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Cabrillo College Engineering Scholarship S-STEM Application (Spring 2017)

Due: March 30, 2018 by 5:00 p.m. PST

This scholarship program is open to all engineering students who will attend Cabrillo College during the 2018-19 academic year.

To apply for the Engineering S-STEM Scholarship at Cabrillo, the following must be submitted:
1. 300-word personal statement describing your academic and career goals.
2. Official or unofficial transcript(s) from all the colleges you have attended including Cabrillo College.
3. Educational Plan
4. Instructor Recommendation Forms

The first three documents above can be uploaded now or by the 3/30/18 deadline at this link:
https://form.jotform.us/71315438906155

Your college instructors must complete and submit their recommendation forms by the 3/30/18 deadline at this link:
https://form.jotform.us/70987574852170

Your application will only be complete if you submitted the on-line form AND the additional documents listed above by the due date (3/30/18 pm).

Please read this before starting this application:
https://www.cabrillo.edu/academics/engineering/NSF%20S-STEM%20scholarship%20student%20criteria%20&%20applic%20May%202018.pdf

First Name *
Your answer
Last Name *
Your answer
What is your Cabrillo College student ID? *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Are you planning to attend Cabrillo College during the Fall 2017 semester as a full-time student (12 units or more)? *
Please indicate the engineering major you are pursuing or most interested in pursuing. *
Have you successfully completed ENGR 5 Engineering as a Profession?
What is your educational goal: *
(you can choose more than one)
Required
Which university are you interested in transferring to?
Your answer
Have completed an education plan? *
Who helped you complete the Ed Plan?
Your answer
Present Address: *
(Street, Apt. #, City, State, Zip code)
Your answer
Best Permanent Address (this may be your parents address): *
(Street, Apt. #, City, State, Zip code)
Your answer
Home Phone
(xxx - xxx - xxxx)
Your answer
Cell Phone *
(xxx - xxx - xxxx)
Your answer
Email Address *
Your answer
Re-type Email Address *
Your answer
Gender *
Ethnicity *
Required
Please check the line that matches your residency status: *
Are you currently receiving Financial Aid? *
Do you have or do you anticipate having unmet financial needs while attending college? Mark all that apply. *
Required
What is the highest level of math that you have successfully completed (a C grade or better)?
What is the highest level of physics that you have successfully completed (a C grade or better)?
WORK: Do you work? *
Where do you work?
Your answer
In what capacity do you work (i.e. what do you do)?
(laborer, customer service, secretarial, etc.)
Your answer
How many hours do you work per week during the school year?
Your answer
If you have unpaid family commitments each week, indicate the average number of hours per week you spend on these commitments.
NSF S-STEM Scholarship Information Document *
Have you read in detail the 3-page document including Student Selection Criteria, Application Process and Requirements. https://www.cabrillo.edu/academics/engineering/NSF%20S-STEM%20scholarship%20student%20criteria%20&%20applic%20May%202018.pdf
SUBMITTALS:
In addition to submitting the application above, the following must have also been submitted:
1. 300-word personal statement describing your academic and career goals.
2. Official or unofficial transcript(s) from all the colleges you have attended including Cabrillo College.
3. Educational Plan
4. Recommendation forms from two instructors

The first three documents above can be uploaded now or by the 3/30/18 deadline at this link:
https://form.jotform.us/71315438906155

Your college instructors must complete and submit their recommendation forms by the 3/30/18 deadline at this link:
https://form.jotform.us/70987574852170

Your application will only be complete if you submitted this on-line application AND the additional documents listed above by the due date (3/30/18, 5:00 pm).

Thank you for applying. Please use the space below to tell us anything not covered in this application.
Your answer
Please Note: Student Financial Aid records will be reviewed in order to verify that students selected for this scholarship have a demonstrated financial need (US Dept of Education rules for need-based FAFSA).
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