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IDAHO SOCIETY OF PROFESSIONAL LAND SURVEYORS College and University Scholarship Application PO Box 7886 Boise, ID 83707 (208) 658-9970 www.idahospls.org ELIGIBLE STUDENTS: Applicants must be second, third, or fourth year students majoring in Civil Engineering Technology or Surveying and Geomatics Engineering Technology at an Idaho College or University, enrolled as a full-time student (defined as 12 credit hours), and have a minimum of 3.0 GPA RETURN APPLICATION TO: Idaho Society of Professional Land Surveyors, PO Box 7886, Boise, ID 83707 or scan and email to tottens@amsidaho.com no later than the 5:00pm on the day of the deadline APPLICATION DEADLINE: DECEMBER 31, 2018 First Name _ Middle _Last Mailing Address _ Phone Number _ Email Address College or University _ Program enrolled in Start date of current program WRITTEN STATEMENT: Attach a written statement (500 words) addressing your educational and career goals, your plans to finance your education and why you are deserving of this scholarship WRITTEN ESSAY: Attach a written essay (500 words) answering the following questions: What three things interest you the most about surveying? What does ethics have to with the surveying? What you think the surveying industry will look like in 10 years? TRANSCRIPTS: Include with this application a copy of your most recent transcripts and a copy of your current class schedule (unofficial is acceptable) CERTIFICATION: I certify that all information I have provided on this form is true and complete to the best of my knowledge If requested, I agree to give proof of the information on this form, my transcripts, and other information deemed necessary to determine award I give permission for the selection committee to contact college officials or employers for academic information or references If selected to receive a scholarship, I give permission for a publicity release Signature of Applicant Date _

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