Baylor Engineering Scholarship Application

2015/16 Academic Year

Application Deadline: April 17, 2015

Please type, sign and submit to:

Michelle Aars, Rogers 301F (BSECE, BSE), Minnie Simcik, 200 Rogers (BSME)

or mail to:

Baylor Engineering Scholarship Application, PO Box 97356, Waco, Texas 76798-7356

MAJOR AND CLASS STANDING (AY 2015/16)

Major: £ Elect. & Comp. (BSECE) £ Engineering (BSE) £ Mechanical (BSME)

Class Standing: £ Sophomore £ Junior £ Senior

CONTACT INFORMATION

Name ______Baylor ID#______

Campus Address ______

City,State,Zip______

Permanent Address ______

City,State,Zip______

Email______Phone______

EDUCATION

High School ______Location______Grad Date______

College or University______GPA______Hours Earned______Major______

College or University ______GPA______Hours Earned______Major______

Baylor Cumulative GPA______Total Semester Hours Earned at Baylor______

Date Entered Baylor ______Anticipated Graduation Date ______

Are you the first generation in your immediate family to attend college? £ YES £ NO

PROFESSIONAL/MILITARY DATA

Supply a brief resume of your work experience in reverse-chronological order (most recent three only).

Employer Duties Dates of Employment Salary

1.______

2.______

3.______

Have you served in the US Armed Forces? £ YES £ NO If YES, give dates of service______

ACTIVITIES

List offices held in professional or honorary societies (list professional society and office held):

1.______

2.______

3.______

Other College Activities ______

______

FINANCIAL DATA (based on AY 2015/16)

You need to have a current 2015/16 FAFSA on file with Student Financial Aid Office to be considered for any need-based scholarships. *International Students may be considered for need-based scholarships by filing a CSS / Financial Aid Profile at https://student.collegeboard.org/css-financial-aid-profile.

Please check one of the following and provide dates and dollar amounts as required:

£ I filed a 2015/16 FASFA and received notice on ______that my EFC is $______.

£ I filed a 2015/16 FAFSA on ______and have not yet received an EFC notification.

£ I have not yet filed a 2015/16 FAFSA, but plan to do so by ______.

£ I am an International Student and filed a CSS / Financial Aid Profile* on ______.

£ I am an International Student and plan to file a CSS / Financial Aid Profile* by ______.

£ Do not consider me for need-based scholarships.

In addition, list below any scholarship you presently receive, and any you will receive in the future:

Name of Scholarship Source Amount Dates

______

PERSONAL STATEMENT

On a separate page, tell us about yourself. Express your goals and aspirations, volunteer or leadership activities, academic and/or personal achievements, personal and family situation as well as your reasons for applying for this scholarship (1 page maximum).

I believe all of the above information to be true and complete and I hereby apply to the Baylor Engineering Scholarship. I authorize the Scholarship Committee to obtain and review my academic records (including, but not limited to, official transcripts). I authorize Baylor University to use my name and related information to announce publicly any scholarship that may be awarded to me. In signing below, I agree to hold Baylor University harmless from any and all liability for damage, injury or loss sustained by me in connection with this application, including but not limited to, the acquisition of my academic records. If I am awarded a 2015/16 Baylor Engineering Scholarship, I understand that I am only eligible for the scholarship if I am enrolled as a full-time student majoring in Electrical and Computer Engineering, Engineering or Mechanical Engineering during the 2015/16 academic year.

Signature of Applicant______Date______