Anthony I. Anaebere, Sr.

Memorial ScholarshipScholarship Application

The children of Anthony I. Anaebere, Sr., will award a Memorial Scholarship in his honor to one Nigerian-born or first generation Nigerian-Americanstudent pursing an undergraduate or graduate level engineering degree at an accredited college/university in the United States of America. The Anthony I. Anaebere, Sr., Memorial Scholarship awardmay vary each year. For this yearwe will be awarding a $1,000 scholarship.This scholarship may be used for tuition and fees, books and supplies, or room and board expenses. All applicants will be notified of the scholarship committee's decision on or before Friday May20, 2016at 8pm Pacific Standard Time (PST).

Applicants for the Anthony I. Anaebere, Sr., Memorial Scholarship must:

1Be a Nigerian-born orfirst generation Nigerian-American student pursing an undergraduate orgraduate level engineering degree at an accredited college/university in the United States of America.

2. Have a cumulativegrade point average (gpa) of :

  • Secondary (high school) students matriculating to a 4-year college/university are required to have at least a cumulative 3.0 gpato apply.
  • College/University undergraduate and graduate students are required to have at least a cumulative 2.5 gpa to apply.

Applications must include the following documentation and be RECEIVED BY: February 20, 2016 at 8pm PST

1. A completed Anthony IhedohaAnaebere, Sr. Memorial Scholarship Application

2. Current resume from applicant (should include list of activities and honors).

3. One letter of recommendation from an individual who can speak to the applicant’s academic

credentials. Letter of recommendation may not be from a relative of the applicant.

4. Academic transcripts from your current institution and/or enrollment verification letter if you

will be matriculating to a new program during the 2016-2017 academic year. (If you are

matriculating from high school to a four year college/university you are required to submit

verification of enrollment from your college/university and complete high school transcripts).

5. An electronic digital photo and signed photo/image use waiver.

6. Completion of Application Essay Prompt (essay should be no more than 500 words)

PLEASE NOTE: The Scholarship Committee will review applications and select the top

threecandidates for a phone or virtual interview, after which the final selection will be made.

The application and associated application materials must be submitted together electronically ia e-mail. In the subject of your e-mail for your electronic submission please write: "AIA SCHOLARSHIP SUBMISSION." Applications are due by:February 20, 2016 at 8pm PST.

For scholarship details please refer to:

Anthony IhedohaAnaebere, Sr.

Memorial Scholarship Application

Application & Application Materials due on or before: February 20, 2016 at 8pm PST

Name:

Address:

City:State: Zip:

E-Mail:

Phone(Home/Work):

Home:Work:

Date of Birth: Place of Birth:

Languages spoken:

What College/University -and-Academic Program will you be enrolled in for the 2016-2017 Academic Year:

Have you reviewed the scholarship website: (Y/N?):

High School/Secondary School Information

Name of High School:

City: State:

Cumulative High School GPA: on a ______scale(i.e.: on a 4.0 Scale).

Graduated (Y/N?):

Month/Year of Graduation or Expected Graduation:

4-Year College/University Information(complete if applicable)

Name of 4-year College/University:

City: State:

College/University Major:

College/University Minor (if applicable):

Cumulative High School GPA: on a ______scale (i.e.: on a 4.0 Scale).

Graduated (Y/N?):

Month/Year of Graduation or Expected Graduation:

Graduate School Information(complete if applicable)

Name of Graduate School:

City: State:

Graduate School Major:

Graduate School Minor (if applicable):

Cumulative High School GPA: on a ______scale(i.e.: on a 4.0 Scale).

Graduated (Y/N?):

Month/Year of Graduation or Expected Graduation:

Current Residency Status (Check the Applicable box):

I am a U.S. Citizen:

I am a U.S. Permanent Resident/Green Card Holder:

I am on a U.S. Student Visa/F-1 Visa:

Current Work History (complete if applicable)

Current Place of Employment:

City: State:

Position Title:

If currently employed, how many hours per week?

Anthony Ihedoha Anaebere, Sr., Memorial Scholarship
Scholarship Application

Essay Prompt

Essay prompt question proposal: In 500 words or less, please tell us about yourself, why you've chosen engineering as a career, and how you plan to use your engineering degree to help better your community?

Anthony Ihedoha Anaebere, Sr., Memorial Scholarship
Scholarship Application

Photo/Image Use Waiver

(Consent Form)

I hereby give the Anthony Ihedoha Anaebere, Sr., Memorial Scholarship, its assigns, licensees and legal representatives the irrevocable right to use my name/photograph/image and likeness (“My Image”) in all forms and manner including but not limited to publication on Internet Web Sites, broadcasts and any other publications as released to or by the Anthony Ihedoha Anaebere, Sr., Memorial Scholarship. I understand that the Anthony Ihedoha Anaebere, Sr., Memorial Scholarship cannot control unauthorized use of My Image by persons not associated with the Anthony Ihedoha Anaebere, Sr., Memorial Scholarship once My Image has been published. I hereby forever waive any right to inspect or approve any publication of My Image by the Anthony Ihedoha Anaebere, Sr., Memorial Scholarship.

I have carefully reviewed and understand the above provisions and agree to be bound by them. I voluntarily and irrevocably give my consent and agree to this Release and Waiver.

______

Name of Applicant (Please Print)

______
Date

______

Telephone Number of Applicant

______

E-mail of Applicant

______

Signature of Scholarship Applicant

______

Signature of Parent/Guardian if Scholarship Applicant is under 18 years old

REMINDER:Make sure the below items are included in your scholarship application submission. If any of these items are not included in your electronic submission, your application will be considered incomplete.

Please email all items on or before:

February 20, 2016, 8pm PST

ia

e-mail. In the subject of your e-mail for your electronic

submission please write:

"AIA SCHOLARSHIP SUBMISSION."

Include the Following in your e-mail submissions:

A completed Anthony Ihedoha Anaebere, Sr. Memorial Scholarship Application

Current resume from applicant (should include list of activities and honors).

One letter of recommendation from an individual who can speak to the applicant’s academic credentials. Letter of recommendation may not be from a relative of the applicant.

Academic transcripts from your current institution -and/or- enrollment verification letter if you will be matriculating to a new program during the 2016-2017 academic year (scanned copies, which school seal are acceptable).

An electronic digital photo and signed photo image use waiver.

Completion of Application Essay Prompt (essay should be no more than 500 words)

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