Polymer and Fiber Engineering
DepartmentalScholarship Application
1.Answer all questions to the best of your ability. You may access the application online at
2.Apply to the Federal Student Loan Program at AU’s Federal School Code is 001009. FAFSA will provide a report to AU. We will not have access to financial details.
3.If you have NOT been accepted to Auburn University at the time of application, provide a sealed official copy of your high schooltranscript anda college transcript, if applicable.
4.Provide a resume or list of your work experience, activities, honors, and leadership positions in high school, church, community, etc.
5.Mail all application materials to:Scholarship Committee
Department of Polymer and Fiber Engineering
115 Textile Building
Auburn University, AL 36849-5327
6.We accept applications at any time, with preference given to complete applications received byJanuary 15. Please schedule a personal visit to the department to complete the application process.
Personal Information
Student’s Name ______
(Last) (First) (Middle)
Date of Birth ______
Permanent Address ______
(Street or Post Office Box) (City) (State) (Zip Code)
Mailing Address (if different from above) ______
Home Phone Number ( ) ______-______Cell Phone Number ( ) ______-______
E-mail Address ______
Planned Area of Study: (Circle One) PFEN/Polymer Option PFEN/Fiber Option
Have you applied for admission to Auburn University? ______
Were you accepted for enrollment? ______Term: Fall/Spring/Summer Year: ______
Parents or Guardians (Please include titles such as Dr., Sgt., etc. Indicate if deceased)
Father’s Name ______
Father’s Occupation and Employer ______
Mother’s Name ______
Mother’s Occupation and Employer ______
Number of Brothers and/or Sisters ______
Name and Address of Local Newspaper ______
______
(Street or Post Office Box) (City) (State) (Zip Code)
Academic Information
Name of High School ______
High School Address ______
(Street) (City) (State) (Zip Code)
Phone Number ( ) ______-______Fax Number ( ) ______-______
Counselor’s Name ______
Counselor’s E-Mail address ______
Previous College Attended ______
(If applicable)
Previous College Address ______
(Street) (City) (State) (Zip Code)
Phone Number ( ) ______-______
Short Answer(Please attach a separate sheet.)
1. Please explain your interest in polymer and fiber engineering.
2. How did you hear about our scholarship?Why do you feel that you should be selected for a scholarship?
3. What are your possible career interests?
4. To what personality traits do you attribute your successes in life?
5. If the application omits any explanatory details that would contribute toward a better evaluation of your qualifications or financial need, please include that information.
Two Personal References
- Name ______Phone Number ( ) _____-______
E-Mail address ______
- Name ______Phone Number ( ) _____-______
E-Mail address ______
Information Release
I authorize the release of all information provided on this application, ACT and SAT scores, and high school and/or college grade point averages to the departmental, engineering, and Auburn University scholarship committees. I authorize AU Donor Relations to release my name, permanent address, classification, major and amount awarded to the scholarship donor or the donor’s designee.
______
(Signature) (Date)