, jar, rar, sit, svg, tar, zip.

Please confirm that you have read the following statement:

I give my permission to release a transcript of my high school records to any appropriately designated local scholarship committee.

If applicant is younger than 18, parent or legal guardian confirms that he or she has read the following statement:

I am the parent or legal guardian of the applicant and give my permission to release a transcript of my high school records to any appropriately designated local scholarship committee.

Name of parent or legal guardian granting permission

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This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

I AGREE - If selected as a winner, I agree that my photo and likeness may be used by the cooperative in its publications and website.

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