SCHOOL OF ENGINEERING SCHOLARSHIP APPLICATION

Due to Dean’s Office on Friday, FEBRUARY 9, 2001

This application is for (check the ones you are applying for)

____ Fru-Con Engineering Scholarship

____ Hurst-Roche Engineering Scholarship

____ M. B. Corlew Memorial Award in Engineering

____ Harry A. Kluge Memorial Honors Award in Engineering

____ Society of American Military Engineering (SAME) Scholarship

____ Oates Associates Civil Engineering Scholarship

____ Russell C. Soloman Award for Industrial or Mechanical Engineering

____ Ross & Baruzzini Scholarship for Electrical or Mechanical Engineering

Name_______________________________________ Expected Graduation Date___________

Month/Year

Major______________________ Status_______________________ GPA_____________

Sophomore/Junior/Senior

Local Address__________________________________________________________________

Local Phone Number____________________ Parent’s Names_______________________

Permanent Address______________________________________________________________

High School Attended__________________________ Date of Graduation______________

PLEASE ATTACH A CURRENT RESUME AND A PRINTOUT OF YOUR TRANSCRIPT

University Activities in Technical and Honorary Organizations:

(List type of organization, offices held [if any], and dates)

______________________________________________________________________________

Career Objectives:

______________________________________________________________________________

Explain Any Financial Need You Might Have:

______________________________________________________________________________

(Attach extra sheet if necessary)