The IEEE, Kansas City Section


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Institute of Electrical and Electronics Engineers

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.

 

Comments about this page? Contact IEEE-KC Webmaster

Last updated July 21, 2007.