American Public Works Association
Washington State Chapter
Jack Pittis Memorial Scholarship Application - 2017
The Washington State Chapter of the American Public Works Association is offering a $10,000 scholarship to honor Jack Pittis. Jack was an active member of APWA, a past Chapter President, and a friend who is greatly missed. Jack’s legacy was one of leadership, commitment to his community, and dedication to his role as a public servant. Successful applicants must exhibit a similar devotion to career and community.
ELIGIBILITY CRITERIA
1. The application process is open to undergraduates currently enrolled in four-year degree programs and full-time students in community colleges that will be enrolled in a four-year institution as an entering junior or senior as of Fall 2017. Applicants must be enrolled in a college or university in the State of Washington. Students enrolled in an out-of-state school will not be eligible.
2. To be eligible for consideration, the applicant shall be majoring in a field directly related to Public Works (Civil, Structural, Transportation, or Environmental Engineering, Construction Management, Environmental Science, Communications, Public Administration, etc.).
3. The applicant shall be an entering Junior or Senior as of the Fall 2017 school year.
4. The applicant shall meet the respective school’s definition of full time standing for the 2017-2018 school year.
5. Finalists will be required to participate in interviews with APWA scholarship committee members. Finalists will be contacted by a scholarship committee member to schedule the interview. Interview questions will be based on the content of each student’s application materials.
6. Evaluation criteria will include scholastic achievement, a dedication to community involvement, activities and interests beyond the classroom, and demonstrated knowledge of the public works industry.
APPLICATION INSTRUCTIONS
Please fill-in the following application completely. Additional pages are allowed for response to questions, but do not modify the form.
Applications must be submitted in electronic format (MS Word Document or PDF).
No hard copies will be accepted.
Applications are due no later than Friday, March 31, 2017.
Applications shall be emailed to Janice Brevik, APWA Scholarship Committee Co-Chair, at
SECTION A - GENERAL INFORMATION
Name(Last, First, Middle Initial)
Home Mailing Address
(Street, City, State, ZIP)
Telephone / ( )
School Mailing Address
(Street, City, State, ZIP)
Telephone / ( )
Email Address
SECTION B - EDUCATIONAL BACKGROUND
High School
School Name / Graduation DateLocation
(City, State)
College/University
School Name / GPALocation
(City, State)
Status - Fall Term, 2016
Junior / Senior / Program yearExpected Date of Graduation/Completion
(Month, Year)SECTION C - WORK HISTORY
Current / Last Employer / Months of ServiceAddress
Supervisor / Telephone Number
Duties/Responsibilities
May we contact this employer? / Yes / No
Former Employer / Months of Service
Address
Supervisor / Telephone Number
Duties/Responsibilities
May we contact this employer? / Yes / No
Former Employer / Months of Service
Address
Supervisor / Telephone Number
Duties/Responsibilities
May we contact this employer? / Yes / No
Former Employer / Months of Service
Address
Supervisor / Telephone Number
Duties/Responsibilities
May we contact this employer? / Yes / No
SECTION D – INTERNSHIP OPPORTUNITY
Are you interested in an internship opportunity through APWA? / Yes / NoNOTE: There is no guarantee that you will be granted an internship by applying for this scholarship.
SECTION E - SCHOLARSHIPS
Scholarships in effect for the upcoming year (description and amount):
Previous scholarships (description and amount):
Section F - ESSAY
Please respond to BOTH essay topics below. There is no page limit. Attach additional sheets for your responses.
1) Please demonstrate your current participation in the Public Works field AND your dedication to community involvement. Include activities or organizations that you are involved with; for example: public works related summer employment, volunteer work, working with youth groups, co-op work, etc.
2) Jack Pittis was passionate about APWA and a dedicated volunteer for the organization. What do you know about APWA and how do you see yourself getting involved in the organization? How do you think your contributions to APWA could improve the organization or the public works industry as a whole?
Applicant Signature / DatePage 4 1/1/2017