2025 Scholarship Application Form

Scholarship Criteria

Individual who is a high school senior graduating in 2025.
Primary residence must be in Winnebago, Boone, DeKalb, Ogle, Stephenson or Whiteside County in Illinois or Rock or Walworth County in Wisconsin.
Must be a U.S. citizen or documented permanent resident of the United States.
The intended course of study is in a manufacturing technology or manufacturing engineering related major.
Plan to attend a community college, technical college or four-year college or university.
In an essay, state your interest in a manufacturing industry career, what event or series of events led you to this decision and your specific career goals after graduation from college.

Please complete all information. Completeness will be considered during evaluation.

Personal Information

Last Name *

First Name *

Address *

City *

State *

Zip Code *

Phone *

Date of Birth *

Are you a U.S. Citizen?

Yes

No

If not, attach copy of visa

visa upload, if applicable

Choose File

Parent / Legal Guardian *

Relationship *

Address (if different than above)

High School Academic Verification

Please have your school personnel mail their copy to PO Box 5029, Rockford, IL 61125.

Cumulative grade point average at time of application is *

based upon a ____ scale *

Cumulative grade point average is

Weighted

Non-weighted

Class rank (include how many this is out of) *

Student is in the top ___% of class *

Highest Composite ACT score

and/or

Highest Composite SAT score

List senior year courses. Please specify advanced placement (AP), honors (H), etc. *

Recommendation Forms

Please have your recommenders mail their copy to PO Box 5029, Rockford, IL 61125.

Recommendation #1

Recommender's Name *

Title / Position *

Name of Business / Institution

Phone *

Email *

Address *

City *

State *

Zip Code *

Recommendation #2

Recommender's Name *

Title / Position *

Name of Business / Institution

Phone *

Email *

Address *

City *

State *

Zip Code *

Checklist

To be considered your scholarship application packet must contain:

Completed Scholarship Application.

Completed HS Academic Verification Form. Mailed to our PO Box.

Two (2) completed Recommendation Forms. Mailed to our PO Box.

Personal essay stating your interest in a manufacturing industry career, what event or series of events led you to this decision, and what your specific career goals are after graduation from college. Maximum two-page typed essay.

Essay *

Choose File

Certification:

Applicant's Name *

Date *

Email *

Thank you for submitting your scholarship application.

There was an error trying to send your scholarship application. Please try again later.

2025 Scholarship Application Form

Scholarship Criteria

Personal Information

High School Academic Verification

Recommendation Forms

Recommendation #1

Recommendation #2

Checklist

Certification:

Contact Info

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