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2005 SHPE-SV Scholarship Application
Name: ___________________________________________
Ethnic Background: __________________________________
Fall of 2005 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 is the relationship between your career goals and your family or cultural tradition?
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 27, 2005, in
order to qualify. |
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