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Scholarship Application
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Applicant Eligibility
--Please select--
Student enrolled in ABET accredited University of New Hampshire, Civil and Environmental Engineering Program
NH Resident, Student enrolled in Out-of-State ABET accredited College or University Civil Engineering Program
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Name of Institution
Personal Information
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First Name
Middle Name
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Last Name
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Permanent Address
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City
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State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
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MD
ME
MH
MI
MN
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MP
MS
MT
NC
ND
NE
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NV
NY
OH
OK
OR
PA
PR
PW
RI
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SD
TN
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UT
VA
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VT
WA
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Zip Code
Campus Address
Please complete if different than address above.
City
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
Zip Code
Home Phone
Cell Phone
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E-mail Address
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Date of Birth
School ID#
Academic Information
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Cumulative Grade Point Average
A 3.0 or higher based on 4.0 grade scale is required to apply.
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Please list the name and grade received for all Structural Engineering courses taken to date.
EXAMPLE: Structural Steel Design, A-
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Anticipated Date of Graduation
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Will you be attending graduate school?
--Please select--
Yes
No
Undecided
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Please list all Structural Engineering courses anticipated to be taken in future semesters.
Please include a course description for each.
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Unofficial or Official Transcript
Other Activities
List on/off campus extracurricular activities including any position held, such as President, Secretary, etc.
Please include dates of services and any significant contributions.
List employment during school and/or summer break.
Please include dates of service, name of supervisor, supervisor phone number, and responsibilities.
List all honors and scholarships. These may or may not be academic-related.
Please include the month and year of receipt as well as the reason for receipt of award.
Interest Statement
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Provide a brief statement presenting your interest in structural engineering and the occupation you would pursue upon graduation. The statement may also include any other brief information that is relevant to your career plans.
(No more than 500 words, double spaced. Provide your name at the top of the page.)
Required Signatures
*
I authorize College or University officials to provide information about my academic records to SENH.
--Please select--
Yes
No
*
To the best of my knowledge, the information presented on this application is complete and true.
Please type your name in acknowledgement of the above.
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