Scholarship Application

* Name

* Preferred Phone

* E-Mail

* Mailing Address

* Date of Birth

* High School

* Date of Graduation

College or University

* School Address

* Your degree program:

* Your current academic rank i.e. Sophmore, Junior, etc.: Note: At Least 30 hours of credits must be completed to apply.

* Expected month and year of graduation:

Information About Your College/University

* Major Dept:

* Current course load hrs/semester:

* Cumulative grade point average:

GPA based on (A=4.0, etc.):

* Please list any special awards or honors you have received:

* Please list any clubs or organizations you belong to:

* Please describe any other extracurricular activities in which you participate:

* Please state why you have chosen your particular field of study and indicate your future career goals :

Extra points will be added if the applicant joins ASPE as a student member for Chapter 19 (register at
www.aspenational.org) or attends a monthly meeting prior to application.

I certify that the information provided in this application is correct, and as complete as possible at the
time of submittal.

Don't forget to attach:

Transcript(s)

Employment History

Recommendation letters

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