Microsoft Word - schapp0910.doc

Engineering Council of Birmingham, Inc.
SCHOLARSHIP APPLICATION
SCHOLARSHIPS AVAILABLE – The current practice is to award a minimum of three
scholarships: two for $1,500, one for $1,000 for a total of $4,000 providing funds are available and may
be subject to change without notice.
EVALUATION CRITERIA – The applicant must meet the following qualifications:
1.
2.
3.
4.
5.
6.
Must be a high school graduating senior entering freshman year of college.
Must attend an engineering program at an Alabama University/College that is accredited by the
Engineering Accreditation Commission of the Accreditation Board for Engineering and
Technology (ABET-EAC).
Is in a position to accept the scholarship in the school year for which it is being awarded.
Is a U.S. citizen or permanent resident of the U.S.
Has a minimum of 3.5 out of 4.0 GPA or equivalent.
Must provide financial and known scholarship information to date at the time of application.
NOTE TO APPLICANT – To be accepted for judging, an applicant must submit all the required
items listed below no later than January 15th, to: ECOB Scholarships
P.O. Box _19785
Birmingham, Alabama 35219
Required Items:
1.
2.
3.
4.
5.
Application Form w/required signatures (see last page)
Test scores SAT and/or ACT are required in application.
Essay
Two letters of recommendation
Official High School Transcript(s)
Student Information:
Name:
Home Address:
City
State
Phone:
Email:
Date of Birth:
SSN:
Zip
Parent/Guardian Name:
Address (if different from above):
1
City
State
Zip
2
Name:
Academic Information:
High School:
Cumulative Grade Point Average (GPA):
(i.e. 96 out of 100 or 3.7 out of 4.0)
out of
Please enter highest scores achieved either SAT or ACT or both:
SAT Scores: Total
ACT
VERBAL:
Scores: Composite
ENGLISH:
READING:
MATH:
MATH:
SCEINCE:
Planned Engineering Major:
Alabama Schools Applied to (in order of school preference)
Date Applied
Status of Acceptance
Financial Information:
Anticipated Expenses for First Year:
Tuition:
Room/Board:
Books/Supplies:
Transportation:
Other (describe below):
Total Expenses:
Anticipated financial support for first year of
college from the following sources:
Parents/Spouse:
Employment:
Scholarships:
Work/Study:
Other (describe below):
Total Income:
Scholarships Already Received (regardless of acceptance)
Scholarship
Amount and Years
Sponsor
Honors and Awards Received (ie. School or Community Awards - not courses)
Note: For all the following categories list the most recent first and use additional sheets if necessary.
Year Recognized
Name of Award
Sponsor of Award
3
4
Name:
High School Extracurricular Activities: (ie. School Groups or Teams see examples)
Year(s) Participated
2004-08
Activity/Organization
National Honor Society
Significant Contributions/Offices Held
Treas, Sec, VP, Pres. Community Kitchen
Chair-2 of 4 yrs
Outside School Volunteer Activities: (ie Community & Church, see examples)
Year(s) Participated
2006-08 9(8 mo/yr avg)
Activity/Organization
Humane Society
Significant Contributions/Offices Held
Monthly Volunteer at Pet Adoptions
Work Experience: (Paid or Unpaid see examples)
Year
Employer
2007 Summer Grocery Store
Phone
555-5555
Name of Supervisor Job Duties/Hours Worked
Mr. Richards
Stocked Shelves40hr/wk
5
Name:
Essay:
Include a 500 word (maximum) essay about your career plans and interest in pursuing an engineering
education. Include your major field of study if known at this time. Please put your Name on the top of
the Essay Sheet.
Letters of Recommendation:
Include two letters of recommendation from your High School. The letters may be from teachers,
counselors or principals.
Transcript(s):
Include high school transcript(s) in a sealed envelope.
Signatures and Certification:
Scholarship Applicant:
I submit that the information in the enclosed application is complete and true to the best of my
knowledge.
Applicants Signature
Date
Principal/Counselor Certification:
I certify that the academic information enclosed in this application is complete and true and the applicant
meets the eligibility requirements stated on the front of the application.
Name
Signature
Title/School
Phone
Date
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