Institute of Electrical and Electronics Engineers, Kansas City Section

IEEE, Kansas City Section

 

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IEEE Kansas City Section  Undergraduate Scholarship Application

 

Scholarship Application

The scholarship is not being offered for the 2003/2004 school year.

HTML has its limits. You can use the form below, or contact IEEE-KC Webmaster and request a hard copy be mailed to you. Be sure to write your complete mailing address and a phone number in that e-mail. Click here for the explanation.

Click here for a downloadable PDF file   (which is better than this page) of the application.

 

IEEE- Kansas City Section Undergraduate Scholarship Application

Application Deadline: December 10th, 1999

1

Your name

 .

Parent name

 .

Street Address

 .

Street Address

 .

City/ST/Zip

 .

City/ST/Zip

 .

Phone

 .

Phone

 .

KC section member?

 circle: Y  N

KC section member?

 Circle: Y  N

IEEE mem #

 .

IEEE mem #

 .

2

Accredited course of study

 .

Degree

 .

School name

 .

Circle:

Frsh / Soph/ Jr / Sr

Street Address

 .

City/ST/Zip

 .

Phone

 .

URL:

.

3

Registrar name

 .

Registrar dept

 .

Street Address

 .

Phone

 .

City/ST/Zip

 .

e-mail

 .

4

List other current scholarships on separate paper and attach. Include: scholarship name, amount per year, and year(s) of scholarship.

  

5

Your work:

Hrs/wk

 .

Approx annual wages

 .

6

Tuition

Lab/fees

Books

Rm & Brd

Other:.

Total exp
. . . .. .

7

Enclose official transcript, embossed with seal.

8

Enclose letter of recommendation, in sealed envelope.

9

On separate paper, list other considerations. Include such things as:

papers, awards, achievements, organizations, offices held, special interests.

 

Last updated September 16, 2011.