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PCCA 2020-2021 Scholarship Application

Personal Information


(Please be sure to first read the instructions before applying and creating your account.)
Please enter your first name!

Please enter your middle initial!

Please enter your last name!


Please provide your birthdate

Please enter your street address

Please enter your city

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Please enter your Zip code.

Please enter your phone number

Please explain your relationship with PCCA. For example, if one of your parents works for a PCCA member company, please list that company's name.
Please describe your affiliation with PCCA.

Education Information


Please enter your high school's name

Please enter your city

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Please enter the year of graduation

Please enter your high school GPA

Renew for the 2020 - 2021 academic year.
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If you have been accepted to a school, please enter the name of the school below. (Awarded scholarships will be mailed directly to your chosen school.)

If you have chosen a major or course of study, please describe it. Please note: Consideration will be weighted in favor of those applicants who choose a major that is directly related to our industry.
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Optional Essay. If you wish, please briefly tell us anything that may help us in our decision. What is driving you towards a higher education? You may also upload your essay as an attachment on the next page if you prefer.
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Please pick a username!

Please provide a valid e-mail!

Retype the e-mail!

Please enter a password!

Retype the password!

You may attach supporting documentation with the button below. File formats accepted are PDF, DOC, DOCX, TXT, JPG and ZIP.

You can use this tool to attach or upload your optional essay, high school transcripts, SAT/ACT scores, and up to three letters of reference (optional).

We suggest scanning your supporting documents and attaching one PDF or ZIP file. Your total file upload size should not exceed 1meg for each file.

If you do not upload your supporting documentation here, you must either email it to scholarships@pccaerf.org or you can mail it to:

PCCAERF
1 High Street
Brandon, VT 05733

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Please review your entries before clicking the Submit button. After you submit your entry we will review it and activate your account by sending a confirmation email, generally within one business day.

If you have any questions please email us at info@pccaerf.org or call us toll-free at (855) 457-9944. Good luck!