American Society of Civil Engineers (ASCE) Michigan Section

Engineering Scholarships for Civil Engineering Students

Scholarship Information & Application

ASCE Michigan Section Scholarships, 530 W. Ionia St., Ste. D, Lansing, MI 48933

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Civil Engineering Scholarship Application

Scholarship Application The American Society of Civil Engineers, Michigan Section

Engineering Scholarships for Civil Engineering Students

Return completed application and a copy of the students’ current transcript to the ASCE Michigan Section by Memorial Day.

Applicant Information

Name:

Home Address:

Home Phone: Email:

Are you a US Citizen and a Michigan Resident? Yes No

Are you a student member of ASCE? Yes No

Are you attending a Michigan School?

Best way to contact applicant? (select all that apply)

Yes No

Phone E-mail

Are either of your parents members of ASCE? Yes No

If yes, what is his/her name?

Parent's Branch affiliation:

Scholarship Information

I would like to be considered for the following scholarships:

Mackinac Scholarship (must be entering Junior year in the fall of the year applying)

Zuidema Scholrship (must be entering Junior or Senior year in the fall of the year applying)

College Enrollment History

Fall Spring Summer University/College Academic Year Semesters Attended Course of Study

Fall Spring Summer University/College Academic Year Semesters Attended Course of Study

Fall Spring Summer University/College Academic Year Semesters Attended Course of Study

Fall Spring Summer University/College Academic Year Semesters Attended Course of Study

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Civil Engineering Scholarship Application

Financial Information

Estimated Expenses for the Upcoming Year

Tuition (including Fees):

Room & Board (including Rent, Utilities, Food, etc.):

Other (including transportation, insurance, etc.):

Financial Support for the Upcoming Year

Family Contribution:

Student’s Contribution:

Other Scholarships: Describe:

Student Loans: Describe:

Grants: Describe:

Other: Describe:

Other Information Relevant to your Financial Need:

Activities and Honors

Describe participation in technical activities and leadership positions held (ASCE Student Chapter, Technical Societies or Clubs, etc.):

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Civil Engineering Scholarship Application

Describe participation in non-technical activities and leadership positions held (Athletic Teams, Band, Student Government, etc.):

Describe academic honors, awards, recognitions, or special achievements (Dean's List, ASCE Awards, etc.):

Describe paid employment during the school year, including weekly hours and duration of employment:

Describe summer activities and summer employment, including weekly hours and duration of employment:

Describe organized volunteer and community service projects, and results of volunteer activities:

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Civil Engineering Scholarship Application

Authorization

I hereby authorize officials of my university to provide information concerning my academic records to ASCE. I hereby grant permission to ASCE to release information contained herein to other potential sources of scholarship assistance for engineering studies. I certify that all statements contained herein are true.

Applicant's Signature Date

Statement of Accuracy

I hereby certify that the financial information provided in support of the applicant's statement of financial need is true and accurate and complete.

Signature of Parent or Guardian Date

University Official/Professor/Faculty Advisor Certification

I hereby certify that the academic information and summary of activities as submitted in this application are correct and that the applicant meets the eligibility requirements as outlined.

Printed Name Title

University/College Phone Number

Signature Date

Required Attachment

Please attach a current university transcript.

Recommended Attachments

Applicants are encouraged to include letters of reference from professors, ASCE Student Advisors, employers, etc.

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