Engineering Scholarship Application

Cell Phone:

Or best number to reach you.

Are you legally able to work in the United States of America?

Yes │No

Email Address:

Permanent Street Address:

City:

State:

Zip Code:

Phone:

Current Address (If different from permanent)

Current Street Address:

City:

State:

Zip Code:

Phone:

High School Education

Street Address:

City:

State:

Zip Code:

G.P.A.

2020 Graduating Senior:

Yes │No

ACT Test Date:

Composite Score:

Writing

English

Reading

Math

Science

SAT Test Date:

Composite Score:

Reading

Math

Writing

College or University accepted to (or applied to in order of preference)

1. College or University:

City:

State:

Date Applied/Accepted:

2. College or University:

City:

State:

Date Applied/Accepted:

3. College or University:

City:

State:

Date Applied/Accepted:

Engineering Interests

How did you become interested in mechanical engineering?

What aspect of mechanical engineering interests you the most?

What type of job do you think you will want after graduation?

Work Experience / Community Service / Extra-Curricular Activities

1. Work experience/Community Service:

Position held:

Dates:

Brief description of your role:

..........................................................................................................

2. Organization:

Position held:

Dates:

Brief description of your role:

..........................................................................................................

3. Organization:

Position held:

Dates:

Brief description of your role:

..........................................................................................................

4. Organization

Position held:

Dates:

Brief description of your role:

Awards and Recognition

1. Name of Award

Select a choice

Local
Regional
State
National

Date:

Award Description

..........................................................................................................

2. Name of Award

Select a choice

Local
Regional
State
National

Date:

Award Description

..........................................................................................................

3. Name of Award

Select a choice

Local
Regional
State
National

Date:

Award description:

..........................................................................................................

4. Name of Award

Select a choice

Local
Regional
State
National

Date:

Award Description

.....................................................................................................

High School Transcript

Upload your High School Transcript. (Legible photos of the transcript are acceptable)

Letter of Recommendation from a School Official

Upload a Letter of Recommendation from a School Official. (Legible photos of the transcript are acceptable)

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Personal Information

Current Address (If different from permanent)

High School Education

OR

College or University accepted to (or applied to in order of preference)

Engineering Interests

Work Experience / Community Service / Extra-Curricular Activities

..........................................................................................................

..........................................................................................................

..........................................................................................................

Awards and Recognition

..........................................................................................................

..........................................................................................................

..........................................................................................................

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