Scholarship Application

form.antibot { display: none !important; } You must have JavaScript enabled to use this form.

Upon submission of your application, you will receive a confirmation email from Human Resources. If you do not receive a confirmation email within 48 hours, please email eaglepicherscholarships@eaglepicher.com as there may be a problem with your application.

Last Name *

First Name *

Email *

Phone Number *

Address *

City *

State/Province *

Zip *

Current High School / College / University / Vocational-Technical School *

Graduation Date *

Month

Day

Year

I will be attending the following school *

Please enter name and complete address. Change of school requires written notification to the address on this form prior to checks being issued.

I will be entering the above-mentioned school as a *

List your field of study

High School / College / University / Vocational-Technical School Cumulative GPA *

Upload proof of GPA, your most recent school transcript required *

All scholarship recipients must maintain 3.0 combined GPA for high school seniors and 3.0 cumulative GPA for college students to qualify. Grades must be submitted for each semester in order to receive funds ongoing.
Files must be less than 3 MB.
Allowed file types: jpg jpeg png pdf.

Upload letter of college acceptance or program acceptance (Certified copy not required) *

Files must be less than 3 MB.
Allowed file types: jpg jpeg png pdf.

Upload proof or enrollment showing 12 hours for undergrad and 6 hours for graduate studies *

UPLOAD PROOF OF ENROLLMENT (CLASS SCHEDULE ) SHOWING 12 HOURS FOR UNDERGRAD AND 6 HOURS FOR GRADUATE STUDIES
Files must be less than 3 MB.
Allowed file types: jpg jpeg png pdf.

EaglePicher Employee Information

Name(s) *

Street *

City *

State/Province *

Zip *

Phone *

Relation *

Statement of Accuracy *

I hereby affirm that all the above stated information provided by me is true and correct to the best of my knowledge. I hereby understand that if chosen as a scholarship recipient I must provide evidence of enrollment/registration at the post-secondary institution of my choice before scholarship funds can be awarded.

MUST BE RECEIVED BY Friday, June 27, 2025
In person deliveries will not be accepted. Scholarship recipients will be notified by email. Students are required to pay any and all taxes associated with the receipt of the award.

Search form

Scholarship Application