EPG Scholarship Application for Veterans

EPG Scholarships for Veterans are available to both members and non-members of the Energy Polymer Group, subject to all conditions being met.

Applications must be received by the Scholarship Chairperson no later than March 31. Any applications received after March 31 cannot be considered. Scholarship awards will be announced at the Spring meeting of the EPG.

If you have any questions concerning this application, please contact Fred Pedersen via email at fpedersen@neo.rr.com.

Answer all questions that apply to you. Fields with * must be answered by ALL applicants!

Scholarship Applied For:*    Veteran Scholarship

1) This Application Is For Academic Year (yyyy):*

    Semester:*   

2) First Name:*   Middle Initial:   Last Name:*

3) Student Address(Complete only if you are a student living away from home):
   






4) Home Address:*
   






5) Phone Number:*

6) Social Security Number:
YOU MUST INCLUDE YOUR SOCIAL SECURITY NUMBER WITH YOUR MAILED INFORMATION

7) Applicant's Email Address:*  

8) Area of Study:*

9) Discharge Date:   Type of Discharge :

10) Attach/ Upload DD214:     

11) Currently Enrolled Students (submit most current grade report)
Cumulative G.P.A.:               Scale Used: 
Semester Hours Earned:      Semester Completed:

12) Work Experience:*

13) Major Activities Participated Not Listed On DD214 In (give details, office held, etc.):*

14) Major Awards and Honors Received:*

15) Career Objectives:*

16) Other grants or scholarships and amounts you have been awarded for the year
(e.g. Montgomery GI Bill):*

PLEASE, CAREFULLY CHECK THE INFORMATION
ON THIS FORM BEFORE YOU SUBMIT IT!

By submitting this form, you certify that all of the information on this form is true and complete to the best of your knowledge. If asked by an authorized official, you agree to provide proof of the information that you have given on this form.

When submitted, this form will be emailed to the Committee Chairperson and back to you for your records.