The IEEE, Kansas City Section |
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Address_Changes Education Gen'l Info |
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Institute of Electrical and Electronics Engineers |
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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 |
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Application Deadline: December 10th, 1999 |
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1 |
Your name |
. | Parent name |
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Street Address |
. | Street Address |
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City/ST/Zip |
. | City/ST/Zip |
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Phone |
. | Phone |
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KC section member? |
circle: Y N | KC section member? |
Circle: Y N | |||||||
IEEE mem # |
. | IEEE mem # |
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2 |
Accredited course of study |
. | Degree |
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School name |
. | Circle: |
Frsh / Soph/ Jr / Sr |
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Street Address |
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City/ST/Zip |
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Phone |
. | URL: |
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3 |
Registrar name |
. | Registrar dept |
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Street Address |
. | Phone |
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City/ST/Zip |
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4 |
List other current scholarships on separate paper and attach. Include: scholarship name, amount per year, and year(s) of scholarship. |
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5 |
Your work: |
Hrs/wk |
. | Approx annual wages |
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6 |
Tuition |
Lab/fees |
Books |
Rm & Brd |
Other: . |
Total exp |
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| . | . | . | .. | . | ||||||
7 |
Enclose official transcript, embossed with seal. |
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8 |
Enclose letter of recommendation, in sealed envelope. |
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9 |
On separate paper, list other considerations. Include such things as: |
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papers, awards, achievements, organizations, offices held, special interests. |
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Comments about this page? Contact
IEEE-KC Webmaster
Last updated July 21, 2007.