College Application by n09C7b

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									                              The AFCEA-Middle Georgia Chapter
                                   Educational Foundation
                                       SCHOLARSHIP
                                       APPLICATION

                               middle-georgia.afceachapter.org

The Middle Georgia Chapter of Armed Forces Communications and Electronics Association
(AFCEA) provides $750 scholarships to an outstanding and deserving high school senior,
undergraduate student, and graduate student majoring in technical and scientific fields allied
with the basic sciences, engineering, computer science, intelligence systems and
telecommunications (or any other major).

Email package to AFCEAMGCEducation@gmail.com, or mail to the address listed below.


                              ANY USA SCHOOL (College)
              Armed Forces Communications and Electronics Association (AFCEA)
                              SCHOLARSHIP APPLICATION

QUESTION SECTION

      Are you a United States citizen? YES [ ] NO [ ]
      Are you majoring in the following or related fields of electrical, chemical, systems or
       aerospace engineering, mathematics, physics, science or mathematics education, or
       computer science? Or another major directly related to the support of U.S. intelligence
       enterprises or national security? YES [ ] NO [ ]

PERSONAL INFORMATION

Name: ________________________________________________________________

Home Address: _________________________________________________________

City, State, Zip: _________________________________________________________

Telephone: ____________________________________________________________

Email: ________________________________________________________________

Name/rank of ROTC Commander*___________________________________________

ROTC Detachment name and phone number*__________________________________

*ONLY ROTC APPLICANTS FILL THESE BLANKS
                                  The AFCEA-Middle Georgia Chapter
                                    Educational Foundation
                                        SCHOLARSHIP
                                        APPLICATION

                                middle-georgia.afceachapter.org



ACADEMIC INFORMATION

Name of University/College:
______________________________________________________________________

School’s Mailing Address:
______________________________________________________________________

Major: ______________________________________________________________________

       Which scholarship program are you applying for?
              Undergraduate [ ] Graduate [ ]

       Status for 2010-2011:
                Freshman [ ] Sophomore [ ] Junior [ ] Senior [ ] Graduate Student [ ]

COMMUNITY ACTIVITIES

List any club, civic, or church activities with which you have been involved without pay (i.e.
Scouting, Sunday School, and Computer Club):

______________________________________________________________________

______________________________________________________________________

______________________________________________________________________

DOCUMENTATION REQUIRED

1. Letter of recommendation which includes your GPA

ESSAY


Provide a 500 word essay on what current or upcoming technology most interests you.
                                   The AFCEA-Middle Georgia Chapter
                                     Educational Foundation
                                         SCHOLARSHIP
                                         APPLICATION

                                 middle-georgia.afceachapter.org

                             Application Deadline: May 11th, 2012

Mail package to:
                                 AFCEA Scholarships
                               Middle Georgia Chapter
                                    P.O. Box 6547
                             Warner Robins, GA 31095-6547


Or email to: AFCEAMGCEducation@gmail.com.




                       Wait! Check that all materials are included

[ ] Completed Application form
[ ] Recommendation Letter
[ ] Essay

SIGN AND DATE THE STATEMENT BELOW:

I certify that the information submitted on this application is complete and accurate to the best
of my knowledge, and I understand that knowing submitting inaccurate and false information
may result in the denial of this scholarship.

______________________________________________________________________
Signature/Date

								
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