Industrial Equipment Distributor Application - PDF

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Industrial Equipment Distributor Application - PDF Powered By Docstoc
					Airgas - Terry Jarvis Memorial Scholarship
            Application Package




             For a Welding Engineering or
         Welding Engineering Technology Degree




         Provided through the AWS Foundation, Inc.
                  550 N. W. LeJeune Road
                    Miami, Florida 33126
         Airgas - Terry Jarvis Memorial Scholarship
Introduction
        Airgas is the largest distributor of industrial, medical and specialty gases and
related equipment in the United States, and the third largest distributor of safety
products. The company's distribution network is comprised of approximately 700
locations including cylinder fill plants, specialty gas laboratories, branch locations,
distribution centers, and inbound and outbound telemarketing operations throughout the
U. S., Canada and Mexico. Airgas maintains the largest rental welder fleet in North
America and also distributes industrial coatings, metal working and other maintenance,
repair and operations products. Airgas is also the largest producer and distributor of dry
ice, fourth largest producer of liquid carbon dioxide, and the second largest manufacturer
of nitrous oxide in the U. S.

        Terry Jarvis was an employee in the Birmingham, Alabama area that helped to
make Airgas what it is today. Terry worked for Airgas South for eleven years. He
started with Airgas as a truck driver and through a series of promotions became the
Assistant Branch Manager in the Pelham, Alabama store. Terry was a well-respected,
well-liked associate who was dedicated to Airgas. Terry died at the age of 39, and this
scholarship is named in his memory. Through this scholarship, we hope to encourage
others to get the education they need to have a successful career with an industrial gas or
welding equipment distributor.


Purpose

       The purpose for this scholarship is to provide financial assistance to those
individuals interested in pursuing a career in welding engineering.


Eligibility

         The Airgas - Terry Jarvis Memorial Scholarship will be awarded to an
undergraduate student pursuing a minimum four-year bachelors degree in welding
engineering (WE) or welding engineering technology (WET); however, priority will be
given to welding engineering (WE) students interested in pursuing a career with an
industrial gas or welding equipment distributor. All applicants must meet the following
eligibility requirements.
       1.     Applicant must be a minimum of eighteen years of age.

       2.     Applicant must have a minimum high school diploma or equivalent.

       3.     Applicant must be a full-time student as defined by the academic
              institution.

       4.     Applicant must have at least a 2.8 overall grade point average with a 3.0
              grade point average in engineering courses.

       5.     Financial need is not required; however, priority will be given to those
              individuals demonstrating a financial need.

       6.     Priority will be given to those individuals who demonstrate an interest in
              pursuing a career with an industrial gas or welding equipment distributor
              by prior work experience, clubs, organizations or extra-curricular activities.

       7.     Applicant must be a citizen of the United States or Canada and plan to
              attend an academic institution located within the United States or Canada.

       8.     Applicant must submit all required application information.

       9.     Priority will be given to those individuals residing or attending school in
              the states of Alabama, Georgia or Florida. (A resident is defined as having
              lived in the specified area for a minimum of one year.)

       10.    Applicants may reapply; however, persons who have received this award
              may reapply and may be granted the award for a maximum of four years.

        The award will be presented to individuals nationwide. Applicant does not have
to be a member of the American Welding Society.

        The AWS Foundation does not discriminate by age, race, color, national origin,
disability, creed, or gender.


Selection

       Applicant will be chosen by the Named Scholarship Selection Committee
comprised of five (5) members, which have been selected by the National Educational
Scholarship Committee.

       Selection committee will determine award recipient in February of each year.
Recipient will be announced at the National Awards Luncheon.
Awards

       One $2,500 award will be given annually.

        No awards will be paid to the recipient. All awards are for tuition and books
only, and will be paid directly to the academic institution by the AWS Foundation.


Application Information

       Procedure

       Applicant must submit the following:

       1.     Application form (See attached)
       2.     Two letters of reference
       3.     Brief autobiography
       4.     Official transcript
       5.     Statement of Unmet Financial Need
       6.     Verification of Enrollment
       7.     Copy of proposed curriculum
       8.     Essay of 300 - 500 words - "Why I Want to Pursue a Career with an
              Industrial Gas or Welding Equipment Distributor."


       Please note: Recipients may be asked to submit a 5 x 7 head and shoulders color
       photograph for publicity purposes.


       Deadline

       Deadline for application is January 15, for the following Fall term.


       For More Information

       Please contact:

       AWS Foundation, Inc.
       550 N. W. LeJeune Road
       Miami, FL 33126
       800-443-9353, extension 461
          305-445-6628
          Fax – 305-443-7559



Revised 6/00
           Airgas - Terry Jarvis Memorial Scholarship
                 Application Package Checklist
Eligibility Requirements (Please check each requirement met.)
q   Are you a minimum of eighteen years of age?
q   Do you have a high school diploma or G. E. D. equivalent?
q   Do you have a minimum 2.8 overall grade point average with a 3.0 grade point average in
    engineering courses?
q   Are you interested in pursuing a career with an industrial gas or welding equipment
    distributor?
q   Do you have proof of financial need?
q   Are you enrolled full-time?
q   Are you pursuing a four-year bachelors degree in Welding Engineering or Welding
    Engineering Technology?
q   Are you a citizen of the United States or Canada?
q   Do you plan to attend an academic institution located within the United States or Canada?

Have you included the following in your package? (Please check each item
included, and if not included, please note the date the item(s) should be
received at the AWS Foundation office.)
                                                           Date
q   Application
q   Two letters of reference
q   Brief Autobiography                                  ___________
q   Official transcript                                  ___________
q   Copy of Proposed Curriculum                          ___________
q   Verification of Enrollment                           ___________
q   Statement of Unmet Financial Need                    ___________
q   Essay of 300 - 500 words - "Why I Want to Pursue a ___________
    Career with an Industrial Gas or Welding Equipment Distributor"

Comments
__________________________________________________________________________

__________________________________________________________________________

_________________________                           __________
Signature                                    Date




                       National Scholarship
                       Application Package
                            Disclaimer


      The AWS Foundation, Inc. is not responsible for assembling student

scholarship application packages; however, with prior notification, official

transcripts sent directly from the Registrars Office will be added.

Incomplete application packages and application packages postmarked after

the scholarship deadline will be automatically disqualified.
         Airgas - Terry Jarvis Memorial Scholarship Application
Deadline for Submission:                                                                                    Please Return To:
January 15                                                                                                             AWS
Foundation, Inc.
(Print in dark ink or type)                                                                                 550 NW LeJeune Road
                                                                                                            Miami, FL 33126

Social Security Number ____________________________             Date of Application ________________________________

Applicant’s Name ___________________________________________________________________________________

Current Address____________________________________________________________________________________
                                    Number                               Street                                Apt. No.

_________________________________________________________________________________________________________________________
                  City                                State                               ZIP

Home Phone Number (              ) ____________________

RESIDENCY STATUS: Resident of _________________ (State) Non U. S. Citizen _____________________(Country)

If you are not a U. S. Citizen, you currently hold which type of Visa? __________________________________________

Sex: Male ______ Female: ______ Date of Birth _________________________________________________________

MARITAL STATUS: Single _____ Married _____ (Number of Dependents ______) Separated _____ Divorced _____

Parent/Guardian’s Name ______________________________________________________________________________

Parent/Guardian’s Address ____________________________________________________________________________
                                    Number                               Street                                Apt. No.

________________________________________________________________________________________________________________________
                  City                                State                               ZIP

Parent/Guardian’s Home Phone Number (                 ) ________________ Work Phone Number (                    )
____________

Are you employed ? _____ Yes _____ No If yes, please give the following:

EMPLOYER’S NAME ______________________________________________________________________________

Employer’s Address _________________________________________________________________________________
                                    Number                               Street                                Apt. No.

________________________________________________________________________________________________________________________
                  City                                State                               ZIP

Employer’s Phone Number (             ) ________________

PROPOSED SCHOOL (Institute, College, University) NAME ______________________________________________

Proposed School Address _____________________________________________________________________________
                                    Number                               Street

_________________________________________________________________________________________________________________________
                  City                                State                               ZIP

Contact at your Proposed School ________________________________ Phone Number (                         )
_________________

Proposed Major Area of Study ________________________________ Proposed Date of Graduation _________________

I affirm the information that I have (will) provided on this application, or any supportive materials, is (will be) complete,
accurate, and true to the best of my knowledge. I understand that furnishing false information may result in not being
considered or revocation of financial aid at some later date.

Signature of Applicant _____________________________________________________ Date _____________________

Signature of Parent or Guardian ______________________________________________ Date ____________________
LIST OF SCHOOLS YOU PREVIOUSLY ATTENDED (From High School through the Present)


        Name of School                                            Address                                   Date Attended




                                  *** Attach a transcript from all previous institutions attended ***

ACTIVITIES RECORD (Include school and community activities and honors)
(Check in the space provided the school year(s) in which you participated in each activity)


   Name of Activity       High School     High School      College     College                  Offices & Honors
                             Junior          Senior       Freshman     Sophomore




WORK EXPERIENCE (Include present and previous employment)

Total number of hours worked per week ____________ Total amount of money earned per week $_________


          From Month, Year                            To Month, Year                      Job Description (be specific)




FINANCIAL AID REPORT
                  *** Please use the attached Statement of Unmet Financial Need form. ***


LIST OF PERSONAL REFERENCES:

Name                                       Street/City/State/ZIP               Occupation
__________________________________________________________________________________________

__________________________________________________________________________________________

_________________________________________________________________________________________

PERSONAL STATEMENT – Attach a supplementary sheet to give information about your ambitions, goals, background and any
other factors that would assist the committee in judging your eligibility.
                                    Verification of Enrollment
Dear Admissions/Registrar:

      This student is applying for a scholarship from the American Welding Society through the AWS
Foundation. Please complete the information requested below for verification of the student’s acceptance to this
academic institution.

        In addition, please verify the student’s current enrollment status and total number of hours completed.
This information should be included in the student’s scholarship application package. Thank you.

                                                      AWS Foundation, Inc.
-------------------------------------------------------------------------------------------------------------
To be completed by Student:

      I authorize the above requested information to be released to the AWS Foundation, Inc. in connection with
my application for a National Scholarship.

_____________________________                               ____________________________
Student                                               Academic Institution

_____________________________                                  ____________________________
Social Security Number                                         Date

-------------------------------------------------------------------------------------------------------------
To be completed by Admissions/Registrar:

_____________________________                                  ____________________________
Student                                                        Academic Institution

Date of acceptance to this institution: ___________________________________________

Is this student currently enrolled? _______________________________________________

Course of study currently enrolled: ______________________________________________

Number of academic hours completed: _________________________________________

Student status: (circle one) Freshman                Sophomore            Junior        Senior        Other

Signature ___________________________________ Title __________________________

Print Name _________________________________ Telephone (_______)_____________
                                           ESSAY

      Priority will be given to the applicant who demonstrates an interest in pursuing a career
with an industrial gas or welding equipment distributor with prior work experience, clubs,
organizations or extra-curricular activities. Essays are recommended to be typewritten. In 300-
500 words, please provide your thoughts on the following topic: "Why I Want to Pursue a
Career with an Industrial Gas or Welding Equipment Distributor." Use additional paper if
necessary.

_____________________________________________________________________________
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_____________________________________________________________________________
_____________________________________________________________________________
__________
_________________________________________________________________




                    Statement of Unmet Financial Need
                                 ATTENTION OFFICE OF FINANCIAL AID

       This student is applying for a scholarship from the American Welding Society through the AWS
Foundation. Please complete the information requested below for verification of the student’s statement of
unmet financial need, or attach an official letter from the Office of Financial Aid indicating the student’s current
budget, needs analysis, and financial aid awards, including scholarships.


                                                                         Thank You,
                                                                         AWS Foundation, Inc.

__________________________________________________________________________

                                           To be completed by Student:


       I authorize the above requested financial aid information to be released to the AWS Foundation in
connection with my application for a National Scholarship.




_________________________________                     ________________________________
Student Signature                                     Academic Institution




_________________________________                     ________________________________
Social Security Number                                Date




                                                       (over)


                                  To be completed by Office of Financial Aid:

____________________________           ____________________________           ____________
Student Name                           Academic Institution                   Academic Year

Expected amount of financial need:

Tuition & Fees                                                  $ ______________________
Room & Board                                         $ _______________________

Estimated Academic & Personal Expenses
(Books, Tools, Supplies, Travel)                     $ _______________________

TOTAL                                                $ _______________________


Financial Aid:

Personal/family contribution expected                $ _______________________

Scholarships                                         $ _______________________
Grants                                               $ _______________________

Loans                                                $ _______________________
Work Study                                           $ _______________________

Other                                                $ _______________________

TOTAL                                                $ _______________________


Total Amount of Expected Unmet Financial Need        $ _______________________

Comments __________________________________________________________________________

___________________________________                  __________________________
Signature                                            Title

In case of questions, please contact: ____________________________________________

Telephone (_________)_________________________       Date ______________________

				
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