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2003 SHPE-SV
Scholarship Application
Name: ___________________________________________
Ethnic Background: __________________________________
Fall of 2002 Class Standing: Freshman __ Sophomore__ Junior__
Senior __ Graduate __
Current major or field of study: _____________________________________
1. Please include a one page (9 point minimum) essay covering
the following topic. What invention or technology would you create
in your field of science or engineering that would benefit mankind?
2. Please include a reference from a qualified school official
or counselor. Comments should include the applicant's potential
for growth and development, leadership abilities, citizenship,
and the applicant's academic ability.
3. Please include a resume which includes SHPE, academic, and
community activities.
4. Please submit an official School Transcript.
5. Please provide a permanent home/Summer address and phone number:
__________________________________________
__________________________________________
__________________________________________
__________________________________________
6. Sign and date the
following:
I acknowledge that I have fulfilled all the requirements for this
scholarshop award and that I have answered all questions honestly
and to the best of my ability.
_____________________________________ Date__________
Applicant's Signature
7. Have your SHPE Student
Chapter Advisor sign and date the following:
I certify that the applicant is a member of the Student Chapter
of the Society of Hispanic Professional Engineers at this university.
_____________________________________ Date___________
SHPE Student Chapter
Advisor's Signature
This completed form must be mailed to:
Society of Hispanic Professional Engineers - Silicon Valley
Attn: Scholarship Committee
645 Wool Creek Road
San Jose, CA 95112
Applications must be postmarked by Friday, May 9, 2003, in
order to qualify. |
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