Name:
Oklahoma Engineering Foundation Scholarship Application
I am applying for a 2-year scholarship beginning with the fall semester of 2017. The scholarship will be awarded to a student beginning their junior / third year in the fall semester of 2017.
First Name: Middle initial: Last Name:
Mailing address:
City State Zip code
Phone Number: Email:
Are you a U.S. Citizen? (required) Yes _____ No _____ Are you an Oklahoma resident? (required) Yes _____ No_____
AUTHORIZATION TO RELEASE INFORMATION
(1)In submitting this application, I authorize my college or university to make available to the Oklahoma Engineering Foundation information concerning my academic records.
(2)I hereby grant permission to the Oklahoma Engineering Foundation to release information contained herein to other potential sources of scholarship assistance for engineering studies.
(3)I hereby certify that all statements contained herein are true and factual.
(4)If selected for a scholarship, I grant authorization to the Oklahoma Engineering Foundation the right to publicize my name, major, school and other application information for press releases and/or other marketing efforts.
Applicant Signature: Date:
COUNSELOR OR REGISTRAR CERTIFICATION
I have read the instructions on this page and I hereby certify that the following academic information is correct.
Question / Answer / OEF USE ONLYThe student above is enrolled as a college sophomore and is eligible to attend college in the fall of 2017 / Yes _____ No _____
Average Cumulative GPA (through end of semester prior to application): / (min 3.0)
Applicant’s class rank (within engineering college): / # / out of
I am the Applicant’s: Counselor Registrar
Signature Date ______
Printed Name
College or University
School Address
City State Zip code
School Phone: Email:
COLLEGE OR UNIVERSITY ATTENDING
Validation of enrollment in an eligible engineering program will be required to obtain the award each semester of the scholarship term. Failure to provide the information or remain in an engineering program will void the scholarship.
Engineering Field of Study / CURRENT OR PAST ATTENDEE / ACCEPTED TO PROFESSIONAL PROGRAMOklahoma Christian University / Yes No / Yes No
Oklahoma State University / Yes No / Yes No
Oral Roberts University / Yes No / Yes No
University of Central Oklahoma / Yes No / Yes No
University of Oklahoma / Yes No / Yes No
University of Tulsa / Yes No / Yes No
Deadline to Submit Application is: May 15, 2017
Page 1 / OEF Use Only
Total Points Page 1 ______
Name:
Deadline to Submit Application is: May 15, 2017Page 1 / OEF Use Only
Total Points Page 1 ______
Name:
STEM EDUCATION COURSES
/ Freshman School YearF SP Sum / Sophomore School Year / OEF Use Only
Point Value
F SP
Deadline to Submit Application is: May 15, 2017
Page 1 / OEF Use Only
Total Points Page 1 ______
Name:
COLLEGE SPONSORED ACTIVITIES—TECHNICAL AND PROFESSIONAL
/ FreshmanSchool Year
F SP SU / Sophomore
School Year / Office Held
If Any / OEF Use Only
Point Value
F SP
COLLEGE SPONSORED ACTIVITIES—NON-TECHNICAL
/ FreshmanSchool Year
F SP SU / Sophomore
School Year
F SP / Office Held
If Any / OEF Use Only
Point Value
ACADEMIC HONORS OR OTHER SPECIAL ACHIEVEMENTS
/ FreshmanSchool Year
F SP SU / Sophomore
School Year / Office Held
If Any / OEF Use Only
Point Value
F SP
VOLUNTEER ACTIVITIES NOT SPONSORED BY COLLEGE OR UNIVERSITY
/ FreshmanSchool Year
F SP SU / Sophomore
School Year / Average Hours Volunteered per week / OEF Use Only
Point Value
F Sp
EMPLOYMENT WHILE ATTENDING COLLEGE / SUMMER EMPLOYMENT
/ FreshmanSchool Year
F SP SU / Sophomore
School Year / Hours Per Week Summer / Weeks Per Year / OEF Use Only
Point Value
F SP
EXTRA-CURRICULAR, NON-PAID ACTIVITIES
/ FreshmanSchool Year
F SP SU / Sophomore
School Year / Average Hours Participated / OEF Use Only
Point Value
F SP
ESSAY
Submit an essay--one page or less--titled “Why I Chose Engineering” with the following mandatory requirements: (Hand-written essays will not be accepted)
Double-spaced;
Three-fourths to one page in length;
Arial Font – 12 point;
Black font color;
Applicant name, college/university, and theessay title.
APPLICATION CHECKLIST
1. Do not staple the application and documents.
2. Application is completed fully and all information is correct.
3. Counselor or Registrar has completed the information on page 1 and signed the verification.
4. Official collegiate transcript is included with application. (Showing 1st semester sophomore year classes)
5. Description of school grading system provided with transcript.
6. All education courses, activities and honors have been filled out as completely as possible.
7. Essay completed, format correct and all items included on the page.
8. Student has signed the application on page 1.
9. No writing has been made in the “OEF Use Only” boxes.
10. Applications must be received no later than March 1, 2017
Return your application and supporting documents to:
Oklahoma Engineering Foundation
ATTN: Scholarship Committee
220 NE 28th Street, Room 125
Oklahoma City, OK 73105
No applications will be accepted that are received after March 1, 2017
Deadline to Submit Application is: March 1, 2017Page 1 / OEF Use Only
Total Points Page 1 ______