Mosaic Technologies

2026 Scholarship Application

Students Attending a 2026 Undergraduate Course or Accredited College or University

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Tell us about yourself

Name*
Applicant Address*

Parent(s) or Guardian(s) information

Parent / Guardian 1

Name*
Parent/Guardian 1's Address*

Parent / Guardian 2

Name
Parent/Guardian 2's Address
Service Area Confirmation*
I confirm that I currently live in the Mosaic Technologies service area and our household currently subscribes to at least one Mosaic Technologies service (Internet, Telephone, and/or TV).

Desired course of study (or major). (You may indicate more than one or you may answer "undecided")

Your schooling

Academic honors and distinctions*
List any academic distinction or honors you have received & grade level of each (9, 10, 11, 12).
Academic Honor or Distinction
Grade Level
 

Your activities

Note activities you are actively engaged with and are the most meaningful to you.*
Activity
Offices held (if applicable)
# of years
Grade Level(s)
 

Volunteering

Volunteer work*
Organization You Volunteer With/For
Volunteer Activity
Estimated hours over the past 4 years
 

Essay Submission

Imagine a community that embraces broadband and Wi-Fi technology. Describe the “Smart Town” and how it utilizes a broadband network. What role does it play within the community and how does it affect the way of life? What challenges are met with solutions because of broadband access and capabilities? Essay must use no less than 750 words and not to exceed 1000 words.
Accepted file types: pdf, docx, Max. file size: 128 MB.
Max. file size: 128 MB.
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