Women Tech Council Scholarship Application Form
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TimestampName (Last, First, Middle)SS#Current AddressEmail AddressDate of BirthEthnicity (Race)GenderAre you a U.S. CitizenIf No, are you a permanent residentOverall GPACalculated Math/Science GPA:What are your top three career choicesName of the high school you will graduate fromName of the High School DistrictName of college/university you plan to attendList any science/math/technical courses you have completed by Fall 2012 (include course grades)List any jobs/internships you have held in the last 2 years, include job title, dates and hours per weekList your volunteer experience, academic honors, special achievements and extracurricular activities you have accomplished. List all awards received, office held, and committees on which you have served.Please answer in 200 words or less. Tell us about a time that you were involved in a STEM activity and how hat influenced your interest/decision to go to college and major in a technical field. This can include any type of project that you may have done (science fair, science class project, etc.) school project related to STEM, community project or a technical project you may have completed at home. Please answer in 200 words or less. What STEM area do you plan to pursue and what do you intend to do to develop your study and career in that field?Please answer in 200 words or less. Please describe how the following quote applies to a career in technology. "Imagination is more important than knowledge" - Albert Einstein (1879-1955)Please answer in 200 words or less. Please tell us who inspires you and why.Tell something about yourself that is not already reflected in this application. Comment on the obstacles you have overcome, including economic, educational, social, cultural and other factors which have affected your pursuit of education. Include anything about yourself that would help the scholarship committee understand your background and future goals.
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2/2/2012 10:36:53Wright, Kristin123121234718 W 700 Sthewrightplace@live.com10/28/1975Caucasian/White non-HispanicFemaleYestesttest1- test, 2 test , 3 testMountain View High SchoolAlpineUVUtest 2test 2test 2test 2test 2test 2test 2test 2
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