2015 ETBOA Scholarship Application

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EASTERN CHAPTER
Tennessee Building Official’s Association
2015 Scholarship Application
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!Scholarship RequirementsApplications MUST be received by March 31st, 2015 at 5 pm
! 1. Applicant must be the child or grandchild of a member of our organization who has attended at least 3
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activities (one shall be a meeting) within the past 12 months and has been a member for 12 months
prior to the application submission. Children of associate members that meet the same requirements
may be eligible based on a funding evaluation by the scholarship committee.
2. Scholarships are for high school senior students planning to attend college after graduation, other first
time applicants and past recipients (defined as previous recipient still enrolled in an undergraduate
program).
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Awarding of scholarships will depend on funds available for disbursement. Priority will be given to the
high school senior, followed next by other first time applicants and lastly previous recipients. The
eligible high school senior will always have first priority. In the event funds are limited, priority for other
first time applicants will be based on the date of application submittal.
3. Applications must be received by March 31, 2015 at 5 pm for review by the scholarship committee.
4. Once a scholarship is approved proof of college enrollment must be provided to the committee.
5. This information sheet/requirement form must be attached to all scholarship application packets.
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6. Awards must be accepted in person. The recipient will receive their award on one of two dates, which
will be scheduled by the scholarship committee.
!! 7. Incomplete or ineligible applications will be rejected upon receipt.
High School Seniors and Other First Time Applicants
!Applications packet must include:
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This Information Sheet/Requirement Form
Scholarship Application (complete, legible & signed by both applicant and member)
Three Reference Letters (contact information completed & signature required)
A short essay explaining why you are applying for this scholarship. Information to include in the essay
is the direction you plan for your life. The essay should be simple, honest and direct.
!Past Recipients
!Application packet must include:
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This Information Sheet/Requirement Form
Scholarship Application (complete, legible & signed by both applicant and member)
Proof of enrollment in an undergraduate program
!Please return completed application packets no later than March 31, 2015 at 5 pm to:
Knox County Codes
ATTN: Ron Mauer
400 Main Avenue, Room 547
Knoxville, TN 37902
Fax: 865-215-4255 or E-Mail: ron.mauer@knoxcounty.org
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East Tennessee Building Official’s Association
Scholarship Application Form
Student Information
!Name: _________________________________________________________________________________
!Address: _______________________________________________________________________________
!City/State/Zip: ___________________________________________________________________________
!Date of Birth: __________________________
!Telephone: ____________________________ Email Address: ____________________________________
!High School Senior: _________ Other First Time Applicant: _________ Past Recipient: _________
!Family Information
!ETBOA Member’s Name: ___________________________________ Relationship: ___________________
!Address: ________________________________________________________________________________
!Employer: ________________________________________________ Department: ___________________
!Work Address: ___________________________________________________________________________
!Telephone: _____________________________ Email Address: ___________________________________
!School Verification
School Attending: _________________________________________________________________________
!Current GPA: ______________________________ Last Semester GPA: ____________________________
!Guidance Counselor: _______________________________________ Telephone: ____________________
!Personal Information
College of your Choice: ____________________________________________________________________
!Degree to be received: ________________________________________ Major: ______________________
!What is your present career goal(s): __________________________________________________________
________________________________________________________________________________________
!List any extra-curricular and non-school activities, awards and honors: _______________________________
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Are you presently employed: __________________ Where: ______________________________________
!Applicant’s Signature & Date: _________________ Member’s Signature & Date: __________________
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East Tennessee Building Official’s Association
Scholarship Reference Form
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Applicant’s Name: ________________________________________________________________________
! 1. I have known the applicant for ___________________________ years.
! 2. The applicant’s general reputation and character are: _____________________________________
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! 3. I believe the applicant’s scholastic ability to be: __________________________________________
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! 4. I believe the applicant’s dedication to be: ______________________________________________
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! 5. I recommend this applicant for a scholarship because: ____________________________________
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!My profession is: _________________________________________________________________________
!I am associated with: ______________________________________________________________________
!Address: _______________________________________________________________________________
!Telephone: ________________________________ Email: _______________________________________
!Print Name: ________________________________ Signature: ___________________________________
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Please return completed forms to applicant in a sealed envelope to be submitted as part of the official
application packet.
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East Tennessee Building Official’s Association
Scholarship Essay Form
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Applicant Name: _______________________________________
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Essay
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