Scholarship Application

Environmental Science Scholarship
An Air & Waste Management Association Scholarship

Application for Entering, Currently Enrolled, and Transfer Students
Deadline: Applications must be postmarked no later than May 25, 2010

The Air & Waste Management Association is an independent, non-profit organization which raises and manages private gifts to benefit and promote environmental studies. The Environmental Science Scholarship was created to provide scholarships to students who are interested in pursuing a career in an environmental science related field. Applicants will be considered for multi-year scholarships. All students must be admitted to a Texas University to receive the award and must maintain satisfactory academic progress toward a environmental science degree for continuation of the scholarship each year.

For more instructions click here.

Personal and Academic Profile for Enrolling, Currently Enrolled and Transfer Students

First Name
Last Name
Middle Name
Social Security
Date of Birth
Permanent Address
City
State
Zip Code
Phone Number
Local Address
City, State, Zip Code
Alt. Phone Number
E-Mail Address
State of Legal Residence
Gender	Male Female
U.S. Citizen
Immigrant Visa #

Ethnic Background:

How would you describe yourself? (Check one)(Optional)

Ethnic Background

African American Asian American Hispanic/Mexican American Nat. Amer., Eskimo/Aleut. White/Anglo Amer. Other (Please specify) Other

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Have you submitted your application for admission to a Texas University?	Yes No
Been Accepted?	Yes No
If YES, to which one(s)?
Are you a current student?	Yes No
If YES, Total Hours?
Transfer Hours?
Which University?

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What is your classification (select one based on total number of hours)	U1 U2 U3 U4
Major?
Cumulative GPA
Graduation Date

If applicable, please indicate your category of recognition in the National Merit, National Achievement or National Hispanic scholarship competitions:

List the source/name of any other scholarship you have been awarded or for which you have applied:

How did you hear about the Environmental Science Scholarship?

List your parent’s annual income as indicated on their 2006 Income Tax submittal (if a 2006 submittal has not yet been prepared, provide information reflecting the 2005 submittal). Parents must be prepared to provide copies of the submittal upon request of the evaluation committee.

Father $	/Annually
Mother $	/Annually
Step-Father $	/Annually
Step-Mother $	/Annually

Student’s Employment Record

Please enter Employer's name, Title/Duties, Hours per week, Period of Employment

Employment 1

Employment 2

Employment 3

Employment 4

Employment 5

Extracurricular Activities/Volunteer Work

List chronologically, beginning with the freshman year, verifiable high school / campus activities (such as student organizations, clubs, athletics) and verifiable service activities (such as volunteer work, tutoring disadvantaged or handicapped students, church work). List any leadership positions held in these activities.
(Please limit your response to 255 characters)

What additional information (exceptional hardships, personal responsibilities, educational goals and objectives, etc.) do you wish to be considered in the scholarship decision?
(Please limit your response to 255 characters)

Upload your essay  (.doc, .pdf files)

By clicking here, I hereby certify that all information reported on this application is true and accurate to the best of my knowledge. I give the A&WMA permission to release this application, including information regarding my personal and/or academic financial status, to the Environmental Science Scholarship Selection Committee and to the donor or potential donors of any scholarship for which I may be eligible. I also give the A&WMA permission to use photographs of me, whether taken at A&WMA events or that I provide to A&WMA members, in A&WMA promotional materials (including but not limited to its website).