Scholarship Fund Application

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SECTION ONE

Name*

First Middle Last

I am (select one of the following) To check membership status login to WEAT website: https://www.weat.org/members/login*

Active Member of WEAT

The legal dependent of an Active Member of Weat

Please check with WEAT office regarding your status prior to submitting application.

Please provide WEAT Member ID*

How long have you or your legal guardian been an active member of WEAT?*

Years

Please enter a number greater than or equal to 0.

Describe yours or your Legal Guardian's WEAT leadership and/or other activities:*

I prefer that the _____ Endowment be used for funding my scholarship (choose NONE if you have no Endowment preference). For a description of each endowment see weatsf.org.*

Permanent Home Address:*

Street Address City State / Province / Region ZIP / Postal Code

Email*

Phone*

Guardian Information

Name of legal guardian who is an Active Member of Weat*

Guardian Home Address*

Street Address City State / Province / Region ZIP / Postal Code

Guardian Email Address:*

Guardian Phone Number:*

SECTION TWO

Academic and Professional information

EDUCATIONAL HISTORY:

Very important!!! Mail an Official High School Transcript, GED, or University grade report! (Application will not be considered without an official transcript.) You only need to supply the transcript for the school attended the previous 2 years.

Major:*

Major Classification:*

College or University Attending:*

Do you plan to change schools in the next year?*

Yes

Student ID:*

School Bursar/Financial Aid Address:*

Street Address City State / Province / Region ZIP / Postal Code

School Bursar/Financial Aid Phone Number:*

Which type of degree are you pursuing?*

Undergraduate

Graduate

Specialization/Emphasis:*

What is your planned career choice:*

Provide a brief description of your career interests after graduation:*

Classification at the beginning of this semester:*

Overall GPA:*

Expected Graduation Date

MM slash DD slash YYYY

(Please note that the award amount is split and 50% is sent in the fall and 50% in the spring, we do not add funds to fall for early graduation)

SECTION TWO

Academic and Professional information

COLLEGIATE AND CAREER PLANS:

High School Attended (Name/City):*

Year Graduated:*

List scholastic honors:*

List VOLUNTEER or SERVICE activities that you are actively involved in the last 2 years (Service organization is a voluntary nonprofit organization where members meet regularly to perform charitable works either by direct hands-on efforts or by raising money for other organizations.)

EXTRACURRICULAR: List any extracurricular activities, including sports, clubs that you are actively involved in the last 2 years (Please state the following in order:*

“ORGANIZATION NAME” “POSITION” “TIME COMMITMENT (HRS/WK OR HRS/MTH)”

SECTION TWO

Academic and Professional information

EMPLOYMENT HISTORY:

Are you employed?

Current Employer (if applicable):*

Length of Employment:*

How much is your employer contributing to your education this year (%):*

Describe the duties you performed:*

SECTION THREE

Need for financial assistance

Are you supported by and or do you live with your legal guardian? (Check "yes" if your legal guardian claims you on their tax return and you are supported by your legal guardian, even if you live at the school or city where you are attending)*

Yes

Number of persons in guardian's household: (Dependents use guardians household (If clicked "yes" above,) otherwise use applicants household)*

SECTION THREE

Need for financial assistance

Applicant Income (If you do not have a job and are supported by your legal guardian please put $0)*

Legal Guardian Income (If you do not have legal guardian please put $0).*

SECTION THREE

Need for financial assistance

Are there any extenuating financial circumstances that you would like to provide for consideration? (Please note this intended for recent or prolonged hardships such as health, unexpected family expenses etc. Expenses due to education and large househouslds are taken into account in income).*

SECTION FOUR

Applicant’s Administrative Checklist:

Please consider the following before continuing:

Is active membership in WEAT (for you or your legal guardian), clearly stated in the application?
Is the length of active membership in the qualifying organization also clearly stated in the application?
Is the academic degree to be pursued by the applicant, the college or university chosen and the applicant’s intended career plans clearly stated in the application?
Is your income level and/or the family income level (if applying as the dependent of a member and being supported by your legal guardian) clearly stated in the application?
Is the past academic record of the applicant, whether in high school or previous college activity, clearly indicated in the application and have you provided a post graduation high school transcript, GED or University Grade Report? THE APPLICATION IS NOT COMPLETE WITHOUT THIS INFORMATION!!
Are all current leadership and/or volunteer activities in the qualifying organization(s) (for the applicant or his/her legal guardians) clearly indicated in the application?
Have you completed all information requested?

PLEASE NOTE! Incomplete or late applications will not be considered for funding!

Academic and Professional information

Membership History*

SECTION FIVE

Headshot Upload*

Upload your headshot (Accepted formats: JPG, PNG, PDF)

Accepted file types: jpg, png, pdf, Max. file size: 5 MB.

Personal Statement*

In 150 words or less, share a brief blurb about yourself and explain what this scholarship means to you.

Consent*

I hereby certify that the information contained herein is true and complete to the best of my knowledge and belief. I further certify (1) that if I am selected as the recipient of funds from the Water Environment Association of Texas Scholarship Fund, Inc., or of one of the Endowments thereof, all funds received by me shall be used for the purposes stated and to attend the college or university indicated within the immediate semester following the date the notification letter is mailed to me by the Water Environment Association of Texas Scholarship Fund, Inc.. and (2) that should the funds not be used for the stated purpose and within that time they will be returned to the Water Environment Association of Texas Scholarship Fund, Inc..

I agree to the terms above

Certification & Acknowledgment*

I certify that I understand my application is incomplete and will be disqualified if an official transcript is not sent directly from my school to scholarships@weat.org. I also acknowledge that I am required to maintain a minimum GPA of 3.0.

I agree to the terms above

Full Name:*

Date*

MM slash DD slash YYYY

If you have any questions call: (512-693-0060)

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