| College
presently attending |
|
| Classification
for Fall 2008 |
|
| Age
|
|
| Date
of Birth |
|
| |
|
US
Citizen?
|
Yes
No
If not, what visa type is held?
|
| |
|
| Marital
Status |
Single
Married
Spouse Name
|
Spouse
Occupation
 and Annual Income |
|
Number
of dependents
(other than spouse) |
|
Parent/Legal
Guardian
and Relationship |
|
|
*Address (if
different) |
|
| |
| Are
members of your immediate family presently
employed in the construction industry? If
yes, state name, relationship, employer
and position held. |
|
Yes
No |
|
| |
| Scholastic
Information |
| Provide
name/city/state of high schools, colleges
and/or universities you have attended or
are currently attending. MOST RECENT FIRST.
Be sure to indicate month and year of anticipated
graduation. |
| Four
year College: |
|
|
Attended
(from-to) |
|
|
Major |
|
|
Graduation Month/Year |
|
| Four
year College (2): |
|
|
Attended
(from-to) |
|
|
Major |
|
|
Graduation Month/Year |
|
| Two
year College: |
|
|
Attended (from-to) |
|
|
Major |
|
|
Graduation Month/Year |
|
| Two
year College (2): |
|
|
Attended
(from-to) |
|
|
Major |
|
|
Graduation Month/Year |
|
| High
School: |
|
|
Attended (from-to) |
|
|
Major |
|
|
Graduation
Month/Year |
|
| |
Provide
a chonological history of your activities
if NOT continuously enrolled in school since
high school graduation. History should begin
immediately after high school graduation
until the present time. Include specific
month, year and type of activity.
|
| |
If
not currently enrolled at a college or university,
indicate month and year of future enrollment
and anticipated date of graduation (month/year)
|
| |
If
not currently enrolled at a college or university,
or are planning to transfer to another school,
list those colleges to which you have applied
or to which you intend to apply (in order
of preference):
|
| |
|
| In
what program do you expect to get your degree? |
|
| Does
your college have a construction degree
curriculum? |
Yes
No |
| Are
you enrolled in a cooperative Education
Program? |
Yes
No |
| |
Specify
Grade Point Average (send a copy
of official grade tnrascript for the school
you are presently attending to the QUOIN
office)
High School Senior—provide
transcript and GPA based on courses completed
to date.
Transfer Student—(either
high school or college) provide a complete
transcript from previously attended school(s)
in addition to any available grades from
present school.
College Freshman—provide
cumulative high school GPA, high school
transcript and transcript of any college
grades recorded.
College Sophomore,
Junior or Senior—provide
college transcript.
GPA:
(3, 4. 5 or 6 point scale) OVERALL
GPA:
in Major
Hours enrolled in Fall semester:
Hours enrolled in Spring semester:
|
| |
| In
what extracurricular activities have you
participated? Indicate elected offices held,
if any. Specify purpose of local organizations. |
Student
activities (student government, Key Club,
National Honor Society, etc.)
|
Community
activities (Boy Scouts, etc)
|
Athletics
|
Other
|
| |
Employment
History
Full-time employment,
summer employment or part-time work, briefly
explaining duties and responsibilities (beginning
with your most recent job). If part-time
work, indicate number of hours per week. |
| Company
Name |
|
|
Type of Business |
|
|
From-To |
|
|
Address |
|
|
Duties
(briefly describe) |
|
| Company
Name |
|
|
Type of Business |
|
|
From-To |
|
|
Address |
|
|
Duties
(briefly describe) |
|
| Company
Name |
|
|
Type of Business |
|
|
From-To |
|
|
Address |
|
|
Duties
(briefly describe) |
|
| |
|
| Financial
Information |
| Father's
Occupation |
|
| Mother's
Occupation |
|
| Older siblings
(how many) |
|
| Younger siblings
(how many) |
|
| |
| What
percent of your college education and living
expenses do you provide, or expect to provide,
beginning in the fall through student loans,
grants, scholarships and jobs?
|
| Including
yourself, how many members of your immediate
family will be in college next year?
|
| How
many are receiving financial assistance
in the form of scholarships or grants?
|
| |
|
Do you have
an Education Grant?
Yes
No |
If
yes, amount?
|
| |
| Describe
briefly in annual dollar amounts, estimated
college costs for: |
Tuition
|
$
per year |
| Living expenses |
$
per year |
| Books |
$
per year |
| Miscellaneous |
$
per year |
| |
(Specify misc.) |
| |
| Indicate
the amount of support from the following
sources: |
| Summer work |
$
(per year) |
| Part-time
work |
$
(per year) |
| Student Educational
Loans (specify
type of loan, amount, subsidized or unsubsidized)
|
(%) |
| Parent Educational
Loans |
(%, ie 10%) |
| Scholarships
(specify) |
(%, ie 10%) |
| Parent contributions |
(%, ie 10%) |
| Other sources
of income (specify)
|
|
| |
What
has been your most important extracurricular
activity, your most important contribution
to it and what has your participation in
it meant to you as an individual?
|
| Are
you interested in a construction industry
career?
Yes
No |
| If not, what
career does interest you? |
|
| If yes, what
would you like to do in construction? |
|
| Where do
you want to work after graduation? (ie,
Dallas, Oklahoma) |
|
| |
Express
in your own words why you deserve assistance.
|
| |
|
— Evaluation
Sheet — |
To
be completed by a School Faculty Member
Click
here to download |
|
| Applicant
agrees that the application and all other
forms may be used for the purpose of evaluation
and selection by the QUOIN Foundation and/or
representatives designated by the committee. |
