Sample Scholarship Application Form

AEE PNW Scholarship Application Form

Application Deadline - July 1, 2026
The Association of Energy Engineers, Pacific Northwest Chapter (AEE PNW) is pleased to be able to offer a number of $1,000 scholarships in memory of our Chapter Past President, Mark Nieman. These scholarships for intended for students in the field of energy engineering at a school in the Seattle area. Please provide the following information for determining eligibility and interest in the field of energy engineering.

Applicants must email a current copy of their course transcript (unoffical is acceptable) showing complete name, dates of attendance, school name, course names, and grades.

Winners will be asked to submit a photo which will be published in an announcement on our website.

Scholarship checks will be made out to the school in the name of the winner for Fall 2026.
Please direct any questions and copies of transcripts to Kristin Gustafson, AEE PNW Chapter Scholarship Chair, at kristin.j.gustafson@gmail.com.

Applications and supporting documentation are due July 1, 2026.
Personal Data

Tell us about yourself
Full Name

First NameLast Name
Contact Phone
Format: (000) 000-0000.
Email
Where the confirmation will be send to
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please tell us about your current field of study, listing the full name of the school you are attending and what degree or certificate you are pursuing.

0/300
Reference

Please include the contact name of a reference. In the event that the reference cannot be reached, we will contact the applicant for a second reference.
Full Name

First NameLast Name
Contact Phone
Format: (000) 000-0000.
Email
Where the confirmation will be send to
Essay
Your essay should be 300-500 words. You should address in your essay: your goals and choice of program of study, what you intend to do with your education in the energy engineering field, and why a scholarship is important to you. Include any academic and non-academic accomplishments, personal characteristics, or experiences that make you uniquely worthy of scholarship consideration.
Essay

0/500
Applicant's E-Signature
By signing 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.
Signature
AEE PNW is committed to equal opportunity in employment and education. AEE PNW does not discriminate in any program or activity on the basis of race, color, religion, gender, age, national origin, disability, marital status, or any other protected class.
Should be Empty:

AEE PNW Scholarship Application Form

Personal Data

Reference

Essay

Applicant's E-Signature