THE HARTFORD CHAPTER OF ASM INTERNATIONAL

                             UNDERGRADUATE SCHOLARSHIP

 “The Hartford Chapter Award of Excellence”

            $1,000.00 Stipend

 

Eligibility:

An undergraduate student is eligible if the student is:

1) registered full-time at University of Connecticut,

2) enrolled in the undergraduate program of the Department of Metallurgy & Materials Engineering

3) pursuing a career in any field of engineering or science that may contribute to the future development of metallurgy and materials

               4) showing an effort to maintain his/her Quality Point Average.

All four of the above qualifications must be met at be eligible.  Deadline is February 15 or date required by Dr. Shaw.

                                                           

                                                Scholarship Application

                                   

PLEASE TYPE or PRINT CLEARLY in BLUE or BLACK ink.  Incomplete Scholarship Applications will not be accepted.

 

 

NAME: ________________________________________________________________

Current Address (Street): __________________________________________________

City, State, Zip: __________________________________________________________

Summer Address (Street): __________________________________________________

City, State, Zip: __________________________________________________________

Phone- Current:  (      )____________________Summer:  (      )_____________________

 

1.                    Educational Background:

 

High School: ____________________________________________________________

City, State: ______________________________________________________________

Graduated: ______________________________________________________________

College: ________________________________________________________________

City, State: ______________________________________________________________

Major (if decided): ________________________________________________________

Expected Graduation Date: _________________________________________________


 

2.         Employment Experience: (start with most recent)

 

A)        Dates: From ___________________________To: _________________________

            Employer: _________________________________________________________

            Address: __________________________________________________________

            Duties: ________________________________________________________________________

 

B)        Dates: From ___________________________To: _________________________

            Employer: _________________________________________________________

            Address: __________________________________________________________

            Duties: ________________________________________________________________________

 

C)        Dates: From ___________________________To: _________________________

            Employer: _________________________________________________________

            Address: __________________________________________________________

            Duties: ___________________________________________________________ ________________________________________________________________________

 

Special Achievements; Honors and Recognition: (optional)

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Very carefully describe (250 words or less) how your chosen major can directly (or indirectly) contribute to the field of metallurgy and material science.  (It is mandatory that you answer this question and it is encouraged that you consult with your professors and professionals prior to answering).  Use additional paper if necessary.

_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Attach 2 letters of recommendation from teachers and/or employers.

 

Attach a transcript or facsimile of academic record.

 

Signature: _______________________________________ Date: __________________

 

Send Application and attachments to:

Dr. Leon Shaw

Faculty advisor to the UConn ASM/TMS Student Chapter
University of
Connecticut
97 North Eagleville Road U3136
Storrs, CT 06269-3136

Phone: (860) 486 2592
Fax: (860) 486 4745