Engineering Scholarship Application

Academic Information

Department:

Engineering Major or Anticipated Major

Next Fall Status:

Class Level:

As of Fall 2012

Registration Status Fall 2012:

Registration Status Spring 2013:

Anticipated USF Graduations Date:

(from degree program pursued during the 2012/13 academic year)

High School Academic Record

High School	Address	County	Year of Graduation	GPA	SAT Score (total)	SAT Score (math)	ACT Score (total)	ACT Score (math)

College or University Academic RecordList all Colleges or Universities attended beginning with the most recent, include USF if applicable.

Name of Institution	City	State	Begin Date	End Date	Hours / Degree Earned	GPA

EssayIt is highly recommended that you type these answers in a notepad and copy and paste them here. Be sure to save a copy.

Describe your educational and/or career plans.

Describe any special honors or awards you have received in the last three years.

Describe any engineering, science or mathematics projects you have worked on in the last three years.

Describe your membership, involvement, positions and activities in any student chapter of a professional engineering society or any other club related to science, technology, engineering or math.

Describe your current or past service activities (i.e. non-engineering club memberships, church or civic activities).

Describe any other special talents or extracurricular activities (music, art, sports, etc.).

Describe scholarship information.List any scholarships, fellowships, entitlements, or monetary awards you will be receiving in the following academic year.

Name	Amount	Renewable?

Describe your unmet financial need.

Describe any extenuating circumstances which may contribute to your financial need.

Do you plan to work during the academic year? If so, please include where and how many hours per week.

Survey

Gender:

Residency:

Ethnicity:

Country of Birth:

Additional QuestionsPlease check all that apply.

Are you a Florida resident?

Are you a permanent resident of Hillsborough, Pinellas, Pasco, Polk or Manatee County?

Have you attended a local high school (final two years)?

Are you a Florida Community College graduate?

Do you have an AA degree from a Florida Community/Jr College?

Are you currently employed while enrolled?

Are you a full-time (40 hrs wk) employee of USF?

Parent employed full-time by the College of Engineering at USF?

Relatives employed full-time by USF?List full name of family members that are employed full-time by USFand relationship to you.

Are you a child / grandchild of a URS employee?

Are you interested in undergraduate research?

Are you interested in pursuing a graduate degree in engineering?

Are you a graduate student in the USF MSEM program?

Parent or grandparent graduate of the College of Engineering at USF?

Relatives with USF degrees?List full name of family members that have graduated from USF, relationship to you and degree information (Important that you list)!

Have you interned, co-oped or worked for an engineering company?

Currently / previously member of a student engineering society

Have you served as an officer of a USF professional engineering society student chapter?

Are you an active member in ASCE?

Are you an active member in Tau Beta Pi?

Currently / previously involved in USF Engineering EXPO?

Have you been a FGLSAMP scholar in the past?

Currently / previously member involved in SECME?

Currently / previously involved in Project Lead the Way?

Currently / previously involved in Boys Scouts of America?

Do you have any ROTC or Military experience?

Do you have any formal music training?

Do you have unmet financial need?

Currently / previously invovled in FIRST Robotics Competitions?

Office Use Only

Street 1: Street 2: City: Zip Code: Email: State: Phone: Must be U.S. address Current Address

Street 1: Street 2: City: State: Zip Code: Phone: Country: Summer contact Permanent Address

First Name: Last Name: Middle Name: Overall GPA: Student ID: General Information

USF College of Engineering - Scholarship Application Contact: (813) 974-2684