International Concrete Repair Institute Scholarship Program
The Program
The International Concrete Repair Institute (ICRI) has established a scholarship program to assist qualified applicants who plan to pursue post-secondary education in undergraduate college, university and vocational programs, directly related to a curriculum of study in concrete, concrete repair, architectural and engineering studies (structural and civil).
Eligibility
Applicants to the ICRI Scholarship Program must be:
• Students who have completed one year of undergraduate study and who are already enrolled in a full-time undergraduate course of study in concrete, concrete repair, engineering, (civil or structural) architecture or construction management at an accredited two-or-four year college, university, or vocational-technical school.
Scholarship Awards
Up to $5,000.00 will be awarded each year, at the discretion of ICRI, depending upon the number of qualified applicants. Awards are not renewable; however, students may reapply for the program each year they meet the eligibility requirements. If an applicant is awarded over $1,000, it will be split between two consecutive semesters with the requirement that they submit a transcript after the first semester in order to get the second half of the money. In conjunction with the scholarship award, recipients will also be offered a free one-year student membership in ICRI.
Application
Interested students must complete the attached application and mail it along with a current official transcript of grades to ICRI postmarked no later than Friday March 10, 2017. Applicants are responsible for gathering and submitting all necessary information. Applications are evaluated on the information supplied; therefore, it is important to answer all questions as completely as possible. All information received is considered confidential and is reviewed only by ICRI.
Selection of Recipients
Scholarship recipients are selected on the basis of academic record, leadership and participation in school and community activities, work experience, a statement of educational and career goals, and an applicant appraisal. Selection of recipients is made by ICRI. Applicants will be notified by Friday, April 14, 2017 whether or not they have been selected to receive an award.
Payment of Scholarships
ICRI will contact recipients to set up payment of scholarship awards.
Obligations
Recipients have no obligation to ICRI. They are, however, required to supply ICRI with current year transcripts and to notify ICRI of any changes of address, school enrollment or other relevant information. At the discretion of ICRI, recipients may have the opportunity to attend an ICRI convention following award of the scholarship, with certain expenses paid by ICRI. A short presentation to the Board or general membership may be required (if travel support is provided). Except as described in this brochure, no obligation is assumed by ICRI.
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International Concrete Repair Institute Scholarship Program
Revisions
ICRI reserves the right to review the conditions and procedures of this scholarship program and to make changes at any time including termination of the program. Previously approved scholarships will not be affected by subsequent changes to the program.
Additional Information
Questions regarding the scholarship program should be addressed to:
International Concrete Repair Institute Scholarship Program
9700 Bryn Mawr Ave. Suite 210
Rosemont, IL 60018
Ph: (651) 366-6095
Fax: (651) 290-2266
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International Concrete Repair Institute Scholarship Program
TYPE OR PRINT ALL INFORMATION EXCEPT FOR SIGNATURES
If space provided in any section proves inadequate, information may be continued on additional sheets of paper and attached to the application.
Application postmark deadline: Friday, March 10, 2017
Applicant Data
LAST NAME / FIRST NAME / MID. INT.PERMANENT MAILING ADDRESS:
STREET ADDRESS:
APT No.:
CITY: / ST: / ZIP:
DATE OF BIRTH (MM/DD/YYYY):
PHONE:
CELL:
EMAIL ADDRESS
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International Concrete Repair Institute Scholarship Program
Post- Secondary School Data
Name of post-secondary school you currently attend or plan to attend in the future.CURRENT:
Current: A B C D / (See Key Below)
City: / ST:
FUTURE:
Future: A B C D / (See Key Below)
City: / ST:
A. 4-year College or University
B. 2-year Community or Junior College
· Year in post-secondary program next school year: 2 3 4 5
C. Vocational-Technical School
D. Other, Explain:
MAJOR COURSE OF STUDY:
ANTICIPATED DATE OF GRADUATION:
Work Experience and Internships
Describe your work experience during the past four years. Indicate dates of employment in each job and approximate number of hours worked each week. List amounts earned at each job. If the work experience is an unpaid internship, write "internship" in the "Amount Earned" column.
COMPANY/POSITION / DATES FROM: MM/YYTO: MM/YY / HOURS PER WEEK / AMOUNT EARNED
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International Concrete Repair Institute Scholarship Program
Activities, Awards and Honors
List all school activities in which you have participated during the past four years (e.g., student government, clubs, associations, music, sports etc.) List all community activities in which you have participated without pay during the past four years (e.g., Boy/Girl Scouts, hospital volunteer, Special Olympics.) Indicate all special awards, honors and offices held. Separate high school and college activities. Attach additional sheet if necessary.
ACTIVITY / NO. of YEARS PARTICIPATED / SPECIAL AWARDS/HONORS / OFFICES HELDGoals and Aspirations
Make a short (350 words or less) statement of your plans as they relate to your educational and career objectives and future goals.
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International Concrete Repair Institute Scholarship Program
Applicant Appraisal (Required)
To be completed by a college counselor or advisor, an instructor, or a supervisor who knows you well. You have been asked to provide information in support of this scholarship application. Please give immediate and serious attention to the following statements. When complete, please return to applicant or photocopy this section and return to applicant in a sealed envelope.
The applicant’s choice of a post-secondary education program is:Extremely Appropriate / Very Appropriate / Moderately Appropriate / Inappropriate
The applicant’s achievements reflect his/her ability:
Extremely Appropriate / Very Appropriate / Moderately Appropriate / Inappropriate
The applicant’s achievements reflect his/her ability to set realistic and attainable goals is:
Extremely Appropriate / Very Appropriate / Moderately Appropriate / Inappropriate
The quality of the applicant’s commitment to school and community is:
Extremely Appropriate / Very Appropriate / Moderately Appropriate / Inappropriate
The applicant is able to seek, find, and use learning resources:
Extremely Appropriate / Very Appropriate / Moderately Appropriate / Inappropriate
The applicant is able to seek, find, and use learning resources:
Extremely Appropriate / Very Appropriate / Moderately Appropriate / Inappropriate
The applicant demonstrates good problem-solving skills, follows through and completes tasks:
Extremely Appropriate / Very Appropriate / Moderately Appropriate / Inappropriate
The applicant’s respect for self and others is:
Extremely Appropriate / Very Appropriate / Moderately Appropriate / Inappropriate
Comments:
Appraiser’s Name:
Title:
Phone:
Appraiser's Business Address:
Street Address:
City: / ST: / ZIP:
Signature: / Date:
Transcript Information
Students currently enrolled in college or vocational-technical school must include all college or official vo-tech transcripts of grades.
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International Concrete Repair Institute Scholarship Program
Application Checklist
This application for a scholarship becomes complete and valid only when you have returned all of the following materials:
ü Appraisal
ü Student Application
ü Official Current Transcript(s) of Grades to:
International Concrete Repair Institute Scholarship Program
9700 Bryn Mawr Ave. Suite 210
Rosemont, IL 60018
Ph: (651) 366-6095
Fax: (651) 290-2266
Postmark Deadline: Friday, March 10, 2017
Selection of Recipients
ICRI has the sole responsibility for selecting recipients basing the decision on criteria as set forth in the program’s descriptive brochure.
Certification
In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. If requested, I agree to give proof of information I have given on this form (if requested).
Falsification of information may result in termination of any scholarship granted.
This application becomes the property of ICRI
Applicant’s Signature: / Date:ICRI National Office Signature: / Date:
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