SCHOOL OF ENGINEERING AND TECHNOLOGY 2014 HONORS SCHOLARSHIPS & AWARDS APPLICATION Computer Engineering Electrical Engineering

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1 SCHOOL OF ENGINEERING AND TECHNOLOGY 2014 HONORS SCHOLARSHIPS & AWARDS APPLICATION Computer Engineering Electrical Engineering SUBMIT TO THE DEPARTMENT OF ELECTRICAL AND COMPUTER ENGINEERING BY FRIDAY, FEBRUARY 14, 2014 PRINT WITH BLACK INK DO NOT USE PENCIL PERSONAL DATA Name: LAST FIRST MIDDLE Permanent Street Address: NUMBER STREET APARTMENT CITY STATE ZIP CODE COUNTRY Telephone: Address: University ID#: Birth Date: Age: Gender: Marital Dependents: If yes, number: Citizenship: MALE FEMALE SINGLE MARRIED YES NO U.S. CITIZEN PERMANENT RESIDENT Have you submitted the FAFSA? If yes, date: YES NO MONTH YEAR ACADEMIC INFORMATION High School: Dates Attended: / to / College/University: Dates Attended: / to / College/University: Dates Attended: / to / Department: Major: Current GPA: Cummulative GPA: Degree GPA (courses on Plan of Study only): LAST SEMESTER ALL SEMESTERS and FULL-TIME PART-TIME UNDERGRADUATE GRADUATE Number of credit hours enrolled in this semester: Number of credit hours completed in major: Total number of credit hours completed in all course work: Class Standing in major: Fr So Jr Sr Grad Number of outstanding credit hours needed to graduate: Type of degree to be received upon graduation: Attending 2013 Summer School at IUPUI? Anticipated graduation date: YES NO

2 Name: University ID#: EMPLOYMENT Current Employer: Supervisor: Duties: Dates Employed: / to / Number of hours worked per week during the school year: Does your employer offer tuiton reimbusement? YES NO If yes, how is the program structured? Former Employer: Supervisor: Duties: Dates Employed: / to / FINANCIAL Please briefly describe how you are financing your college education. List assistance sources such as work (full or part-time), summer work, internships, scholarships, grants, loans, or family. TYPE AMOUNT DURATION EXTRACURRICULAR ACTIVITIES (COMMUNITY, VOLUNTEER, CAMPUS, HOBBIES, INTERESTS) SPECIAL HONORS, AWARDS, SCHOLASTIC ACHIEVEMENTS PROFESSIONAL AFFILIATIONS

3 Name: University ID#: SCHOLARSHIPS AND AWARDS Please indicate the scholarship(s) and award(s) for which you are applying. ECE SCHOLARSHIPS AND AWARDS Outstanding Electrical and Computer Engineering Freshman Award Outstanding Electrical and Computer Engineering Graduate Student Raytheon Systems Company Award for Engineering Dual Degree Senior (Butler/IUPUI) Student Award Raytheon Systems Company Award for Outstanding Electrical and Computer Engineering Senior Award Roy and Mitsue Yokomoto Most Accomplished ECE Junior Award The School Scholarships and Awards are open to all students enrolled in a degree program within the School of Engineering and Technology, assuming you meet the specified criteria of the scholarship/award. SCHOOL SCHOLARSHIPS AND AWARDS D.J. Angus Scientech Educational Foundation Award Robert H. and Marjorie K. Begeman Scholarship James D. Bercaw Distinguished Engineering Student Award James D. Bercaw Distinguished Technology Student Award Brancato Scholarship +* Edgar and Betty Conn Part-Time Student Scholarship+* Dean's Industrial Advisory Council (DIAC) Scholarship H. Eugene Hunt and Rebecca A. Mohr Scholarship Derek Krueger Memorial Scholarship+* Munevar Family Scholarship for Outstanding Civic Engagement and Academic Excellence+*^ Jacqueline E. Newsom Scholarship Clayton and Deborah Nicholas Scholarship Alfred R. Potvin and Janet H. Potvin Outstanding Student Leader and Scholar Award ProAAct Scholarship Purdue School of Engineering and Technology Alumni Association Golf Classic Student Scholarship+* Gladys Román Memorial Scholarship*^ United Parcel Service and National Society of Black Engineers Achievement Award If you would like to be considered for special scholarships and awards open to minorities or international students please indicate your interest by completing the following information: Ethnicity: Country of Citizenship: * Denotes application requires a written personal statement/letter of introduction + Denotes application requires a letter of recommendation from a faculty member ^ Denotes application requires a resume ALL APPLICATIONS MUST BE SUMITTED WITH AN UNOFFICAL TRANSCRIPT FROM ONESTART The Honors Convocation is April 4, Attendance of scholarship/award recipients is highly encouraged.

4 ECE Scholarship and Award Descriptions Outstanding Electrical and Computer Engineering Freshman Award Amount: $200 Class Standing: Freshman, first degree Other Qualifications: Outstanding freshmen in electrical and computer engineering having completed all required freshman courses, academic achievement. Outstanding Electrical and Computer Engineering Graduate Student Class Standing: Graduate MS Thesis Student Other Qualifications: Raytheon Systems Company Award for Engineering Dual Degree Senior (Butler/IUPUI) Student Award 3.5 or higher Other Qualifications: Applicant must be an outstanding student in the EDDP program who is graduating and a U.S. Citizen Raytheon Systems Company Award for Outstanding Electrical and Computer Engineering Senior Award Amount: $1, or higher Other Qualifications: Applicant must be an outstanding ECE student who is graduating and a U.S. Citizen Roy and Mitsue Yokomoto Most Accomplished ECE Junior Award Amount: $800 Class Standing: Junior Other Qualifications: Requires a separate application, available from the ECE Department

5 School Scholarship and Award Descriptions D.J. Angus Scientech Educational Foundation Award Amount: $800 Class Standing: Sophomore or Junior Other Qualifications: Student shall have shown the greatest improvement in grade average from one semester year to the next and displayed a good citizenship record. Robert H. and Marjorie K. Begeman Scholarship Amount: $1,000 - $2,000 Other Qualifications: The scholarship will be given to an undergraduate student with the following nationalities and citizenship: Egypt, Ethiopia, Kenya, Morocco, Nigeria, Tanzania, Zimbabwe, Cambodia, Indonesia, Thailand, Taiwan, and Vietnam. James D. Bercaw Distinguished Engineering Student Award Highest GPA of all engineering majors James D. Bercaw Distinguished Technology Student Award Highest GPA of all technology majors Brancato Scholarship Class Standing: Sophomore - Senior 3.0 or higher Other Qualifications: Single parent with demonstrated financial need Edgar and Betty Conn Part-Time Student Scholarship Class Standing: Have completed a minimum of 24 credit hours Part-time 3.0 or higher Other Qualifications: Currently enrolled in 6-11 credit hours Dean's Industrial Advisory Council (DIAC) Scholarship H. Eugene Hunt and Rebecca A. Mohr Scholarship Amount: $750 - Have completed a minimum of 18 credit hours Maintain the highest cumulative GPA with at least nine credit hours completed per semester over the preceding two semesters Derek Krueger Memorial Scholarship Amount: $1,000 Other Qualifications: Must be planning to conduct undergraduate research in the field (not in a lab on campus). Please include purpose of the research, setting where the research will be conducted and expected outcomes in your personal statement. Munevar Family Scholarship for Outstanding Civic Engagement and Academic Excellence or Graduate Other Qualifications: Applicant must be actively involved in the Purdue School of Engineering and Technology, as well as the greater Indianapolis community through leading community outreach activities and professional organizations. Jacqueline E. Newsom Scholarship - $1, or higher Other Qualifications: Applicant must be a member in or more student organizations, with preference given to African American students Clayton and Deborah Nicholas Scholarship Amount: $1,000 or Graduate Other Qualifications: The scholarship will provide recognition to a student who has exhibited perseverance and dedication to his/her academic pursuits as shown through improvement in his/her grade point average

6 School Scholarship and Award Descriptions Alfred R. Potvin and Janet H. Potvin Outstanding Student Leader and Scholar Award or Graduate- Senior (within 30 credit hours of graduation) or Graduate student (within 10 credit hours of a MS degree or one year of completing a Ph.D.) 3.2 or higher Other Qualifications: Completed 45 or more undergraduate or 21 or more graduate semester credit hours at IUPUI, officer in one or more student organizations with a strong record of accomplishment, leadership and collegial relations, IUPUI GPA in the top quarter of students in same degree program. ProAAct Scholarship Other Qualifications: Preference will be given to underrepresented (minority) students, who without this aid might not be able to obtain a higher education. Purdue School of Engineering and Technology Alumni Association Golf Classic Student Scholarship or Graduate Gladys Román Memorial Scholarship Other Qualifications: Applicant must be Hispanic. United Parcel Service and National Society of Black Engineers Achievement Award or Graduate 3.0 or higher Other Qualifications: Member in or more student organizations (NSBE included) or activities with a strong record of accomplishment leadership, and collegial relations