San Antonio ACI Chapter - Scholarship Application Form

American Concrete Institute (ACI) - San Antonio Chapter Scholarship Opportunity

The information provided on this form will be used by the San Antonio ACI Scholarship committee to select recipients for scholarships. It is important that you give complete details concerning your college/career plans, activities and financial information.
BASIC INFORMATION
Student's Full / Legal Name*

PrefixFirst NameMiddle NameLast NameSuffix
Student ID:*
Student Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Student Phone Number*

Area CodePhone Number
Student E-mail*
Student Birth Date

MonthDayYear
Gender
Male / Female / Other
Academics
Academic GPA of a 2.0*
Major

Please select your field of study
Concrete Industry Management

YesNo
Construction Management

YesNo
Civil Engineering

YesNo
Other, please explain

Other
SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC:

List name of club, etc. and years of participation. If you volunteered, list the name of organization and the number of hours, weeks and years that you volunteered. If you worked, list the company, hours per week and length of time. Attach an additional sheet or resume if necessary.
School Activities (not sports)
School Activities (not sports)
School Activities (not sports)
Community Service / Volunteer Activities 1 (at school)
Community Service / Volunteer Activities 2 (outside of school)
Community Service / Volunteer Activities 3 (outside of school)
Are you a member in the ACI International Student Chapter this year?

YesNo
Are you a member in the campus ACI Student Chapter this year?

YesNo
Are you an active member in the campus ACI Student Chapter this year?

YesNo
If your answer above is "yes", how many meetings have you attended?

Other
If your answer above is "no", would you like info about the campus ACI Student Chapter?

YesNo
Have you ever been awarded an ACI Scholarship before?

YesNo
Travel Experience or Unusual Experiences (study abroad, etc.)
School / Community Awards and Honors 1 (no matter how small) CSF, GSE, National Honor Society, Girl/Boy Scouts, 4-H, Governor’s Scholar, etc.
School / Community Awards and Honors 2
School / Community Awards and Honors 3
EMPLOYMENT 1: List past and present work and length of time employed.
EMPLOYMENT 2: List past and present work and length of time employed.

American Concrete Institute (ACI) - San Antonio Chapter Scholarship Opportunity

BASIC INFORMATION

Academics

Major

SCHOOL / COMMUNITY ACTIVITIES / WORK / EXPERIENCE/SPORTS/AWARDS/ETC: