Engineering Council of Birmingham, Inc.

SCHOLARSHIPAPPLICATION

SCHOLARSHIPSAVAILABLE–Thecurrentpracticeistoawardaminimumofthreescholarships: two for $1,500, one for $1,000 for a totalof $4,000 providing funds are available and maybe subject to change without notice.

EVALUATIONCRITERIA–Theapplicantmustmeetthefollowingqualifications:

1.Mustbeahighschoolgraduatingseniorentering freshman yearofcollege.

2.Must attend an engineering programat an Alabama University/Collegethatis accredited bytheEngineering Accreditation Commission of the Accreditation Boardfor Engineering andTechnology(ABET-EAC).

3.Is in a position to accept the scholarship in the schoolyear for whichitisbeing awarded.

4.Is a U.S. citizen or permanent resident of the U.S.

5.Has a minimumof 3.5 out of 4.0 GPA or equivalent.

6.Must provide financial and known scholarshipinformation to date atthe time ofapplication.

NOTETOAPPLICANT–Tobeacceptedforjudging,anapplicant mustsubmitalltherequireditems listedbelownolaterthanJanuary 15th, to: ECOB Scholarships

P.O. Box _19785

Birmingham, Alabama 35219

RequiredItems:

1.ApplicationFormw/requiredsignatures (see last page)

2.Test scores SAT and/or ACT are required inapplication.

3.Essay

4.Two letters of recommendation

5.Official High School Transcript(s)

StudentInformation:

Name:

Home Address:

City

State

Zip

Phone:

Email:

Date of Birth:

SSN:

Parent/Guardian Name:Address(ifdifferentfrom above):

City

State

Zip

Name:

AcademicInformation:

High School:

Cumulative GradePointAverage (GPA):outof (i.e. 96 out of 100 or 3.7 out of 4.0)

Please enter highest scores achieved either SAT or ACT or both:

SAT Scores: TotalACT Scores: Composite

VERBAL: ENGLISH: READING:

MATH: MATH: SCEINCE:

Planned Engineering Major:

Alabama Schools Applied to (inorder ofschoolpreference)Date AppliedStatus of Acceptance

FinancialInformation:

AnticipatedExpensesforFirstYear:Anticipated financialsupportforfirstyearof

collegefrom the followingsources:

Tuition: Room/Board: Books/Supplies: Transportation: Other(describebelow):

Parents/Spouse: Employment: Scholarships: Work/Study: Other(describebelow):

Total Expenses:

Total Income:

Scholarships AlreadyReceived (regardless of acceptance)

ScholarshipAmount and YearsSponsor

HonorsandAwardsReceived(ie.SchoolorCommunityAwards-notcourses)

Note:Forallthe following categories listthe most recent firstanduse additional sheetsif necessary.Year Recognized NameofAward Sponsor of Award

Name:

HighSchoolExtracurricularActivities:(ie.SchoolGroupsorTeamsseeexamples)

Year(s) Participated / Activity/Organization / SignificantContributions/OfficesHeld
2004-08 / National Honor Society / Treas, Sec, VP, Pres. Community Kitchen
Chair-2 of 4yrs

OutsideSchoolVolunteerActivities:(ieCommunityChurch,seeexamples)

Year(s) Participated / Activity/Organization / SignificantContributions/OfficesHeld
2006-089(8mo/yravg) / HumaneSociety / MonthlyVolunteeratPetAdoptions

WorkExperience:(PaidorUnpaidseeexamples)

YearEmployer / Phone / Name of SupervisorJob Duties/HoursWorked
2007 SummerGrocery Store / 555-5555 / Mr. RichardsStocked Shelves40hr/wk

Name:

Essay:

Includea500word (maximum) essayaboutyour career plansandinterestin pursuinganengineeringeducation.Includeyour major fieldofstudyifknown at this time.Please put your Name on the top ofthe Essay Sheet.

LettersofRecommendation:

Includetwolettersof recommendation fromyour High School. Theletters may be from teachers,counselors or principals.

Transcript(s):

Include high school transcript(s) inasealedenvelope.

SignaturesandCertification:

ScholarshipApplicant:

I submit that the information in the enclosedapplication is complete andtrue to the best of myknowledge.

Applicants SignatureDate

Principal/Counselor Certification:

I certify that the academicinformation enclosed in thisapplication iscompleteand true andthe applicantmeets the eligibility requirementsstated on the front ofthe application.

NameTitle/SchoolPhone

SignatureDate