National Association of Women in Construction

Southwest Missouri Chapter #366

SCHOLARSHIP APPLICATION

2010-2011

IMPORTANT:

  • All scholarship applicants must be currently enrolled in a construction-related degree program in Southwest Missouri. High school seniors are not eligible.
  • Scholarships are available both to full-time students ($1,000)and half-time ($500) students.
  • Scholarship winners will receive disbursement directly through their college or university. An official presentation will be made at the Salute to Construction Banquet on Thursday, November. 4, 2010.
  • Application deadline for National Association of Women in Construction (NAWIC) Scholarship is May 28, 2010. Phone calls are discouraged. Please mail completed application and transcript of grades from two most recent semesters to:

NAWIC-Southwest Missouri Chapter #366

Attention: Scholarship Committee

PO Box 10125

SpringfieldMO65808

************************************************************************************************

A. STUDENT INFORMATION (Please type or letter form)

Name:LastFirst MI Social Security #

Home Address: Street CityState Zip Phone

High School:City State Graduation Date

B. EDUCATIONAL BACKGROUND

1. Provide names of high schools, colleges, and/or universities you have attended or are currently

attending (most recent first)

University/College Attending
University/College Faculty Advisor

School Attended (from-to) Past Sem. GPA Overall GPA Major GPA

2. What is your major course of study?

3. How many hours of college credit will you have completed at the beginning of the Fall 2011

semester?

Transfer credit hours / credit hours / Total

4. When do you expect to graduate? (Semester and year)

Fall / Spring / Summer / 20

C. STUDENT PROFILE

1. School and Community Activities: List organizations to which you belong, any offices held

and appropriate dates. You may attach a separate page for additional activities.

Organization name / Offices Held / Date

2. Special Recognition/Achievements: List awards and honors you have received:

3. In a brief essay, describe your career plans, extracurricular interests, contributions you will make to the construction industry, and why you are interested in a construction career.

(use an additional page if necessary.)

4. Do you plan to work while attending school? Yes No If Yes, describe:

5. Do you plan to live:

in campus housing

off campus

with parents and commute

D. EMPLOYMENT HISTORY

List below full-time employment, summer employment, or other part-time work, briefly explaining duties and responsibilities (beginning with your most recent job.) If part-time, indicate number of hours per week.

From To Firm’s Name and Type of Business

Supervisor’s Name and Position in Company

Your Duties

From To Firm’s Name and Type of Business

Supervisor’s Name and Position in Company

Your Duties

E.FINANCIAL INFORMATION

1. Percent of your college expenses that you expect to provide.

2. Other Financial Support (e.g. parent(s), spouse, other)

***************************************************************************

“I consent to the release of the information provided for the purpose of evaluation by the NAWIC Scholarship Committee or their appointed representative.”

Signature: ______Date: ______