Environmental Science Scholarship An Air & Waste Management Association Scholarship Application for Entering, Currently Enrolled, and Transfer Students Deadline: Applications must be postmarked no later than May 27, 2005 The Air & Waste Management Association is an independent, non-profit organization which raises and manages private gifts to benefit and promote environmental studies. The Environmental Science Scholarship was created to provide scholarships to students who are interested in pursuing a career in an environmental science related field. Applicants will be considered for multi-year scholarships. All students must be admitted to a Texas University to receive the award and must maintain satisfactory academic progress toward a environmental science degree for continuation of the scholarship each year. Application Deadline All applications must be received by the Air & Waste Management Association or postmarked no later than May 27, 2005. The Application and any supporting documentation should be mailed to the attention of Richard Steinberg at the following address: Application Procedure Students who are incoming Freshman in the fall of 2005 should submit the following: A completed application form, SIGNED and DATED. An official High School transcript that includes completed courses through the spring of 2005 must be sent to the AWMA. Please be sure to include ACT/SAT scores if taken. Letters of recommendation are not required but welcome. Please limit to no more than three Page 1 of 6
Students who will be enrolled (not to include incoming freshmen) in the fall of 2005 should submit the following: A completed application form, SIGNED and DATED. An official University transcript that includes completed courses through the spring of 2005 must be sent to the AWMA. If you have transferred or are transferring more than 15 semester hours to the University, please provide an official transcript from all institutions previously attended. Letters of recommendation are not required but welcome. Please limit to no more than three. Selection Criteria All of the following selection criteria must be met to be considered by the Air & Waste Management Association: Student Major must be Environmental Science, Geology, Chemistry, or another Environmental Related Major Student must be enrolling as a new student, current student, or transfer student in the Fall of 2005. Student must have a minimum ACT score of 23 or SAT score of 1150. Student must be enrolled/enrolling for a minimum of 12 hours and maintain this full-time status throughout the semester and subsequent semesters. Entering Freshmen must be ranked in the top 15% of their class. The Grade Point Average for current students and transfer students must cumulatively be 3.00. Student must demonstrate leadership potential and participation in student and/or civic organizations and take an active role in their communities (provide information in the appropriate space below). Student must have an interest in pursuing a career in the environmental science or related field. Questions: Please call Richard Steinberg at 832-200-1460 or email rsteinberg@deltaenv.com. Page 2 of 6
Environmental Science Scholarship An Air & Waste Management Association Scholarship Personal and Academic Profile for Enrolling, Currently Enrolled and Transfer Students Legal Name Last First Middle Social Security Number Date of Birth: Permanent Address Street, Apartment or P. O. Box City, State, Zip Area Code/Phone Number Local Address Street, Apartment or P. O. Box City, State, Zip Area Code/Phone Number E-mail Address State of Legal Residence Male Female U.S. Citizen Immigrant Visa # Ethnic Background: How would you describe yourself? (Check one)(optional) African American Asian American Hispanic/Mexican American Nat. Amer., Eskimo/Aleut. White/Anglo Amer. Other (Please specify) Have you submitted your application for admission to a Texas University? Been Accepted? Which One(s)? Are you a current student? Total hours Transfer Hours Which University? Classification (circle one based on total # of hours) U1 U2 U3 U4 Major Cumulative GPR Graduation Date / If applicable, please indicate your category of recognition in the National Merit, National Achievement or National Hispanic scholarship competitions: Page 3 of 6
List the source/name of any other scholarship you have been awarded or for which you have applied: How did you hear about the Environmental Science Scholarship? Extracurricular Activities/Volunteer Work List chronologically, beginning with the freshman year, verifiable high school / campus activities (such as student organizations, clubs, athletics) and verifiable service activities (such as volunteer work, tutoring disadvantaged or handicapped students, church work). List any leadership positions held in these activities. Employment Record NAME OF EMPLOYER TITLE/DUTIES HRS./WEEK PERIOD OF EMPLOYMENT Page 4 of 6
In the space provided below, answer the following question. What additional information (exceptional hardships, personal responsibilities, educational goals and objectives, etc.) do you wish to be considered in the scholarship decision? Answer may be attached on a separate sheet of paper. In the space provided below, answer the following question. Which person, event, or book has been the most influential in helping you form your interest in environmental science and your educational goals and why? Answer may be attached on a separate sheet of paper. Page 5 of 6
I hereby certify that all information reported on this application is true and accurate to the best of my knowledge. I give the AWMA permission to release this application, including information regarding my personal and/or academic financial status, to the Environmental Science Scholarship Selection Committee and to the donor or potential donors of any scholarship for which I may be eligible. Date: Signed: Page 6 of 6