Scholarship Application Form Heavy Equipment Operator Technician Program Scholarship from AGC Nebraska ChapterIf you have any questions regarding the application process, please email kwilson@agcne.org or call (402) 435-4355.Scholarship applications are due September 25, 2026. Personal Information Question Title * 1. Name - First and Last (Required.) Question Title * 2. Email Address (Required.) Question Title * 3. Phone Number (Required.) Question Title * 4. Home Address (Required.) Question Title * 5. Are you a citizen of the United States? (Required.) Yes No Question Title * 6. Are you a Nebraska resident? (Required.) Yes No Question Title * 7. Parent/Guardian's Name (Required.) School Information Question Title * 8. High School (Required.) Question Title * 9. Please upload your transcript (or email kwilson@agcne.org if you have issues uploading) Question Title * 10. Did you graduate? (Required.) Yes No Question Title * 11. High School Graduation Date (Required.) Date / Time Date Question Title * 12. College Question Title * 13. Are you enrolled in college? (Required.) Yes No Question Title * 14. Have you graduated college? (Required.) Yes No Employment History Question Title * 15. Company Name, Phone, Address and Supervisor Question Title * 16. Duties and Responsibilities: Question Title * 17. Dates Employed: Short Answer Question Title * 18. Why are you interested in a career in the heavy-highway-utility construction industry? Specifically, heavy equipment operation? (100 word minimum) (Required.) Question Title * 19. What are your specific career goals? (100 word minimum) (Required.) Question Title * 20. What makes you deserving of a scholarship from the AGC Nebraska Chapter? (minimum of 300 words) (Required.) Done