Linda Latham Scholarship Application

Linda Latham Scholarship Application

Linda Latham Scholarship Application

for the

2016 ACEEE Summer Study on Energy Efficiency in Buildings

Must be received by ACEEE no later than March 18, 2016

ACEEE is proud to announce the opening for receipt of applications for the Linda Latham Scholarship to attend the 2016 ACEEE Summer Study on Energy Efficiency in Buildings to be held at the Asilomar Conference Center in Pacific Grove, California on August 21 - 26.

To be eligible for one of the Linda Latham Scholarships that will be awarded, you must be an undergraduate or graduate student enrolled in an accredited college or university whose course work is related to energy/energy efficiency, climate change, environmental science, or a related field of study, and you must be considering a career in energy/energy efficiency.

Please complete either the online application or download this form and email as a Word file to . Applications must be submitted with required attachments including a copy of your Student ID and proof of student status (unofficial transcript/enrollment for the semester).

YOUR NAME: ______

Mailing Address:

(Street/PO)

(City)(State/Province)(Zip/Postal Code)

(Country)

(Email Address)(Phone Number)

University/College:

Mailing Address:

(Street/PO Box)

(City)(State/Province)(Zip/Postal Code)

(Country)

Major & Minor

Anticipated Year of Graduation:

Reference – Name of Professor or Advisor:

Contact Information: (if not available for us to contact, please ask the reference to submit a brief recommendation in writing).

(Email Address)(Phone Number(s)

Are you presenting a paper or display at the Summer Study Conference?

□ Yes, I am a lead author.
□ Yes, I am a co-author.
□ No.

Why would you like to attend ACEEE’s Summer Study on Energy Efficiency in Buildings? (Please attach your remarks including any accomplishments to this application form—300-word limit.)

What level of scholarship award would you like to apply for? (Level I will be the most competitive with the lowest chance of selection; Level III will have the highest chance of selection with Level II in-between.) Please indicate for which Level(s) you would like to be considered using the Scholarship Level chart below. You may select more than one level. Also, be sure to consider your out-of-pocket costs if applying for Levels II and III.

LEVEL I
/ LEVEL II
/ LEVEL III

CHECK YOUR SELECTED LEVEL(S) □ □ □
Registration Fee (Student Rate) / $572.00 / $572.00 / $572.00
Housing/Meals (5 nights) / $669.00 / $669.00 / n/a
Transportation Cost Allowance / Up to $500.00 / n/a / n/a

To complete your application, you must email with proof of your student status in the form of a Student ID (you may send a photo of the ID card) and a document reflecting your full-time student status. (We will accept unofficial transcripts or enrollment forms for the semester.)

SignatureDate

APPLICATIONS MUST BE SUBMITTED NO LATER THAN MARCH 18, 2016 TO

ATTACH PROOF OF STUDENT STATUS: Student ID and Proof of full-time (12 credit hours) student status (unofficial transcript/enrollment for the semester)
QUESTIONS MAY BE DIRECTED TO: Justine Seas, 202.507.4018 or