Consulting Electrical Engineers by syi52137

VIEWS: 9 PAGES: 6

									                                Consulting Electrical Engineers
                                    Division of the Electric Association

                           2009-2010 CEE Scholarship Application
                                            Type or print all information
                                               except for signatures
                                      If space provided in any section proves inadequate,
                                      information may be continued on additional sheets
                                            of paper and attached to the application.



APPLICANT            NAME          Last _____________________________ First ____________________________
DATA
                     PERMANENT Street _____________________________________________________________
                     HOME
                     MAILING   City __________________ State ________________ Zip Code _______________
                     ADDRESS
                                Phone ____________________________ Email __________________________


              NAME                 Last____________________________ First _____________________________
CEE REFERRING
MEMBER INFORMATION                 COMPANY________________________________________________________

                                   Relationship to Applicant _____________________________________________

                                   Home Phone _____________________ Work Phone _______________________


EDUCATIONAL                        SCHOOL __________________________________________________________
INSTITUTION
INFORMATION                        School Year (ie: Freshman, Sophomore, Graduate) _________________________
(College you plan to attend)
                                   Street__________________________________ City _______________________

                                   State __________________________________ Zip Code____________________

                                   Phone (______) ______________

                     FIELD OF
                     STUDY          __________________________________________________________________
ACTIVITIES,        List all school activities in which you have participated during the past four years (e.g. student government,
HONORS AND         music, sports, etc.). List all community activities in which you have participated without pay during
AWARDS             the past four years (e.g. Boy/Girl Scouts, hospital volunteer, etc.). Indicate all special awards, honors and
                   offices held. Use additional sheets as necessary.


                                 Activity                   No. of Years      Special Awards/Honors               Offices Held




.


TRANSCRIPT         You must include an official current school transcript of grades and have the following section completed by
INFORMATION        the appropriate school official.
(REQUIRED)

                   Cumulative grade point avergage___________/4.0 scale

                   School Official’s Signature_______________________________            Title______________________

                   Date________________________             Phone (______) _____________________________________

SCHOLARSHIPS Have you been awarded any other scholarships and/or grants for the upcoming school year?
AND/OR GRANTS                                □ Yes        □ No

                   If yes, please complete the following:

                         Name of Scholarship or Grant                            Provided By                          Amount




CERTIFICATION
                   In submitting this application, I certify that the information provided is complete and accurate to the best of my
                   knowledge. If requested, I agree to give proof of information I have given on this form. Falsification of
                   information may result in termination of any scholarship granted. This application becomes the property of the
                   Electric Association Education Foundation.

                   Applicant’s Signature ____________________________________Date ________________________

                   CEE Member’s Signature_________________________________Date ________________________
                                  GOAL ASPIRATION ESSAY

Write a 150 word essay describing your plans as they relate to your educational and career objectives and future
goals. Use additional sheets as necessary. Applicants will be judged on grammar, spelling, clarity and content.
                               Applicant Recommendation Form
To be completed by school counselor or advisor, an instructor, supervisor, or family friend who knows you
well. Only one of the appraisers can be a family friend.

You have been asked to provide information in support of this scholarship application. When completed, please
return to applicant in a sealed envelope.

The applicant’s achievements reflect       □ extremely well   □ very well   □ moderately well       □ not well
his/her ability
The applicant’s ability to set realistic   □ excellent        □ good        □ fair                  □ poor
and attainable goals is
The quality of the applicant’s
commitment to school and community         □ excellent        □ good        □ fair                  □ poor
is
The applicant is able to seek, find and    □ extremely well   □ very well   □ moderately well       □ not well
use learning resources
The applicant demonstrates curiosity       □ extremely well   □ very well   □ moderately well       □ not well
and initiative
The applicant demonstrates good
problem-solving skills, follows through    □ extremely well   □ very well   □ moderately well       □ not well
and completes tasks
The applicant’s respect for self and       □ excellent        □ good        □ fair                  □ poor
others is

Comment




Appraiser’s Name _________________________________________ Title _____________________________________

Relationship to Applicant __________________________________ Telephone No. (_______) ____________________

How long have you know the applicant? _______________________


Signature _______________________________________________ Date _____________________________________
                               Applicant Recommendation Form
To be completed by school counselor or advisor, an instructor, supervisor, or family friend who knows you
well. Only one of the appraisers can be a family friend.

You have been asked to provide information in support of this scholarship application. When completed, please
return to applicant in a sealed envelope.

The applicant’s achievements reflect       □ extremely well   □ very well   □ moderately well       □ not well
his/her ability
The applicant’s ability to set realistic   □ excellent        □ good        □ fair                  □ poor
and attainable goals is
The quality of the applicant’s
commitment to school and community         □ excellent        □ good        □ fair                  □ poor
is
The applicant is able to seek, find and    □ extremely well   □ very well   □ moderately well       □ not well
use learning resources
The applicant demonstrates curiosity       □ extremely well   □ very well   □ moderately well       □ not well
and initiative
The applicant demonstrates good
problem-solving skills, follows through    □ extremely well   □ very well   □ moderately well       □ not well
and completes tasks
The applicant’s respect for self and       □ excellent        □ good        □ fair                  □ poor
others is

Comment




Appraiser’s Name _________________________________________ Title _____________________________________

Relationship to Applicant __________________________________ Telephone No. (_______) ____________________

How long have you know the applicant? _______________________


Signature _______________________________________________ Date _____________________________________
                                    Applicant Checklist
        Complete APPLICANT INFORMATION section of Scholarship Application Form.


• Have CEE member complete CEE Referring Member INFORMATION section of Scholarship
   Application Form.

• Have appropriate school official complete SCHOOL DATA section of Scholarship Application Form and
  enclose official current school transcript.

• Have two of the following complete the APPLICANT RECOMMENDATION FORM: school counselor
  or advisor, an instructor, supervisor, or family friend who knows you well.

• Provide GOAL ASPIRATION ESSAY.

• Carefully review application to ensure all sections of application are fully and properly completed.

• Return completed application, transcript of grades and supporting documents to the Electric Association
  Education Foundation, Attention: CEE Scholarship Committee, One Energy Center, 40 Shuman Blvd.,
  Suite 247, Naperville, IL 60563 by April 15, 2009. The complete application must be in the
  Foundation office before or on April 15th. Late or incomplete applications will not be considered.

								
To top