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Society For Underwater Technology - Houston Branch Application For Scholarship 2015-2016 Academic Year

This document is an application for a scholarship from the Society for Underwater Technology – Houston Branch for the 2015-2016 academic year. It requests personal information such as name, address, phone number, citizenship status, date of birth, gender, and race. It also requests educational information including the applicant's high school and colleges attended, dates attended, graduation dates, degrees obtained, GPAs, current degree sought and class standing. The applicant must have their department chair sign to confirm their class standing. Employment and extracurricular activity information is also requested including work experience, organizations involved in, offices held, and awards received. The applicant signs to confirm the information provided.

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31 views3 pages

Society For Underwater Technology - Houston Branch Application For Scholarship 2015-2016 Academic Year

This document is an application for a scholarship from the Society for Underwater Technology – Houston Branch for the 2015-2016 academic year. It requests personal information such as name, address, phone number, citizenship status, date of birth, gender, and race. It also requests educational information including the applicant's high school and colleges attended, dates attended, graduation dates, degrees obtained, GPAs, current degree sought and class standing. The applicant must have their department chair sign to confirm their class standing. Employment and extracurricular activity information is also requested including work experience, organizations involved in, offices held, and awards received. The applicant signs to confirm the information provided.

Uploaded by

JosephKingston
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Society for Underwater Technology Houston Branch

Application for Scholarship


2015-2016 Academic Year
Instructions:
1. Please type all information
2. Please read the entire application form and attachment carefully. Failure to follow the instructions
precisely will result in disqualification.
3. If additional space is required, please continue information on a separate sheet.
Deadline for applications is July 31, 2015.
PERSONAL INFORMATION
First/Given Name

Last/Family Name

Address
City
Telephone (Home)

State
(School)

Social Security Number


US Citizen (yes or no)

Zip Code
E-mail Address

Date of Birth
Race (for statistical purposes only)

Gender(for statistical purposes only)

EDUCATIONAL INFORMATION
List all your educational experience to date.
High School and
College(s) Attended

Dates Attended
(mm/dd/yy)

Graduation Date
(mm/dd/yy)

Degree

GPA
(4 Pt. Scale)

Current Degree Sought:


Indicate class standing in your department as of January, 2015 (Freshman, Sophomore, or Junior)

I confirm that this student is in good standing and that the class status indicated above by the applicant is
accurate.

_______________________________________________
______________________________________
Department Chair (Signature)

Date Signed

_______________________________________________
______________________________________
Print Name

Phone

EMPLOYMENT INFORMATION
List related work experience during the last four years:
Type of Work

Employer/Company

Dates of Employment

EDUCATIONAL HISTORY
List high school, college and community activities, including offices held and awards received:
Organization

Offices/Awards

Dates of Involvement

___________________________________________________
______________________________________
Signature of Applicant

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