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Scholarship Application Form
2-Year Technical Scholarship from AGC Nebraska Chapter
If 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
*
1.
Name - First and Last
(Required.)
*
2.
Email Address
(Required.)
*
3.
Phone Number
(Required.)
*
4.
Home Address
(Required.)
*
5.
Are you a citizen of the United States?
(Required.)
Yes
No
*
6.
Are you a Nebraska resident?
(Required.)
Yes
No
*
7.
Parent/Guardian's Name
(Required.)
*
8.
What area of the construction industry are you interested in?
(Required.)
*
9.
What community college are you planning to attend?
(Required.)
*
10.
Are any members of your immediate family presently employed in the construction industry?
(Required.)
Yes
No
School Information
*
11.
High School
(Required.)
12.
Please upload your transcript (or email kwilson@agcne.org if you have issues uploading)
Choose File
No file chosen
*
13.
Did you graduate?
(Required.)
Yes
No
*
14.
High School Graduation Date
(Required.)
Date / Time
Date
January
February
March
April
May
June
July
August
September
October
November
December
1900
1901
1902
1903
1904
1905
1906
1907
1908
1909
1910
1911
1912
1913
1914
1915
1916
Su
Sunday
Mo
Monday
Tu
Tuesday
We
Wednesday
Th
Thursday
Fr
Friday
Sa
Saturday
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
15.
College
*
16.
Are you enrolled in college?
(Required.)
Yes
No
*
17.
Have you graduated college?
(Required.)
Yes
No
Employment History
18.
Company Name, Phone, Address and Supervisor
19.
Duties and Responsibilities:
20.
Dates Employed:
Short Answer
*
21.
Why are you interest in a career in the heavy-highway-utility construction industry?
(Required.)
*
22.
List activities you participated in during high school, including dates of participation, offices held, honors received, and other applicable achievements.
(Required.)
*
23.
What are your specific career goals after graduation?
(Required.)
*
24.
Where do you see yourself in 5 years?
(Required.)
*
25.
What makes you deserving of a scholarship from the AGC Nebraska Chapter?
(Required.)