Mosaic Technologies

2026 Scholarship Application

Students Attending a 2026 Undergraduate Course or Accredited College or University

"*" indicates required fields

Phone

This field is for validation purposes and should be left unchanged.

Tell us about yourself

Name*

First Middle Last

Applicant Phone Number

Applicant Email

Applicant Address*

Street Address City State ZIP Code

School District Currently Attending*

Parent(s) or Guardian(s) information

Parent / Guardian 1

Name*

First Last

Relationship to Applicant*

Parent/Guardian 1's Phone*

Parent/Guardian 1's Address*

Street Address City State ZIP Code

Parent / Guardian 2

Name

First Last

Relationship to Applicant

Parent/Guardian 2's Phone

Parent/Guardian 2's Address

Street Address City State ZIP Code

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).

Yes

Name of High School you are currently attending

Name of University or College you will be attending

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

Major

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

Please read the prompt below and upload your essay here*

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.

Senior Digital Photo

Max. file size: 128 MB.

Upload your senior digital photo here.

2026 Scholarship Application

Tell us about yourself

Parent(s) or Guardian(s) information

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

Your schooling

Your activities

Volunteering

Essay Submission

Streamlined connectivity solutions, seamlessly catered to both home and business needs

Company

Community

Legal

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