2024 Nex-Tech Scholarship Application

Scholarship Application Checklist
1. Online Application Form. 2. Presentation Showcasing Your Career Passion. 3. Letter of Recommendation.

For your convenience, upload fields are included within the online application form for each required item.

Deadline
March 1, 2024: Postmarked, submitted online, or hand-delivered to the Lenora business office. If hand-delivering, please contact Taylor or Jacque at 877-625-7872 to confirm Lenora office hours. Late applications will not be accepted.

Fields marked with an * are required.

First Name *This question is required.

Last Name *This question is required.

Personal Email Address *This question is required. (Ex: @gmail, @yahoo) This question requires a valid email address.

School Email Address (Ex: @usd) This question requires a valid email address.

Phone Number *This question is required.

Alternate Phone (Home or Parent/Guardian)

Name(s) of Parents/Guardians *This question is required.

Mailing Address *This question is required.

City *This question is required.

State *This question is required.

Zip *This question is required.

High School You Currently Attend *This question is required.

College or University You Plan to Attend *This question is required.

Eligibility VerificationEligible Nex-Tech Services: Landline Phone, Internet, or TV. (No other services are eligible.)

Nex-Tech Billing Account Number
(Residential or Business) *This question is required.

Name on Account
(As listed on Billing Statement) *This question is required.

My parents have the following Nex-Tech services: *This question is required.

Home
Business

Home *This question is required.

Landline Phone
Internet
TV

Business *This question is required.

Landline Phone
Internet
TV

Brief Description of Presentation *This question is required. e.g. A video to share my passion for technology.

Upload your Presentation - Word, PowerPoint or PDFPlease name your presentation file using the following format:
Last Name_First Name_Presentation

Max file size: 10 MB

File: {{filename}} delete

If linking to Google Docs, please follow these instructions to change your Share permissions.
Click the Share button in the upper right
Then click - Advanced
Then click - Change - under Who has Access
Then check - On - Anyone with the Link

Link to YouTube video or Google Document

Please upload one Letter of Recommendation

Upload Letter *This question is required.Please name your letter files using the following format:
Last Name_First Name_RecLetter1

File: {{filename}} delete

Complete the application form and click ‘Submit Application’ below.

Mail or hand-deliver your presentation, letter of recommendation, and a copy of the email you receive confirming the application form submission to:
Nex-Tech Scholarship Committee
P.O. Box 158
145 N. Main
Lenora, KS 67645

Please take a moment to review your application for accuracy.

Due to the file size of attachments, it may take a moment to submit. Please don't leave this page until you receive the "Thank You" message.