INSTITUTE OF SCRAP RECYCLING INDUSTRIES OF THE WISCONSIN CHAPTER SCHOLARSHIP SCHOLARSHIP APPLICATION

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1 INSTITUTE OF SCRAP RECYCLING INDUSTRIES OF THE WISCONSIN CHAPTER SCHOLARSHIP SCHOLARSHIP APPLICATION

2 Table of Contents I. Guidelines Page 1 II. Application Page 2

3 GUIDELINES WISCONSIN INSTITUTE OF SCRAP RECYCLING INDUSTRIES SCHOLARSHIP FUND Scholarships will be to assist dependents of employees, the spouse of an employee, or an employee of member firms of the Wisconsin Chapter of the Institute of Scrap Recycling Industries (ISRI) in pursuing his or her undergraduate or graduate education. In order to be eligible to receive a scholarship, an applicant must meet the following eligibility requirements: 1. Applicant must be a dependent of an employee, the spouse of an employee or an employee of an active member firm in good standing, of the Wisconsin Chapter of ISRI. 2. Dependents of the Scholarship Committee, the Scholarship Committee and board members of the WISRI are not eligible to receive a scholarship. 3. Applicant must be accepted and intend to pursue studies at an educational institution designed to meet the requirements for an academic or professional degree or certification conferred by a college, university, or other accredited school as listed by the U.S. Department of Education. 4. Please provide us with an essay stating the following: How has recycling impacted your life and how do you see recycling impacting the future? The selection of the scholarship recipients shall be made by the Scholarship Committee of the Wisconsin Chapter of ISRI based solely on objective criteria which include prior academic performance, recommendations from teachers and others, and a personal history provided as part of the application. In order to be considered for a scholarship, the attached application must be completed in its entirety and mailed to Darren Engbring, Chairman of the WISRI Scholarship Committee at Post Office Box 369, Milwaukee, Wisconsin Applications must be submitted no later than May 1, 2015 for maximum consideration.

4 Application for Scholarship Send Application and Inquiries to: Darren Engbring, Scholarship Chairman Miller Compressing Company INSTITURE OF SCRAP RECYCLING INDUSTRIES P.O. Box 369 Wisconsin Chapter Milwaukee, WI Phone: Fax: Please Type or Print Legal Name Male: Female: Last First Middle Initial School ID (If in College): Student Home Address and Phone Number Street Apt City State Zip Code Phone Number Date of Birth: Name of Parent of Guardian: Relationship to Student: Parent s Home Address and Phone Number (If Different from Student) Street Apt City State Zip Code Phone Number Parent s Employer and Reference Company Name Position in Company Dates of Employment Employer Reference High School Name City State Zip Code Graduation Date College Name City State Zip Code Graduation Date Most Recent GPA: Weighted Un-weighted SAT Scores: Verbal: Math: ACT Score: School Activities: Community/Social Activities and Awards: Hobbies: IF YOU NEED MORE ROOM, USE AN ADDITIONAL PAGE AND ATTACH IT TO YOUR APPLICATION

5 Please List the College of University that you Plan to Attend First Choice Second Choice Third Choice Release Agreement between Scholarship Applicant and the Institute of Scrap Recycling Industries (ISRI), the Wisconsin Chapter I, (name of scholarship recipient if recipient is over 18 years old or the name of the parent of recipient if the recipient is under 18 years old), do hereby give and grant permission to the Wisconsin Chapter of ISRI, the irrevocable right, permission and license to publish, reproduce, distribute, and/or otherwise use: (i) my/my child s name; and (ii) any photographic image or likeness of me/my child in conjunction with the announcement of scholarship awards, promotion of the scholarship program, or other publication of information related to the scholarship program. I hereby waive all rights of inspection or approval with regard to any publication, and/or other use of my/my child s name. Signature: Checklist: Must be Complete for Maximum Consideration! 1. Official transcript of high school and/or college grades 2. Standardized Test Scores: SAT and/or ACT (High School Students Only) 3. Two letters of recommendation 4. Completed Scholarship Application 5. Completed Essay Mail Application and/or Inquiries to: Darren Engbring, Scholarship Chairman Miller Compressing Company P.O. Box 369 Milwaukee, WI fax darrene@millercompressing.com

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