2025 College Scholarship Application Form

Charlie Bartsch Brownfield Scholarship Application Form
The Charlie Bartsch Brownfield Scholarship Fund is a non-profit dedicated to:
- Nuturing environmental leadership,
- Supporting the education of talented and promising students, and
- Promoting the development of sustainable and resilient communities that can thrive for many generations into the future.
For high school seniors and undergraduate and graduate college students interested in pursuing an education in environmental remediation and sustainability, we invite you to complete the following application to be considered for the award of a scholarship from the Charlie Bartsch Brownfield Scholarship fund. Scholarship amounts range from $3,000 to $5,000.

Eligibility Requirements:

Applicants must fit the criteria and become a student member of The Brownfield Coalition of the Northeast. Students can apply for free membership here. In addition, students must be:
- A high school senior or an undergraduate or graduate college student living in one of the BCONE member states.
- Grade point average must be a minimum of 3.0.
- Pursuing a degree with an accredited environmental science program or related field.
Evaluation Criteria:

The application deadline has been extended. Applications are now due by 5:00pm on July 18, 2025, and will be evaluated based on the following:
- A reference from your high school counselor or teacher, mentor, current college professor, a past or current employer or another individual not related to you;
- An essay that describes your education and career goals; and
- Your work experience and involvement in other activities.
Your Information
Name

First NameLast Name
Email
example@example.com
Phone Number

Area CodePhone Number
Date of Birth

MonthDayYear
Date
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Educational Information

Please note your High School and/or College information below.
Name of High School or College Attending
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Your Declared or Intended Major
Are you a full-time student?

YesNo
Year Graduating
Grade Point Average
List the course work relevant to your major.
Academic awards and/or honors you received in high school or college.
Are you a member of any organization in your high school or college? Please provide information.
List your volunteer service (if any).
If you recently graduated from high school or you earned a GED Certificate for High School Equivalency, please provide the information below:
Date graduated from high school or received GED Certification

MonthDayYear
Date
Upload here your high school diploma or GED information

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Current Employer Information (if employed)
Name of Current or Past Employer
Employer Email (if available)
example@example.com
Employer Phone

Area CodePhone Number
Date of Employment - From

MonthDayYear
From
Date of Employment - To

MonthDayYear
To
Job Description

References

Please provide information for two (2) personal references along with Letters of Recommendation from each.
Reference #1 Name

First NameLast Name
Reference #1 Email
example@example.com
Reference #1 Phone

Area CodePhone Number
Please Attach a PDF file of Reference #1's Letter of Recommendation

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Reference #2 Name

First NameLast Name
Reference #2 Email
example@example.com
Reference #2 Phone

Area CodePhone Number
Please attach a PDF file of Reference #2's Letter of Recommendation

Browse Files

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Essay

In 400-500 words, please tell us what you want to accomplish with your intended degree post-graduation. Your essay should clearly demonstrate your interest in pursuing a career in the field of environmental sustainability.
Your Essay*

0/500

Additional General Information
How did you hear about this scholarship opportunity?*

My College/University/High SchoolWeb SearchSocial MediaFriendOther
If awarded the scholarship, how will the additional funding help in your academic career?*
Are you related to any Board Member of BCONE?*

YesNo
If yes, please note the Board Member's name and relationship to you.

I CERTIFY THAT ALL STATEMENTS OR INFORMATION I HAVE PROVIDED ABOVE ARE TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE. ANY DELIBERATE MISREPRESENTATION FOUND IN THIS APPLICATION MAY BE CAUSE FOR THE APPROVAL OF THIS APPLICATION AND MAY PROHIBIT ME FROM APPLYING AGAIN IN THE FUTURE.
Applicant's Signature*

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Name of Applicant*

First NameLast Name
Date Signed by Applicant*

MonthDayYear
Date
Should be Empty:

Charlie Bartsch Brownfield Scholarship Application Form

Your Information

Educational Information

Current Employer Information (if employed)

References

Essay

Additional General Information