THE 2018IM FLASH TECHNOLOGIES, LLC

CTE SCHOLARSHIP PROGRAM APPLICATION

  1. PERSONAL DATA

Name / Date
Permanent Address / Home Phone
City / State/Zip
Email Address / Cell Phone
Date of Birth
Name of College/University expected to attend / Expected College Major
  1. EDUCATIONAL RECORD

Name of High School / Graduation Date
City / State
SAT/ACT Total / GPA on a 4.00 scale
  1. ADVANCED COURSE WORK

List chronologically, beginning with freshman year, all Advanced Placement (AP), Honors, Continuing Education (CE) and College courses taken. Attach additional pages if necessary.

Academic Year / Course / Credits / Grade or Test Score Received
  1. ACTIVITIES AND SPECIAL RECOGNITION – School

List chronologically, beginning with freshman year, all activities in high school, such as publications, club work, student government, athletics, honor societies,etc. Attach additional pages if necessary.

Academic Year / Activity / Offices Held, Awards
  1. ACTIVITIES AND SPECIAL RECOGNITION – Community

List chronologically, beginning with freshman year, activities outside of school in which you were involved, such as clubs, groups,or teams (4H, Scouts, church, athletics, band, etc.), volunteer work (Red Cross, camp counselor, etc.), etc. Attach additional pages if necessary.

Academic Year / Activity / Offices Held, Awards
  1. EMPLOYMENT INFORMATION

Starting with freshman year, list all summer, part-time and/or full time jobs and provide dates of employment, i.e. June 2015 – December 2015. Attach additional pages if necessary.

Dates of employment / Employer / Type of Work
  1. ESSAY

Use separate sheets and attach to application. Answer the following question in 250 words or less for each answer.

  • How will STEM Education and this scholarship influence your life decisions as you move to the next step in your educational pathway?
  1. I (we) indemnify IM Flash Technologies and hold it harmless from any loss, damage, claim of damage, or liability of expense arising out of, or resulting from, any aspect of this application or this Scholarship Award Program. I (we) agree that I/we are aware of and understand all rules, conditions, instructions and provisions regarding all aspects of this Scholarship Award Program. Furthermore I (we) agree to accept the decision of the IM Flash Technologies Scholarship board without debate.

I (we) agree that, in accepting this scholarship, I will attend an accredited college or university and will maintain enrolled status for the academic year for which the award was given.

I (we) also agree that, if I withdraw or fail to meet attendance requirements for that academic year, I (we) will reimburse IM Flash Technologies for the total scholarship amount.

I (we) certify that the information contained in this application is correct to the best of our knowledge.

Applicants Signature______

Date______

Parent/Guardian’s Signature______

Date______

APPLICATION INFORMATION

Application submissions must include completed scholarship application, one short essayresponse, official high school transcript and two letters ofreference, including at least one from a teacher/advisor.

Student applicants are responsible for gathering and submitting all necessary information and awards will be based on the information supplied. Therefore, all application questions should be answered as completely as possible.

Incomplete or late applications will not be considered. The Scholarship Committee reserves the right to change or terminate the program at any time.

All submitted forms, transcripts, essay responsesand information become the property of IM Flash Technologies and will not be returned to the applicant. The intentional falsification or misrepresentation of information will result in immediate disqualification and forfeiture of award.

APPLICATION CHECKLIST

Please use the following checklist to ensure that you have completed and submitted all of the necessary information:

______Application (3 pages & any additional attached pages if necessary)

______Short Essay Response (single response)

______Official High School Transcript

______Two Letters ofReference (including at least one from a teacher/advisor)

APPLICATION SUBMISSION

Applications for the CTE Dependent Scholarship program are due February5th, 2018. Applications and supporting documentation will be accepted by mail, or hand delivery.

  1. Mail: IM Flash Technologies, Attn: Todd Russell, 4000 North Flash Drive, Lehi, UT 84043 (must be postmarked no later than February5th 2018.
  1. Hand deliver: HR Bldg. 10, RM 1150, Workforce Planning