PERSONAL DATA
ACADEMIC INFORMATION
SCHOOL OF ENGINEERING AND TECHNOLOGY
2014 HONORS SCHOLARSHIPS & AWARDS APPLICATION
Computer Engineering
Electrical Engineering
SUBMIT TO THE DEPARTMENT OF ELECTRICAL AND COMPUTER ENGINEERING BY FRIDAY, FEBRUARY 14, 2014 PRINT WITH BLACK INK – DO NOT USE PENCIL
Name:
LAST FIRST MIDDLE
Permanent Street Address:
NUMBER STREET APARTMENT
CITY STATE ZIP CODE COUNTRY
Telephone: Email Address:
University ID#: Birth Date: Age:
Gender: Marital Status: Dependents: If yes, number: Citizenship:
MALE FEMALE SINGLE MARRIED YES NO U.S. CITIZEN PERMANENT RESIDENT
Have you submitted the FAFSA? If yes, date:
YES NO MONTH YEAR
High School: Dates Attended: / to /
College/University: Dates Attended: / to / College/University: Dates Attended: / to /
Department: Major:
Current GPA: Cummulative GPA: Degree GPA (courses on Plan of Study only):
LAST SEMESTER ALL SEMESTERS
Status: and
FULL-TIME PART-TIME UNDERGRADUATE GRADUATE
Number of credit hours enrolled in this semester: Number of credit hours completed in major: Class Standing in major: Fr
Total number of credit hours completed in all course work: So Jr Sr Grad Number of outstanding credit hours needed to graduate: Attending 2013 Summer School at IUPUI?
YES NO
EMPLOYMENT
FINANCIAL
EXTRACURRICULAR ACTIVITIES (COMMUNITY, VOLUNTEER, CAMPUS, HOBBIES, INTERESTS)
SPECIAL HONORS, AWARDS, SCHOLASTIC ACHIEVEMENTS
Current Employer: Supervisor:
Duties:
Dates Employed: / to / Number of hours worked per week during the school year: Does your employer offer tuiton reimbusement? If yes, how is the program structured?
YES NO
Former Employer: Supervisor: Duties:
Dates Employed: / to /
Please briefly describe how you are financing your college education. List assistance sources such as work (full or part-time), summer work, internships, scholarships, grants, loans, or family.
TYPE AMOUNT DURATION
PROFESSIONAL AFFILIATIONS
Please indicate the scholarship(s) and award(s) for which you are applying. SCHOLARSHIPS AND AWARDS
SCHOOL SCHOLARSHIPS AND AWARDS
□
D.J. Angus Scientech Educational Foundation Award□
Robert H. and Marjorie K. Begeman Scholarship□
James D. Bercaw Distinguished Engineering Student Award□
James D. Bercaw Distinguished Technology Student Award□
Brancato Scholarship+*
□
Edgar and Betty Conn Part-Time Student Scholarship+*
□
Dean's Industrial Advisory Council (DIAC) Scholarship□
H. Eugene Hunt and Rebecca A. Mohr Scholarship□
Derek Krueger Memorial Scholarship+*
□
Munevar Family Scholarship for Outstanding Civic Engagement and Academic Excellence+*^
□
Jacqueline E. Newsom Scholarship□
Clayton and Deborah Nicholas Scholarship□
Alfred R. Potvin and Janet H. Potvin Outstanding Student Leader and Scholar Award□
ProAAct Scholarship□
Purdue School of Engineering and Technology Alumni Association Golf Classic Student Scholarship+*
□
Gladys Román Memorial Scholarship*^
□
United Parcel Service and National Society of Black Engineers Achievement AwardThe School Scholarships and Awards are open to all students enrolled in a degree program within the School of Engineering and Technology, assuming you meet the specified criteria of the scholarship/award.
If you would like to be considered for special scholarships and awards open to minorities or international students please indicate your interest by completing the following information:
Ethnicity:
Country of Citizenship:
*
Denotes application requires a writtenpersonal statement/letter of introduction
+
Denotes application requires a letter ofrecommendation from a faculty member
^
Denotes application requires a resumeALL APPLICATIONS MUST BE SUMITTED WITH AN UNOFFICAL TRANSCRIPT FROM ONESTART
The Honors Convocation is April 4, 2014. Attendance of scholarship/award recipients is highly encouraged. Name: University ID#:
ECE SCHOLARSHIPS AND AWARDS
□
Outstanding Electrical and Computer Engineering Freshman Award□
Outstanding Electrical and Computer Engineering Graduate Student□
Raytheon Systems Company Award for Engineering Dual Degree Senior (Butler/IUPUI) Student Award□
Raytheon Systems Company Award for Outstanding Electrical and Computer Engineering Senior Award□
Roy and Mitsue Yokomoto Most Accomplished ECE Junior AwardECE Scholarship and Award Descriptions
Outstanding Electrical and Computer EngineeringFreshman Award
Amount: $200
Class Standing: Freshman
Status: Full-time, first degree
GPA Requirement:
Other Qualifications: Outstanding freshmen in electrical and computer engineering having completed all required freshman courses, academic achievement. Outstanding Electrical and Computer Engineering Graduate Student
Amount: $500
Class Standing: Graduate
Status: MS Thesis Student
GPA Requirement: Other Qualifications:
Raytheon Systems Company Award for Engineering Dual Degree Senior (Butler/IUPUI) Student Award
Amount: $500
Class Standing: Senior
Status:
GPA Requirement: 3.5 or higher
Other Qualifications: Applicant must be an outstanding student in the EDDP program who is graduating and a U.S. Citizen
Raytheon Systems Company Award for
Outstanding Electrical and Computer Engineering Senior Award
Amount: $1,000
Class Standing: Senior
Status:
GPA Requirement: 3.5 or higher
Other Qualifications: Applicant must be an
outstanding ECE student who is graduating and a U.S. Citizen
Roy and Mitsue Yokomoto Most Accomplished ECE Junior Award
Amount: $800
Class Standing: Junior
Status:
GPA Requirement:
Other Qualifications: Requires a separate application, available from the ECE Department
School Scholarship and Award Descriptions
D.J. Angus Scientech Educational FoundationAward
Amount: $800
Class Standing: Sophomore or Junior
Status: Full-time
GPA Requirement: N/A
Other Qualifications: Student shall have shown the greatest improvement in grade average from one semester year to the next and displayed a good citizenship record.
Robert H. and Marjorie K. Begeman Scholarship
Amount: $1,000 - $2,000
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: The scholarship will be given to an undergraduate student with the following
nationalities and citizenship: Egypt, Ethiopia, Kenya, Morocco, Nigeria, Tanzania, Zimbabwe, Cambodia, Indonesia, Thailand, Taiwan, and Vietnam.
James D. Bercaw Distinguished Engineering Student Award
Amount: $500
Class Standing: Senior
Status: Full-time
GPA Requirement: Highest GPA of all engineering majors
Other Qualifications: N/A
James D. Bercaw Distinguished Technology Student Award
Amount: $500
Class Standing: Senior
Status: Full-time
GPA Requirement: Highest GPA of all technology majors
Other Qualifications: N/A Brancato Scholarship
Amount: $500
Class Standing: Sophomore - Senior
Status: Full-time or Part-time
GPA Requirement: 3.0 or higher
Other Qualifications: Single parent with demonstrated financial need
Edgar and Betty Conn Part-Time Student Scholarship
Amount: $500
Class Standing: Have completed a minimum of 24 credit hours
Status: Part-time
GPA Requirement: 3.0 or higher
Other Qualifications: Currently enrolled in 6-11 credit hours
Dean's Industrial Advisory Council (DIAC) Scholarship
Amount: $500
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: N/A
H. Eugene Hunt and Rebecca A. Mohr Scholarship
Amount: $750
Class Standing: Undergraduate-Have completed a minimum of 18 credit hours
Status: Full-time or Part-time
GPA Requirement: Maintain the highest cumulative GPA with at least nine credit hours completed per semester over the preceding two semesters
Other Qualifications: N/A
Derek Krueger Memorial Scholarship
Amount: $1,000
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: Must be planning to conduct undergraduate research in the field (not in a lab on campus). Please include purpose of the research, setting where the research will be conducted and expected outcomes in your personal statement.
Munevar Family Scholarship for Outstanding Civic Engagement and Academic Excellence
Amount: $500
Class Standing: Undergraduate or Graduate
Status: Full-time
GPA Requirement:
Other Qualifications: Applicant must be actively involved in the Purdue School of Engineering and Technology, as well as the greater Indianapolis community through leading community outreach activities and professional organizations.
Jacqueline E. Newsom Scholarship
Amount: $500 - $1,000
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: 3.0 or higher
Other Qualifications: Applicant must be amember in or more student organizations, with preference given to African American students
Clayton and Deborah Nicholas Scholarship
Amount: $1,000
Class Standing: Undergraduate or Graduate
Status: Full-time or Part-time
GPA Requirement:
Other Qualifications: The scholarship will provide recognition to a student who has exhibited perseverance and dedication to his/her academic pursuits as shown through improvement in his/her grade point average
School Scholarship and Award Descriptions
Alfred R. Potvin and Janet H. Potvin OutstandingStudent Leader and Scholar Award
Amount: $500
Class Standing: Undergraduate or Graduate- Senior (within 30 credit hours of graduation) or Graduate student (within 10 credit hours of a MS degree or one year of completing a Ph.D.)
Status: Full-time or Part-time
GPA Requirement: 3.2 or higher
Other Qualifications: Completed 45 or more
undergraduate or 21 or more graduate semester credit hours at IUPUI, officer in one or more student
organizations with a strong record of accomplishment, leadership and collegial relations, IUPUI GPA in the top quarter of students in same degree program.
ProAAct Scholarship
Amount: $500
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: Preference will be given to
underrepresented (minority) students, who without this aid might not be able to obtain a higher education.
Purdue School of Engineering and Technology Alumni Association Golf Classic Student Scholarship
Amount: $500
Class Standing: Undergraduate or Graduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: N/A
Gladys Román Memorial Scholarship
Amount: $500
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: Applicant must be Hispanic. United Parcel Service and National Society of Black Engineers Achievement Award
Amount: $500
Class Standing: Undergraduate or Graduate
Status: Full-time or Part-time
GPA Requirement: 3.0 or higher
Other Qualifications: Member in or more student organizations (NSBE included) or activities with a strong record of accomplishment leadership, and collegial relations
