Louisiana Engineering Foundation Scholarship Application
Full Name
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University
Current Address
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City
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State
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Zip Code
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Chapter
LES Chapters are assigned according to the FIRST THREE digits of your zip code. Chapters and their associated zip codes are listed below. Please select the appropriate chapter of your HOME address, not the address of the university you are attending. If you are not a resident of Louisiana, please select "Non-Resident"
Ethnicity
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Citizenship (Country)
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Gender
Email Address
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Cell Phone
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Present GPA Overall
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Engineering Subjects GPA
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Anticipated Year of Graduation
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Engineering Discipline
Student Classification
Legal Residence Address
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City
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State
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Zip Code
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Parent/Guardian Name
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Address
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City
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State
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Zip Code
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Father's Occupation
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Mother's Occupation
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List Names of Dependents living in Parent's Home
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High School Attended
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Address
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City
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State
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Zip Code
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Year Graduated
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Special Honors, Activities and Offices held while in College
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Brief Description of Financial Need
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List Sources of Income. Ex. Help from Parents, Scholarships, Savings, Loans, etc. Please specify amount of each.
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Present Employer and Income, If any.
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Other comments you would like us to consider.
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I authorize my school officials to release any information related to my academic records to the Louisiana Engineering Society and its chapters. Scholarships are due to the LEF State Office no later than Friday, December 16, 2016.
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By entering your full name in the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge.
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