QUAD CITY ENGINEERING AND SCIENCE COUNCIL 2015 APPLICATION FOR SCHOLARSHIP

Full text

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P.O. Box 1166 Bettendorf, IA 52722

http://www.qcesc.org

QUAD

CITY

ENGINEERING

AND

SCIENCE

COUNCIL

2015

APPLICATION

FOR

SCHOLARSHIP

APPLICANT:

ADDRESS:

TELEPHONE:

EMAIL CONTACT

:

Gender:

PLEASE

MAIL

COMPLETED

APPLICATION;

POSTMARKED

BY

JANUARY

23,

2015

QCESC

Attn: Scholarship Committee

P.O. Box 1166

Bettendorf, IA 52722

Requirements for Eligibility

1. Must be a high school senior. Also must be a resident of Mercer, Rock Island, Henry, Whiteside, Carroll, Knox, Lee, Clinton, Scott, Muscatine, or Louisa County.

2. Must plan to study STEM related degree (Science,Technology,Engineering or Mathematics) at an accredited four-year college or university. For definition of stem degrees see page 7

Description of Scholarship

The Quad City and Engineering Science Council Scholarship Program was established and is administered by the Council. This program provides multiple one-time grants/scholarships between $1000 and $3000 each. These are awarded on an objective basis without regard to race, sex, or

religion. Criteria include academics, civic/community service, extracurricular involvement, career goals, and an essay on why you want a STEM degree. Funds from this grant must be applied to tuition or fees related to eligibility item 2. Additionally, scholarships from several Engineering Colleges may be available via this form. (see page 6)

Award Presentation

Scholarships awards will be presented at the Annual Engineers Week Banquet on, or about February 26, 2015. The scholarship winners and one parent each will be the guests of the QCESC at the annual awards dinner. Additional family members are encouraged to attend at the regular meal price; contact Tom Hein for details. Winners will be requested to provide a photo for publication with the award announcement in the QC local newspapers and on the QCESC website.

Note:

This form can be completed and printed for mailing as a MS Word Document (DOC) from the QCESC website at

www.qcesc.org, under QCESC Information (scholarships). An Adobe Acrobat (PDF) file is also available for printing copies to fill out by hand or typing (typing is recommended). For additional information or assistance,

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EMPLOYMENT:

Are you presently

employed? Yes



No



Hours per

week >15



5-15



<5



Summer



Paid



Volunteer



If yes, name of employer Phone ( )

Type of work performed

HIGH SCHOOL INFORMATION:

The information requested must be completed and verified by a representative of your school.

ACT Composite Score High School Senior

Grade Point Average High School Senior

Class Rank Number in Class

High School Name Expected Date of

Graduation Signature of High

School Representative Title

Please attach Transcript

COLLEGE INFORMATION:

Name of four year schools you plan to attend and their location

Course of Study Major Minor

If you want to be considered for a university sponsered scholaraship, check and rank your choices – see page 6 for details. To receive the scholarships, you must apply and be accepted into their College of Engineering

Iowa State University University of Iowa University of Illinois - Chicago University of Wisconsin - Platteville Western Illinos University Quad Cities St.Ambrose University       # # # # # #

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OTHER INFORMATION:

1. List extra-curricular activities you have participated in during the past three years or are now participating in and the offices held:

2. List any achievements, special awards, etc., you have accomplished or received during the past three years:

STEM Activities

Project Lead the Way Yes



No



FLL Yes



No



FTC Yes



No



FRC Yes



No



Others?

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3. List any community related activities you have participated in during the past three years

4. State briefly your career goals and how you plan to accomplish them:

5. List any arrests and convictions excluding minor traffic violations: (If none, write “none”)

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6. In the space provided, explain why you would like to obtain a degree in Engineering or Science. This essay is often the key differentiator for selection

I (we) certify that all answers to the preceding questions are true and correct. I (we)

understand that any false answers or deliberate omissions on this application may be grounds

for rejection of this application and withdrawal of any award granted. I (we) authorize

investigation of the applicant’s employment, schooling, and other activities and release those

persons, organizations, or companies supplying information from all liability and responsibility

for any damages I (we) may suffer as a result of this information. I (we) agree that I (we) will

abide by all decisions made by the Quad City Engineering and Science Council.

Applicant’s Signature Date

Parent or Guardian Signature (if applicant is a minor; if applicant is over 18, then write N/A in this box).

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Additional Scholarship Information

For the 7

th

consecutive year, in addition to scholarships from the QCESC and its

member societies, scholarships will also available from the following Engineering

Colleges:

• Iowa State University (2 x $1,000 scholarships)

• University of Iowa (1 x $1,000 scholarship)

• University of Illinois – Chicago (1 x $1,000 scholarship)

• University of Wisconsin – Platteville (1 x $2,500 scholarship)

• Western Illinois University – Quad Cities Campus (1 x $1,000)

• St. Ambrose University (1 x $2,000)

To be considered for one of these scholarships in addition to the QCESC

scholarships, please indicate your interest in the “SCHOOL INFORMATION” box

on page 2 of this application. These scholarships are administered directly by

the College of Engineering at these Universities; the QCESC selects and

recommends applicants to the colleges.

To receive the scholarships, you must

apply and be accepted into their College of Engineering

.

Additional Requirements for University of Iowa and Iowa State University:

Applicants are required to have participated in PLTW and robotics

Contact Tom Hein (see contact information on page 1) for more information and

availability of these scholarships.

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STEM Related Degrees

An exhaustive list of STEM disciplines does not exist, but the U.S. Immigration and Customs Enforcement lists disciplines including:[6]  Physics  Actuarial Science  Chemistry  Mathematics  Statistics  Computer Science  Psychology  Biochemistry  Robotics  Computer Engineering  Electrical Engineering  Mechanical Engineering  Industrial Engineering  Civil Engineering  Aerospace Engineering  Chemical Engineering  Astrophysics  Astronomy  Nanotechnology  Nuclear Physics  Mathematical Biology  Operations Research  Neurobiology  Biomechanics  Bioinformatics  Acoustical Engineering

 Geographic Information Systems

 Atmospheric Sciences

The National Science Foundation is the only American federal agency whose mission includes support for all fields of fundamental science and engineering, except for medical sciences.[7] It lists its disciplinary program areas as:

 Biological Sciences

 Computer & Information Science & Engineering

 Education and Human Resources

 Engineering

 Environmental Research & Education

 Geosciences

 International Science & Engineering

 Mathematical & Physical Sciences

 Social, Behavioral & Economic Sciences

 Cyberinfrastructure

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