NUCA OF WASHINGTON
SCHOLARSHIP APPLICATION
Application and complete information must be received at the following address by 5:00pm (PT) on April 28th, 2017:
NUCA of WA Scholarship Committee
5727 Baker Way NW
Suite 200
Gig Harbor, WA 98332
Applicant must complete this form and sign this sheet (if applicant is under 18 years of age, a parent or guardian must approve your application) to be considered for this scholarship. All questions must be answered. If any question does not apply, please write “not applicable” in the space provided. You can use and attach additional sheets as necessary.
Personal Information:
Name of Applicant: ______
FirstInitialLast
StreetAddress: ______
City, State, Zip Code: ______
Telephone:______Preferred Email: ______
Mother’s Name:______Father’s Name: ______
NUCA of WA Member Referral:
Name of person and NUCA of Washington company name who referred you:(Note: if you need a NUCA sponsor, contact Samantha La Deaux at )
NUCA Member Name & Company:______
Certification:
I certify that the information in this application is complete and accurate to the best of my knowledge and belief.
Signature of Applicant: ______
I approve the submission of this application (if applicant is under 18 years of age):
Signature of Parent or Guardian: ______
NUCA OF WASHINGTON
SCHOLARSHIP APPLICATION
General Information
NameofHighSchool:______
Address: ______Year of Graduation: ______
Please attach your official high school transcript to this application or have it mailed to the NUCA of Washington office (see address on page 1) prior to the deadline.
Name of College (currently enrolled or accepted to attend in Fall 2016): ______
Address: ______
Anticipated Graduation:______Program Length (i.e. 4yr, 2yr, etc): ______
Major course of study: ______
Please attach your current college transcript to this application or have it mailed to the NUCA of Washington office (see address on page 1) prior to the deadline.
Career Goals
Where do you see yourself in 10 years?
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How do you plan on reaching your career goals?
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Academic Information
High School Class Ranking: #______out of ______students
Have you taken the college board examinations? Yes No
Test Type:______Score: ______Test Type:______Score: ______
What course of study have you followed in high school (i.e. college preparatory, business, industrial, etc.)? If you are already in college, what is your major and minor?
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List all honors, awards, or prizes of distinctions that you have received to date:
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Activities and Community Service
List school and non-school activities (e.g. community, church, government) that you have participated in during the last four years, starting with the most significant. Include number of years in each activity and office held, if any.
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Describe your hobbies and outside interests:
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Work Experience
List your work experience and/or community service activities:
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What has your work experience taught you?
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Miscellaneous Information
Breifly answer ONE of the following: (A.) Who has made a significant impact on your life and why? (B.) Whose life have you improved and how? ______
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(Optional) Add any additional information that you think may be relevant for the Scholarship Committee to consider:______
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Essay Questions: Choose From the FollowingQuestion 1:Why did you choose to pursue a career in the construction field and what do you feel you will/can contribute to the industry? Describe what you find interesting, challenges you expect, who interested you in the construction field and what you expect to gain from your career choice. What have been your biggest successes and/or accomplishments in your career thus far?
Question 2: Construction leaders believe that addressing important public policy issues would improve economic conditions for contractors, manufacturers, and other service providers in the civil construction industry. Explain infrastructure issues, how it should be addressed and how your solution would improve the industry.
Essay must be researched and written by the applicant only. Essay must be printed or typed and must not exceed 750 words. Permission for NUCA of Washington to reprint essay and attribute your name:
______
(Signature)