NAWIC SCHOLARSHIP REQUIREMENTS

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					                  NATIONAL ASSOCIATION OF WOMEN IN CONSTRUCTION


                                   SCHOLARSHIP REQUIREMENTS


Application Deadline:          MUST BE POSTMARKED BY MARCH 1, 2010.


ELIGIBILITY:

Applicant must be a full-time student, who, as of September, 2010, is enrolled as a degree candidate in a
construction-related, construction management, architecture, civil, mechanical, structural, or electrical
engineering, and/or a fully accredited technical or apprentice program. Applications are open to both men
and women.


REQUIREMENTS:

   All applications MUST be submitted in completed form, typed or printed in black ink.
   All applications MUST be accompanied by an official transcript from the school where the
    applicant is currently enrolled. College freshmen must also include a high school transcript.
   All applications MUST include the enclosed recommendation form (page 7) in a sealed
    envelope, with the signature of person writing the recommendation across the seal.

AWARD:

Applications will be reviewed and recipient(s) selected by the Scholarship Committee of NAWIC Boston
Chapter #15. Recipients are chosen on the applicant’s interest in construction, grades, extracurricular
activities, recommendations, financial need, and any other information designated by the NAWIC Boston
Chapter #15 Scholarship Committee.

Scholarships are not automatically renewed, but recipients are encouraged to reapply.

Awards will be announced by June 1, 2010, and recipients will be notified by mail or email. Checks made
out to the recipient and the institution will be given directly to the recipients upon presentation of
acceptance and/or matriculation for the 2010/2011 school term.

The NAWIC Boston Chapter #15 Scholarship Program is an equal opportunity program, and encourages
applications from all individuals. Additional copies of this form are available at
http://www.nawicboston.org/schl_app.pdf


SUBMIT TO: NAWIC Boston Chapter #15 Scholarship


                        c/o Deborah S. Griffin
                        Holland & Knight LLP
                        10 St. James Avenue
                        Boston, MA 02116

                        (617) 305-2044                                     # 5617504_v3

                                                   1
                                   SCHOLARSHIP APPLICATION

1.   Name:
                       First                     Middle                            Last

2.   Address:
                       Street                    City                              State         Zip

3.   Phone:                                                      4. Date of Birth:

5.   E-mail Address:


6.   Your Annual Income                                          Marital Status:

      Spouse’s Occupation:                                       Spouse’s Annual Income:

      No. of Dependents:                                         Ages:



7.   Parent or Legal Guardian’s Name(s):

      Relationship:

      Address (if different from above):


      Father’s Occupation:                                       Annual Income:

      Mother’s Occupation:                                       Annual Income:


8.   Siblings:

      Name                             Age       Relationship     Yr. in School            Name of College




9.   High School:
                                Name                             Address

      Date of Graduation:                                 Course of Study:



                                             2
10.   College:
                                  Name                                 Address

           Course of Study:                                      Attended from to Anticipated
                                                                         Date of Graduation

           Degree (or expected degree):



      College:
                                  Name                                 Address

           Course of Study:                                      Attended from to Anticipated
                                                                         Date of Graduation

           Degree (or expected degree):



      College:
                                  Name                                 Address

           Course of Study:                                      Attended from to Anticipated
                                                                         Date of Graduation

           Degree (or expected degree):




11.   FINANCIAL AID:

      Did you file a Financial Aid form?

      If yes, what is the estimated family contribution?

      If you are not currently enrolled at a college or university, or if you are planning to transfer to another
      school, list below the colleges to which you have applied, in order of preference:

            College                                            Accepted                         Course of Study
           (Name, City & State)                                (Yes or No)

      1.

      2.

      3.

      4.

      5.

      6.

                                                      3
12.   If course of study is not a construction program, explain how you will use it in your construction career.




13. If not continuously enrolled in school since high school graduation, provide a chronological history of
your activities since high school graduation until present time.




14. What extracurricular activities have you participated in while attending high school and college? Specify
elected offices and purpose of organization.

High School

      Student Activities


      Athletics


      Community Activities


      Other




College

      Student Activities


      Athletics


      Community Activities


      Other
                                                     4
15. What has been your most important extracurricular activity, your contribution to it, and what has your
participation in it meant to you?




16.   Why are you interested in a construction industry career and what led you to this decision?




17.   Are any members of your immediate family employed in the construction industry?

       Name:                                                 Relationship:

       Name of Firm:                                         Position:


       Name:                                                 Relationship:

       Name of Firm:                                         Position:




18.   Are any members of your immediately family members of NAWIC?

      If yes, give name, relationship and chapter.

                                                     5
19.   EMPLOYMENT HISTORY: Start with your most recent employment and include both part time, full

      time and summer employment.

       Firm name:                                             Type business:

       Address:

       Supervisor’s Name and Position:

       Your Duties:

       Dates Employed:                                                     Salary:




       Firm name:                                             Type business:

       Address:

       Supervisor’s Name and Position:

       Your Duties:

       Dates Employed:                                                     Salary:



       Firm name:                                             Type business:

       Address:

       Supervisor’s Name and Position:

       Your Duties:

       Dates Employed:                                                     Salary:



       Firm name:                                             Type business:

       Address:

       Supervisor’s Name and Position:

       Your Duties:

       Dates Employed:                                                     Salary:




                                               6
        NATIONAL ASSOCIATION OF WOMEN IN CONSTRUCTION - BOSTON CHAPTER 15

                             CONFIDENTIAL SCHOLARSHIP RECOMMENDATION

The name of the applicant who appears on this form has applied for one of the NAWIC scholarships, which are
to be awarded on the basis of merit. All information will be considered strictly confidential and will be viewed
only by the committee. Please place recommendation in a sealed envelope with your signature across the
seal and return it to the applicant, who must submit this form with the completed scholarship application.
                                             (This section to be Completed by Applicant)

Name of Applicant:

Applicant’s Address:
                                  (This Section to be Completed by Person Writing Recommendation)

How long have you known applicant?                                        In what capacity?

Please rate the candidate in each of the categories, using the following grading scale:
      (1=Below Average 2=Average 3=Above Average 4=Outstanding 0=No Basis for Observation)

                         Rating            Comments

Cooperation

Dependability

Initiative

Maturity

Relations with Others

Judgment

What do you consider to be this student’s strength or outstanding ability?

Why?


Additional Comments:       (If needed, you may use a separate page)




Signature:                                                                                 Date:

Name:                                                            Address:
                (Type or Print)

Position or Title:                                                Name of Company
                                                                 (If Appropriate)

                                                             7

				
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