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

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1. Name - First and Last (Required.)

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2. Email Address (Required.)

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3. Phone Number (Required.)

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4. Home Address (Required.)

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5. Are you a citizen of the United States? (Required.)

Yes

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6. Are you a Nebraska resident? (Required.)

Yes

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7. Parent/Guardian's Name (Required.)

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8. What area of the construction industry are you interested in? (Required.)

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9. What community college are you planning to attend? (Required.)

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10. Are any members of your immediate family presently employed in the construction industry? (Required.)

Yes

School Information

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11. High School (Required.)

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12. Please upload your transcript (or email kwilson@agcne.org if you have issues uploading)

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13. Did you graduate? (Required.)

Yes

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14. High School Graduation Date (Required.)

Date / Time

Date

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15. College

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16. Are you enrolled in college? (Required.)

Yes

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17. Have you graduated college? (Required.)

Yes

Employment History

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18. Company Name, Phone, Address and Supervisor

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19. Duties and Responsibilities:

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20. Dates Employed:

Short Answer

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21. Why are you interest in a career in the heavy-highway-utility construction industry? (Required.)

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22. List activities you participated in during high school, including dates of participation, offices held, honors received, and other applicable achievements. (Required.)

Scholarship Application Form

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.)

Question Title

* 6. Are you a Nebraska resident? (Required.)

Question Title

* 7. Parent/Guardian's Name (Required.)

Question Title

* 8. What area of the construction industry are you interested in? (Required.)

Question Title

* 9. What community college are you planning to attend? (Required.)

Question Title

* 10. Are any members of your immediate family presently employed in the construction industry? (Required.)

Question Title

* 11. High School (Required.)

Question Title

* 12. Please upload your transcript (or email kwilson@agcne.org if you have issues uploading)

Question Title

* 13. Did you graduate? (Required.)

Question Title

* 14. High School Graduation Date (Required.)

Question Title

* 15. College

Question Title

* 16. Are you enrolled in college? (Required.)

Question Title

* 17. Have you graduated college? (Required.)

Question Title

* 18. Company Name, Phone, Address and Supervisor

Question Title

* 19. Duties and Responsibilities:

Question Title

* 20. Dates Employed:

Question Title

* 21. Why are you interest in a career in the heavy-highway-utility construction industry? (Required.)

Question Title

* 22. List activities you participated in during high school, including dates of participation, offices held, honors received, and other applicable achievements. (Required.)

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* 23. What are your specific career goals after graduation? (Required.)

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* 24. Where do you see yourself in 5 years? (Required.)

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* 25. What makes you deserving of a scholarship from the AGC Nebraska Chapter? (Required.)

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.)

6. Are you a Nebraska resident? (Required.)

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.)

11. High School (Required.)

12. Please upload your transcript (or email kwilson@agcne.org if you have issues uploading)

13. Did you graduate? (Required.)

14. High School Graduation Date (Required.)

15. College

16. Are you enrolled in college? (Required.)

17. Have you graduated college? (Required.)

18. Company Name, Phone, Address and Supervisor

19. Duties and Responsibilities:

20. Dates Employed:

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.)