2023 EPOC Environmental Scholarship Application Form

Thank you for your interest in the EPOC Environmental Scholarship!

Please take a moment to scroll through the entire online form to ensure you have the necessary items available before you begin the application.

For any questions about this application, or to send additional materials (e.g. transcripts, recommendation letters), please contact/send to:

EPOC, PO Box 176, Amston, CT 06231-0176
Seth Molofsky, Executive Director
Phone: (860) 537-0337 | Fax: (860) 603-2075
Email: epoc@epoc.org, Website: www.epoc.org

EPOC recognizes its duty to assist in the education of individuals planning a career in the environmental industry. Consequently, the EPOC Environmental Scholarship Fund was established in 1998. The purpose of the Scholarship Fund is to assist Connecticut residents, or an immediate family member (spouse or child) of an EPOC Member in good standing, who are enrolled in accepted programs of study (see below) preparing the student to become a Technical Environmental Professional* in the State of Connecticut as defined by the CT DEEP, or a professional in a related service discipline who may render technical assistance to the Technical Environmental Professional.

*As defined by the CT DEEP, a Technical Environmental Professional (TEP) is anyone, including a Licensed Environmental Professional, who collects soil, water vapor, or air samples in order to investigate and remediate pollution to the state's soil or water, and who may be directly employed or retained as a consultant by a public or private employer.

Eligibility

Must be a Connecticut resident, OR an immediate family member (spouse or child) of an EPOC Member in good standing.
Must be attending an accredited college or university (CT colleges or out of state colleges) and enrolled in a bachelor, master or PhD degree program.
Must be either entering Junior year, Senior, or Graduate level student (full or part time).
Must have declared majors pertinent to the environmental field (see Accepted Programs of Study below).

Accepted Programs of Study

Environmental Studies
Geology
Biology
Chemistry
Hydrogeology
Hydrology
Earth Science
Natural Resource Management

Other Related Degreed Environmental Programs

Ecology
Soil Sciences
Water Resources
Toxicology
Wetland Science
Engineering:
Civil, Environmental, Chemical

Application Instructions

EPOC accepts applications for our scholarship awards from Jan 1st - April 30 each year. Our committee reviews applications in May, and awards are given soon thereafter to allow for grants to be applied prior to school tuition bills for the upcoming semester. Although you can apply for this scholarship with this form, we do require you to submit your transcripts by mail to: EPOC Scholarship Committee, P.O. Box 176, Amston, CT 06231-0176 OR by secure download (Email: epoc@epoc.org). Also, please note that while financial need may be taken into consideration, the scholarship will not be awarded solely on a financial need basis.

Section 1. This section asks for contact information and about your activities, awards, etc.

Section 2. This section requests information about your declared major concentration of study. (The fund supports disciplines within the environmental industry. Please see list above.)

Section 3. This section requests a 400-500 word essay. (We are interested in how you logically assemble your thoughts and ideas.)

Section 4. This section is for recommendations from your instructors. (We want to know how your teachers perceive your chances for success in this industry.) Please list two (2) instructors and provide a letter of reference from one of the instructors to be submitted to EPOC under separate cover or confidential E-mail/fax.

I have read and understand the eligibility requirements and application instructions.*

Yes

If selected, you may be asked for documentation to support the data you provide. Likewise, all correspondence and award agreements will be generated from the personal information submitted below. So, please use proper spelling, capitalization and punctuation.

Full Name*

PrefixFirst NameMiddle NameLast NameSuffix

E-mail :*

Where the confirmation will be send to

Phone No. :*

Area CodePhone Number

Permanent Address :*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

College Name:*

College Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

If we need to contact you after May (during the summer), please provide mailing address, phone and e-mail:

Student ID Number:

We will need this if issued award. We can obtain later if you do not wish to submit now.

Declared Major*

Current GPA:

Note: We require submission of transcripts.

Year Entering:*

Status:*

Full time studentPart time student

Percent You Contribute to Your Education (approx.):

How do you earn this amount?

Elected Offices Held:

Extracurricular Activities:

Awards Received:

Scholarships Awarded to Date:

Any other information we should know about you?

Provide Name of Family Member who is an EPOC Member (if applicable):

Relationship to this Family Member (if applicable):

Please list courses completed toward your major concentration:

Freshman/Sophomore Year:

Junior Year (actual or scheduled courses):

Senior Year (actual or scheduled courses):

Graduate Studies (actual or scheduled courses):

Briefly describe how your degree will be used to work in the environmental field:

Explain the reason(s) you chose your major, what you expect from a career in this field of study, and why this scholarship is important to you. Be specific and direct.

NOTE: The essay may be submitted in any of the following ways:

"Paste" or type into text box below
E-mail document to EPOC: epoc@epoc.org

Essay:

Please indicate contact information for two references who can attest to your work ethic and passion for the major you are in . At least one of your reference should be a professor knowledgeable about your studies. Please also provide a letter of reference from one of the below listed references who you feel knows you the best and can attest to the applicability of this scholarship for you. Please send letter to EPOC under separate cover or confidential E-mail/fax.

REFERENCE 1:

How does this reference know you? (Reference 1)

e.g. College Professor, employer, internship supervisor

Name (Reference 1):

First NameLast Name

School/Work (Reference 1):

E-mail (Reference 1):

Phone Number (Reference 1):

Area CodePhone Number

Reference 2:

How does this reference know you? (Reference 2)

e.g. College Professor, employer, internship supervisor

Name (Reference 2):

First NameLast Name

School/Work (Reference 2):

E-mail (Reference 2):

Phone Number (Reference 2):

Area CodePhone Number

EPOC requires that official transcripts be submitted for all applicants. You can have your college mail the original transcript to EPOC (send to: EPOC Scholarship Committee, P.O. Box 176, Amston, CT 06231-0176), OR provide a secure download to us (Seth Molofsky, Email: epoc@epoc.org). If you have any trouble with getting your transcripts to us by the application deadline, please let us know (Email: epoc@epoc.org).

LAST Question: How did you hear about the EPOC Environmental Scholarship?

e.g. Professor, web search

I authorize the EPOC Scholarship Committee to verify all answers given on this scholarship application request.

By signing (typing your legal name) in the space below, you are certifying that all information is correct and that you are the person completing this application. When you press the submit button, you will receive an email confirmation that your application was received. Please print for your records and retain as verification of your application.

E-Signature:*

Environmental Professionals Organization of CT

Thank you for your interest in the EPOC Environmental Scholarship!

I. Personal Information:

Section 2 - Major Concentrations of Study

Section 3 - Essay of 400-500 Words

Section 4 - References

Transcripts

AUTHORIZATION