The Al Rowe and Sy Liebmann Scholarship Application

ATLANTA POST SOCIETY OF AMERICAN MILITARY ENGINEERS THE AL ROWE AND SY LIEBMANN SCHOLARSHIP APPLICATION (2016-2017 Academic Year)

(Please print or type all information) Application is for: ____ Graduating High School Senior ____College Student ___ Post-Graduate Student

1. ______Applicant’s Last Name First Name Middle Name Suffix

2. ______Applicant’s Current Mailing Address

3. ______Phone No. E-mail Address

4. ______Parent/Relative Name

5. ______Parent/Relative Mailing Address

6. Are either of your parents or relatives a member of the SAME Atlanta Post? Yes ______No ______

7. If answer to #6 is yes, please give full name of parent or relative; relationship; and name of firm (if applicable):

Name Relationship Firm Name (if applicable)

8. If being sponsored by an active member of the Atlanta Post, please give full name of individual.

______Name of Active Member

9. Are you a student member of SAME? Yes ______No ______If yes, name the Post ______

10. Are you employed by an Atlanta Post sustaining member firm? Yes ______No ______11. ______High School City, State High School Graduation Date

12. ______High School Cumulative GPA

13. ______College you plan to attend (if already in college, skip to #15) Proposed Area of Study

14. Have you attended or are you currently attending a college or university? Yes ______No ______If yes, list them, your grade point average, and your major.

______College/University Cumulative GPA Major

College/University Cumulative GPA Major

15. Please describe your reasons for choosing the area of study listing in #14 or #15. ______

______

16. List memberships in high school and/or college honor societies and extracurricular activities. ______

17. Do you have plans for a military career? Yes ______No ______If yes, briefly describe: ______18. Are you now a member of your high school ROTC unit? Yes ______No ______

19. Are you now or do you plan to become a member of your college ROTC unit? Yes ______No______20. In order to be eligible for this scholarship, you must submit the following with this application. a. A current (including most recent completed term) certified copy of your high school or college transcript.

b. The names and telephone numbers of two references, one of whom must be your science or math teach or counselor.

______Reference #1 Position Phone No.

______Reference #2 Position Phone No.

c. Letters of recommendations may be attached to this application, or your references may scan and email the letters directly to the address below. The letters must be received by the application deadline.

21. Essay: Explain why you should be a recipient of an Atlanta Post Scholarship (essay should be no more than 2 pages, double spaced, 12 point font).

22. Financial Need: a. Are you receiving the Hope Scholarship or other state funded financial assistance? Yes ______No ______b. For college student, please give approximate amount of total student loan debt: ______c. Have you received other scholarships? Yes ______No ______If yes, please list the amount of total scholarship dollars received ______

23. ______Signature Date

Application Package Submittal: All applications must be received by May 31, 2016. Application form and essay should be emailed to Steve Poole at [email protected] . Official high school/college transcripts and/or reference letters can either be emailed or mailed to:

SAME Atlanta Post

PO Box 888501

Atlanta, GA 30356

**Please note on application if transcripts or reference letters will be emailed or mailed.

For questions, please contact: Steve Poole, P.E. SAME Atlanta Post Scholarship Committee Chair Cell: 678-662-9331 (preferred initial method of contact) Email: [email protected]