ACEC Member Organization Scholarship Application. General Information. Personal Information. Current College/University

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1 ACEC Member Organization Scholarship Application Include a certified grade transcript(s) and clearly identify your cumulative grade point average(s) on a four-point scale: My Bachelor s (Undergraduate) GPA is. My Master s GPA is. My PhD GPA is. Complete all sections of this application and return with transcripts to the address below by February 1, 2008 ACEC/Alabama ATTN: Scholarship Coordinator 531 Herron Street Montgomery, Alabama PH: (334) FAX: (334) chall@aceca.org General Information Social Security No. Name Home College Phone: Home ( ) School ( ) Personal Information Age Date of Birth Citizenship Parent/Guardian Name Current College/University Name Date admitted In the fall of 2008 I will enter (indicate one): Junior year _ Senior year _ Fifth year _ Master s_ PhD_ Degree expected (with date)

2 Educational Background List most recent education first. Use additional sheets and attach if necessary. College/University & _ Degree Awarded College/University & _ Degree Awarded College/University & _ Degree Awarded Secondary School (High School) & City Date of Graduation Secondary School (High School) & City Date of Graduation

3 Work Experience Use additional sheets and attach if necessary List most recent work experience first. Dates Total Time (Months) Hrs/Weeks Supervisor Dates Total Time (Months) Hrs/Weeks Supervisor Dates Total Time (Months) Hrs/Weeks Supervisor Dates Total Time (Months) Hrs/Week Supervisor

4 College Activities Use additional sheets and attach if necessary. Student organizations Community activities Athletics Other Essay On a separate sheet of paper write a short essay (approximately 500 words) on the following topic: What is the role or responsibility of the consulting engineer or land surveyor relative to shaping and protecting the natural environment? Your interest, understanding and commitment to the business and management of the profession are important and should be reflected in the essay. Permission To Release or Validate Information By signing this application, I authorize ACEC and its state Member Organizations to confirm and/or release any information included on this application. Applicant's Signature Date I have reviewed this application and I recommend the student for consideration. Dean or Professor's Signature Date

5 ACEC Scholarship Recommendation Form Name of student Name of school Degree expected Date expected Your name Title Please complete this form and return to the address below by February 1, 2008 ACEC/Alabama ATTN: Scholarship Coordinator 531 Herron Street Montgomery, Alabama PH: (334) FAX: (334) Organization You are (indicate one): Engineering professor _ Consulting engineer _ Land Surveyor _ How long, how well, and in what capacity have you known the applicant? In the fall of 2008 this student will enter (indicate one): Junior year _ Senior year _ Fifth-year _ Master s_ PhD_ Please rate the student in each of the following categories (rating 1, 2, 3, or 4; with 1 the lowest and 4 the highest). Rating Use space below to explain your answers Academic potential Academic performance Cooperation Leadership Initiative Industrious Dependability Courtesy Maturity Self-control Potential as a PE Signature Date

6 ACEC SCHOLARSHIP APPLICATION CHECKLIST Applicant: Reviewed By (MO Representative): Date: Checklist Official ACEC Application Form ABET Accredited Engineering School Properly Signed by Applicant Properly Signed by Dean or Professor Official Transcript Essay ACEC Recommendation Form