American Institute of Constructors Education Foundation Francis R. Dugan Scholarship Application

Applicant Information:

Name

First Last

Birthdate

Phone

Permanent Address

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code

School Address

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

University Information

University

Major

Date of Enrollment

Anticipated Graduation Date

Current Grade Point Average

Please list any academic awards or honors received:

Please list any current extra-curricular activities:

Financial Information (Per Year):

Income Information

Employment/Salary (List Salaries or other employment income earned for past 12 months):

Scholarships (List Name, Amount, Dates Valid):

Parent/Spouse Contribution:

Student Loans:

Any Other Income Sources:

Total Income

Expense Information

Tuition

Living Expenses:

Books/Fees:

Other Expenses:

Total Expenses

Total Financial Need (Expenses less Income)

Total Family Annual Income

Employment Information:

Employer Name

Dates Employed

Hours Per Week

Position

Supervisor Name, Phone and Email:

Duties:

Employer Name

Dates Employed

Hours Per Week

Position

Supervisor Name, Phone and Email:

Duties:

Employer Name

Dates Employed

Hours Per Week

Position

Supervisor Name, Phone and Email:

Duties:

Do you have any siblings currently enrolled in college? (Enter anticipated graduation dates for each):

Have you received any other scholarships or financial awards within the previous 12 months? (Please list the scholarship and amount):

Additional Required Documentation:

Please submit up to 2 letters of recommendation.

Please submit an official transcript.

In a two-page single spaced essay please address:

Your inspiration for seeking a career in the construction industry.
Why you are an ideal candidate for this scholarship.

Letter of Recommendation 1

Accepted file types: pdf, doc, docx, jpg, png, txt, rtf, Max. file size: 10 MB.

Letter of Recommendation 2

Accepted file types: pdf, doc, docx, jpg, png, txt, rtf, Max. file size: 10 MB.

Please upload your official transcript

Accepted file types: pdf, jpg, png, tif, Max. file size: 50 MB.

Please upload a two-page single spaced essay

Accepted file types: pdf, doc, docx, jpg, png, txt, rtf, Max. file size: 50 MB.

APPLICATION MUST BE SIGNED TO BE CONSIDERED

I agree that the application and all attachments may be used for the purpose of evaluation and selection by the AIC Education Foundation or representatives of the AICEF for consideration of the Francis R. Dugan Scholarship.

By typing my name in the signature field, I certify that I am the person whose name appears above and that I am authorized to sign this document.

Signature

Date

American Institute of Constructors Education Foundation Francis R. Dugan Scholarship Application

Applicant Information:

Permanent Address

School Address

University Information

Financial Information (Per Year):

Income Information

Expense Information

Employment Information:

Additional Required Documentation:

APPLICATION MUST BE SIGNED TO BE CONSIDERED

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