HASBAT Scholarship Application

Huntsville Association of Small Businesses in Advanced Technology Advanced Technology Scholarship Fund
The HASBAT Advanced Technology Scholarship Fund awards $2,500 academic scholarships each year to students from local universities. Eligible students must meet the following criteria - please check a box indicating compliance:
Must be a full-time upcoming Junior or Senior college studentMust be attending a College or University in North AlabamaMust major in an advanced technology degree: Science, Technology, Engineering, Mathematics or any other technology-related degreeMust maintain a GPA of 3.0 on a 4.0 scaleMust be a United States CitizenMust be interested in pursuing a career in an advanced technology field in the North Alabama area upon graduation
Submission instructions:
- Application must be submitted on or before April 15, 2023.
- All questions must be answered completely (no blanks).
- College transcript must be included with application (may be unofficial transcript).
- At least one academic or community service letter of reference must be included with application.
All fields marked with a * are required.

Applicants may wish to include a resume, bio, or other supporting material for the selection committee to consider. Applications are due on or before April 15, 2023.

Awards will be announced in May. Recipients will be expected to attend a special HASBAT luncheon to receive the award and public acknowledgment. Business attire will be required.
Applicant's Name:*

TitleFirst NameMiddle NameLast Name
Applicant's Mobile Phone:*

Area CodePhone Number
Applicant's Home or Work Phone:*

Area CodePhone Number
Applicant's Home Address:*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Local Address: (If different from home address)

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Applicant's Primary Email:*
example@example.com
Applicant's Secondary Email:
example@example.com
Social Media URL's
YesNo
Name of College / University attending:*
Student ID Number*
Degree Type (Associates, Bachelors, Masters, Doctoral)*
Major in Advanced Technology:*
Minor, if applicable:
Cumulative GPA:*
YesNo
Anticipated Graduation Date (MM/YYYY)*
Reference Type (Academic, Community, Employer, Other:)*
Name of Reference:*

First NameMiddle NameLast Name
Reference Organization Name*
Reference Organization Title*
Reference Email*
example@example.com
Reference's Phone:*

Area CodePhone Number
Briefly state why you should be selected for this scholarship (include any information regarding Honors & Awards, Leadership Roles, Financial Need, and Other pertinent information): (minimum 250 words, maximum 1,000 words) *
Briefly state career plans / goals after graduation (250 words max.):*

0/250
List all Honors, Awards, and/or Recognitions you have received which are related to advanced technology (100 words max.):*

0/100
List the community organizations and/or school activities you support or have supported (100 words max.):*

0/100
Describe any Leadership Roles or Positions held. Be specific. (100 words max.):*

0/100
Will this scholarship have a significant financial impact on your education? If so, describe how. (100 words max)
Transcripts:*

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References:*

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Other information:

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Applications are due on or before April 15, 2023.
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Huntsville Association of Small Businesses in Advanced Technology Advanced Technology Scholarship Fund