The University of Louisiana at Monroe s1

Ouachita Joint Utility Council, Inc. Scholarship Application

Applicant Requirements: Must be a full time (12 hours minimum) Construction major Must be a sophomore, junior, or senior at the time of application Must have a 2.5 overall grade point average Must have a 3.0 grade point in Construction courses

Return Application To: Ouachita Joint Utility Council, Inc. c/o ULM School of Construction 700 University Avenue Monroe, LA 71209-0540 Ouachita Joint Utility Council, Inc. Scholarship Application

Name: Address: City, State, Zip: Telephone Number: Email: Age: Date of Birth: Check this box if you are a U.S. citizen? Social Security Number: Driver’s License or State Personal I.D. Number:

Education:

List high schools, colleges, and/or universities you have attended. (List most recent first).

Name Attended (from/to) Major Date of Completion 1. 2. 3. 4. 5.

Current year in school: << Pick Your Year in School >> Cumulative GPA: GPA in Construction Courses:

Employment History: (List current or most recent employer first)

Name Address Phone Position Dates 1. 2. 3. 4. 5. Do you have any experience working in the construction industry? (please describe)

Financial

If awarded this scholarship, how will you use this money? (please explain)

How is your current college tuition and expenses paid for?

Source Percentage 1. Earned from work << Pick the Percentage >> 2. From parents/guardian << Pick the Percentage >> 3. From loans << Pick the Percentage >> 4. From scholarships << Pick the Percentage >> 5. From other sources << Pick the Percentage >> Total: 100%

This application should be submitted along with the following documents:

1. Current photograph of yourself and 2. Copy of your transcript.

I agree that this scholarship application and all attachments may be used for the purpose of evaluation and selection. I hereby give my consent to contact any relatives, social acquaintances, employment references, and/or professors.

______Applicant’s signature Date

______Print Name