MISSION: To develop and promote construction careers ......MISSION: To develop and promote...
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Page 1 MISSION: To develop and promote construction careers through quality education and training. 2020-2021 Scholarship Application I. PERSONAL A. Name: _______________________________________________________ Last First Middle B. Address: Current: ______________________________________________ Number & Street City State Zip Permanent: ______________________________________________ Number & Street City State Zip C. Telephone: Cell: ___________________ Home: __________________ D. Email Address: ______________________ _____________________ Alternate Email: E. Date of Birth: ______________________________________________ F. College/University: ______________________________________________ Student ID ______________________________________________ G. Are you a U.S. Citizen? Yes No If not a U.S. Citizen, what type of visa do you hold? __________________ (Attach Copy of Proof) SEE APPLICATION ELIGIBILITY AND REQUIREMENTS BEFORE COMPLETING. Application: Please complete ALL sections of this application. Use N/A if question does not apply. Incomplete application packets WILL NOT be considered. Academic grades are only one of many factors considered in the application process. Your potential impact on the construction industry is the most important factor. Applicants selected for interviews will have the opportunity to network with industry executives. All application materials must be received by March 1, 2020. . . . . . College/University Email:
Transcript of MISSION: To develop and promote construction careers ......MISSION: To develop and promote...
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MISSION: To develop and promote construction careers through quality education and training.
2020-2021 Scholarship Application
I. PERSONAL
A. Name: _______________________________________________________Last First Middle
B. Address: Current: ______________________________________________ Number & Street City State Zip
Permanent: ______________________________________________ Number & Street City State Zip
C. Telephone: Cell: ___________________ Home: __________________
D. Email Address: ___________________________________________ Alternate Email:
E. Date of Birth: ______________________________________________
F. College/University: ______________________________________________
Student ID ______________________________________________
G. Are you a U.S. Citizen? Yes No
If not a U.S. Citizen, what type of visa do you hold? __________________ (Attach Copy of Proof)
SEE APPLICATION ELIGIBILIT Y AND REQUIREMENTS BEFORE COMPLETING.
Application: Please complete ALL sections of this application. Use N/A if question does not apply. Incomplete application packets WILL NOT be considered.Academic grades are only one of many factors considered in the application process. Your potential impact on the construction industry is the most important factor.Applicants selected for interviews will have the opportunity to network with industry executives. All application materials must be received by March 1, 2020.
...
..
College/University Email:
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H. Marital Status:
Spouse’s Name: _____________________________________________________
Single Married Divorced
# of dependents other than spouse: _____________
I. Parent/Guardian’s Name: _____________________________________________
Relationship: ____________________________________________________
Address, if different than permanent: __________________________________________
II. SCHOLASTIC INFORMATION
A. Provide names, city and state of high schools, colleges and/or universities you have attended, or are
currently attending, with the most recent first. Be sure to indicate month and year of completion or
anticipated graduation date.
Institution Name Attendance (from/to)
Major Graduation Date (Month/Year)
Type of School
□High School
□2-Year Program
□4-Year Program
□5-Year Program
□High School
□2-Year Program
□4-Year Program
□5-Year Program
□High School
□2-Year Program
□4-Year Program
□5-Year Program
B. Provide on a separate sheet a chronological history of your activities if NOT continuously enrolled in
school since high-school graduation. History should begin immediately after high-school graduation
until the present time. Include specific month, year, and type of activity.
C. Current year in post-secondary education: First year Second year Third year Fourth Year
For dependent students, please complete question I.
City, State
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D. Anticipated Degree: ___________________________________________________
E. Is your current or intended education pathway a two, four, or five-year program? _______________
F. Specify GPA below and send a transcript from the school you are presently attending,
as well as transcripts from previously-attended schools.
Cumulative GPA (on a 4.0 point scale): ________________________________________
G. What extracurricular activities have you participated in while attending college? Indicate elected offices
held, if any. Specify purpose of local organizations. Add additional sheets as necessary.
1. Student Activities: ____________________________________________________
2. Community Service/Affiliations: ____________________________________________
___________________________________________________________________
3. Athletics: __________________________________________________________
4. Other: ____________________________________________________________
H. List any honors, awards, etc., you have received while in college.
___________________________________________________________________
___________________________________________________________________
I. What area of the construction industry are you interested in? (Check all that apply.)
□ Building □ Highway □ Municipal □Homebuilding □ Design □Other
Please specify if you selected "Other" option: ________________________________________________
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3. From: ___________________________ To: _____________________________ Month/Year Month/Year
Firm Name & Type of Business: _____________________________________________
Address: ___________________________________________________________
Supervisor’s Name & Title: ________________________________________________
Phone Number: _____________________________________________
Title & Job Duties: _____________________________________________________
2. From: ___________________________ To: _____________________________ Month/Year Month/Year
Firm Name & Type of Business: _____________________________________________
Address: ___________________________________________________________
Supervisor’s Name & Title: ________________________________________________
Phone Number: _____________________________________________
Title & Job Duties: _____________________________________________________
1. From: ___________________________ To: _____________________________ Month/Year Month/Year
Firm Name & Type of Business: _____________________________________________
Address: ___________________________________________________________
Supervisor’s Name & Title: ________________________________________________
Phone Number: _____________________________________________
Title & Job Duties: _____________________________________________________
III. EMPLOYMENT HISTORY
List employment history below, briefly explaining duties and responsibilities (beginning with your most
recent job). Add additional sheets or résumé as necessary.
IV. FUNDING FOR COLLEGE EXPENSES
Actual
COLLEGE EXPENSES
1. Tuition
2. Books
3. Room & Board
4. Miscellaneous
Total:
2019-2020
_____________
_____________
_____________
_____________
______________
COLLEGE
FUNDING SOURCES
1. Earned from Work _____________
2. From Parents/Guardians _____________
3. From Loans _____________
4. From Scholarships _____________
6. Other Sources _____________
Total: ______________
Anticipated
2020- 2021
5. From Spouse/Partner
2019-2020
_____________
_____________
_____________
_____________
_____________
_____________
______________
_____________
If you receive funding from spouse or parents/guardians, please provide the following:
Spouse’s Occupation: ____________________ Annual Salary: ____________
Father’s Occupation: ____________________ Annual Salary: ______________
Mother’s Occupation: ____________________ Annual Salary: ______________
# of siblings attending college in 2020-2021: ______ # of siblings at home: ________
Provide additional information for loans, scholarships, other sources of funding, or gaps in funding (as needed):
_____________________________________________________________________ _____________________________________________________________________ _____________________________________________________________________
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Actual
2020-2021
_____________
_____________
_____________
_____________
______________
Anticipated
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V. ADDITIONAL INFORMATION
A. Answer the following questions.
1. What has been your most important extracurricular activity and why?
2. What considerations make you deserving of a scholarship?
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3. Why are you interested in a construction-industry career and what event and/or series of events led you
to the decision? Where possible, explain how your previous work experiences will relate to a construction-
industry career.
4. What are your specific career goals after graduation? Five years after graduation?
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B. Are any members of your immediate family presently employed in the construction industry?
Name: ___________________________________________________________
Relationship: _______________________________________________________
Employer: _________________________________________________________
Position in Company: __________________________________________________
APPLICANT SIGNATURE
I agree that the application and all attachments may be used for the purposes of evaluation and selection by
the Board of Trustees of the AGC Education Foundation and/or representatives designated by the Board
of Trustees.
Applicant Signature: _______________________________ Date: __________________
Please use additional sheets to provide any other information you feel is necessary to complete your application.
APPLICATION CHECKLIST
Please initial that you have completed the following:
_____ I read the 2020-2021 Scholarship Program Eligibility and Requirements at:
http://www.constructionfoundation.org/scholarships
_____ I completed and signed the application.
_____ I sent two letters of reference (not to exceed one page): one from faculty or a faculty advisor, and
one from faculty, current or past employer, or unrelated adult, to Diane Kocer at:
AGC Education Foundation,1200 Westlake Avenue North Suite 301, Seattle, WA 98109
_____ I sent a grade transcript from each college attended to Diane Kocer at:
Incomplete application packets will NOT be considered. All application materials must be received by March 1, 2020.
□ [email protected] (for official electronic transcripts)
□ AGC Education Foundation,1200 Westlake Avenue North Suite 301, Seattle, WA 98109
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