Professional Engineers Ontario - Scholarship 2015

Student Application Form

The Mississauga Chapter of Professional Engineers Ontario (PEO) is pleased to offerscholarshipsin the amount of up to$1,000 for the university study term beginning the fall of 2015.Applications will be accepted fromgrade 12 studentsenrolled at any high schoolin the City of Mississauga who will be attending an Engineering faculty at an Ontario university accredited by the Canadian Engineering Accreditation Board (CEAB). Complete applicationsmust be received no later than May 31, 2015.

The scholarship will be awarded based on a combination ofacademics, extracurricular activities, community service and interest in pursuing a career in engineering as alicensedProfessional Engineer.

Please fill out the following application form, and encloseyour latest high school transcript,university acceptance letter, and an essay explaining why you want to become a Professional Engineer.

All submissions should be sent to the following e-mail address:

Juwairia Obaid, EIT

IMPORTANT: Please provide complete information. Be sure to sign anddate your application. All provided information is confidential in accordance with the PEO Privacy Policy, and will be used solely to determine a successful applicant.

NOTE: You can download this application form over the Internet at our Chapter website(
Personal Information:

FirstName:

LastName:

Home Address:

Telephone Number:

E-mail Address:

Are you a relative of a current PEO Mississauga Chapter executive member? Yes No

Note:See list of the current PEO Mississauga Chapter executive membershere.

Academic Information:

High School Currently Attending:

Please enclose copy of yourlatestSchoolTranscript: Enclosed

Please submit the marks of at least six Grade 12U/M courses, including:Advanced

Functions, Calculus and Vectors, Chemistry, Physics, English and a U/M course of your

choice.If final marks are not yet available, please submit midterm marks.

Name of the University that you will be attending in Fall 2015:

Desired engineering discipline:

Please enclose copy of the UniversityAcceptance Letter: Enclosed

References:

IMPORTANT: Two references are required.

Name of a Teacher:

School Telephone Number:

Teacher (as reference)E-mail Address:

Name of theAlternate reference:

(I.e. team coach, volunteer, community leader, etc.)

Alternative Reference Telephone Number:

Alternative Reference E-mail Address:

Extracurricular Activities and Community Service Information:

Please describe your extracurricular activities(i.e. athletics, counseling, clubs, etc.) as well as community service.Explain why you chose to be involved (500 words maximum).

Why do you want to become a Professional Engineer?

Please write an essay to explain why you want to become an engineer. Include your thoughts about the values of the engineering profession to the public, as well as what your responsibilities would be as a Professional Engineer. (500 words maximum)

I hereby certify that the information I have provided is true and accurate to the best of my knowledge.

Signature of Applicant: ______Date:

The selected recipient will be invited to an awards ceremony. The ceremony may behosted by the PEO Mississauga Chapter or maybe part of the recipient’s high school graduation ceremony in the Fall of 2015. An announcement of the awardee will be made on the PEO website ( and in the PEO publication Engineering Dimensions.

We encourage every applicant to sign up for the PEO Student Membership Program (SMP), compliments of PEO. The SMP is a no-cost program that maintains contact between the student and their PEO Chapter during their university years.

Best wishes in applying for the Professional Engineers Ontario Chapter Scholarship!

Professional Engineers Ontario - Scholarship 2015

Student Application Weighting Model

The Mississauga Chapter of Professional Engineers Ontario, Scholarship Committee will evaluate applicants based on the following weighting model.

Category / Weight
Academic Standing / 30%
Extracurricular/Community Service Activities / 30%
Essay: “Why do you want to become a Professional Engineer?” / 40%
Two References provided / Yes/No
Overall Score / 100%

Each applicant mustprovide contact information for two references (school teacher, and alternate reference).

IMPORTANT: Failure to provide references will cause your application to be disqualified.

Should you have questions or concerns, please send an email to .

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