NBT Scholarship Application - Fall 2016



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NBT Scholarship Application - Fall 2016 Please make your time count and read additional eligibility and GPA guidelines by visiting http://www.nutsandboltsfoundation.org/scholarships. You must be enrolled or accepted into a degree program that will lead to a career in manufacturing. Only full-time students currently enrolled or who plan to attend a technical school, college, or university in the upcoming semester should apply. INCOMPLETE ONLINE APPLICATIONS WILL AUTO-PURGE AFTER 7 DAYS OF INACTIVITY. If you choose to finish the application later, please do so within 7 days of starting. All purged data is irretrievable. Please read all instructions thoroughly and take your time to answer all questions. You will be unable to access your application after you submit electronically. Your online scholarship application will only be complete when an official transcript is received. An official transcript MUST be mailed from the high school or college of record DIRECTLY to the address below. A mid-year transcript is acceptable. If your transcript is emailed, faxed, or photo copied, you will be disqualified. Transcript mailing address: Nuts, Bolts & Thingamajigs Scholarship Program 833 Featherstone Road Rockford, IL 61107 Applications may be submitted at any time of year except for the U.K. Gupta Family Scholarship which is only available for the fall semester (apply January - March). Application review and scholarship award decisions will be made in June (for fall awards) and November (for spring awards). All notifications are made via email and U.S. mail. No phone calls please.

NBT Scholarship Application Are you currently enrolled or do you plan on attending a technical or trade school, college, or university in the upcoming Fall 2016 semester? Yes No I am applying for a: NBT scholarship for community college, technical college, trade school or university studies. U.K. Gupta Family Endowed Scholarship (for students attending four-year universities in Texas only). John Grossheim Memorial (OPC Endowed) Scholarship (for students enrolled in programs related to the steel or metals processing industry) Personal Contact Information Please indicate a preferred year-round mailing address. (The information you provide here will be used to contact you.) First Name Last Name Address Home Phone (e.g., xxx-xxx-xxxx) Email Address Cell Phone (e.g., xxx-xxx-xxxx) Birthday (mm/dd/yyyy) My parents names are: I am a citizen of: Gender:

If you are an FMA-, TPA-, or OPC-member or have membership affiliation through an employer or parent, please contact the FMA Customer Service Department at (815) 399-8775 to obtain the membership ID number. Do you have a student membership in FMA or a membership affiliation with FMA through your employer or that of a parent/guardian? Yes No Membership or Membership Affiliation Member ID# Individual or Company Name Street Address Main Phone (e.g., xxx-xxx-xxxx) Please indicate your relationship to the member you have named above: Self My employer My parent My parent's employer Other

Career Goals & Achievements From the following list, choose the field that most closely reflects your intended field of study: Aeronautical/Aerospace Engineering Agricultural/Biological Systems Engineering Automotive Technician Aviation Technician Biomedical Engineering Chemical Engineering Civil/Structural Engineering CNC Manufacturing/Machining Computer Engineering Design/Drafting Diesel Technician Electrical Engineering Environmental Engineering Fabrication Geological Engineering HVAC Industrial Electrician Industrial Engineering Industrial Maintenance Machine Tool Technology Materials Science/Engineering Manufacturing Engineering Marine Engineering/Naval Architecture Mechanical Engineering Mining Engineering Operations & Technology Management Petroleum Engineering Petroleum Technology Plumbing Quality Technology/Engineering Renewable Energy Robotics/Mechatronics/Automation Tool & Die Welding Welding Engineering Write the exact name of your planned major/field of study as it appears in the school catalog or on the school website.

Essay Questions Please answer the following essay questions. Be detailed in your response. If referencing sports, scouts, or religious activities, please use neutral language (examples: team, youth organization, church group, etc.). What experiences have influenced your decision to pursue a career in manufacturing and the specific field of study you selected? What type of work do you see yourself doing after you graduate and what motivates you to pursue this specific career? Current Academic Status: School presently attending: Street/PO Box Main Phone (e.g., xxx-xxx-xxxx) My grade-point average is (i.e., 3.5 out of 4, 94 out of 100, etc.) Anticipated graduation date Educational Objective The name of the school I will be attending is The school I have named above is a Community college Trade School Technical college University My degree or certification will be (example: AAS - Associate in Applied Science; BS - Bachelor of Science; Certification, etc.) Anticipated graduation date: If you are selected to receive a scholarship, please provide the mailing address for your school's Financial Aid Department. Scholarship checks will only be mailed to this address for use in covering expenses such as tuition, books, lab fees, and equipment that must be purchased at the school. Award checks will not be mailed to faculty departments (e.g., Engineering,

Welding, Mfg Technology, etc.) or to applicants. Checks will only be mailed to the financial aid department of the school the applicant will attend. School Name Dept. (e.g., Financial Aid, etc.) Street Address PO Box (If none, indicate n/a) Main Phone (e.g., xxx-xxx-xxxx) What is today's date? (mm/dd/yyyy) Certification I certify that I am the student applicant and have provided accurate information. I understand that false, misleading, or incomplete information will disqualify my application. (You are about to submit your online application. After you finish, you will be unable to retrieve your data.) Yes No