Scholarship Application Form for Academic Year 2021-2022

Scholarship applications are due on March 15, 2021.

Personal InformationName (Last, First M.)

M#

Address

City

State

Zip Code

County

Telephone

Email Address

Date of Birth

Parent / Guardian Name(s)

Is this a single parent household?

Ethnicity

Caucasian

African-American

Hispanic

Other

Birthplace

Are you a U.S. Citizen or Permanent Resident?

Parent / Guardian Address

Educational Background InformationHigh School Attended

Date of High School Graduation

College Attended

Date of College Graduation

High School GPA

ACT/SAT Composite Score

High School or College Community Activities, Leadership Roles, and Personal Involvement

College Major

Student Level

Hours toward graduation

College GPA

Work Experience

Honors, Recognition, and Awards Received

Have you previously received an ET departmental scholarship?

If so, which one & which semester/year?

Scholarship Application

Congratulations to the 2020 Department of Engineering Technology Outstanding Students!

Dustin Sale

Molly Scott

Jonathan Lovette

Spencer Kern

Daniel Garrett

Christian Lawrence

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