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NORTHEASTERN WISCONSIN CHAPTER
OF THE
AMERICAN FOUNDRY SOCIETY
SCHOLARSHIP APPLICATION

PLEASE COMPLETE ALL ITEMS:

NOTE: Must be submitted by December 31st, 2008

 

Your Name:
Hometown, State:
School:
U.S. Citizen?
 Yes No
Major
Status:

Senior - High School
Freshman - College
Sophmore - College
Junior - College
Senior - College
Which Program?:

Two Year
Four Year
Cumulative Grade Point Average:
 out of
Expected Date of Graduation (MM/YY):
 
Contact Info
Please provide the address where we can best reach you during the year.
Address:
City:
State:
ZIP:
Campus Phone:
Permanent Phone:
E-mail:
   
Work Experience List the most recent work experience first.
Position #1:  
Company Name/Product
Type: Summer Co-Op Full-Time
Begin Date (MM/YY): /
End Date (MM/YY): /
Position #2:  
Company Name/Product
Type: Summer Co-Op Full-Time
Begin Date (MM/YY): /
End Date (MM/YY): /
Position #3:  
Company Name/Product
Type: Summer Co-Op Full-Time
Begin Date (MM/YY): /
End Date (MM/YY): /
Position #4:  
Company Name/Product
Type: Summer Co-Op Full-Time
Begin Date (MM/YY): /
End Date (MM/YY): /
   
College Organizations to which you belong:

AFS
ASM
SME
Tau Beta Pi
Blue Key
Dean's List
Other

Explain:

   
Scholarships Received
  
Have you ever received an FEF scholarship?

Yes No

(years if yes: )

   
Have you ever received an A.F.S. N.E.W. scholarship?

Yes No

(years if yes: )

   
Other Scholarships: If you have received (or are now receiving) scholarship assistance or grants-in-aid, please list the name of the donor or sponsor and amount of the award.

 
Donor Amount
   
Miscellaneous:
  
Relatives in the industry: List any of your relatives that work in the cast metals industry.

 
Name & Relationship Employer
   
Fields of Interest

Cost Accounting
Design
Electrical Engineering
Environmental
Industrial Engineering
Manufacturing
Metallurgy
Personnel
Purchasing
Quality Control
Research
Mechanical Engineering
Sales
CAD/CAM
Other

If Other, please explain:

   
In addition to the above form, please include a short (500 words or less) description of how your education has prepared (or will prepare) you for future employment by the cast metals industry.
   
NOTE:

**IF YOU ARE A HIGH SCHOOL SENIOR, ENROLLMENT PROOF IS REQUIRED PRIOR TO RECEIVING ANY SCHOLARSHIP AWARD.

**ONLY FULL TIME STUDENTS ARE QUALIFIED TO RECEIVE THIS SCHOLARSHIP.

**AS A PRE-REQUISITE TO RECEIVING THIS AWARD, REGISTRATION WITH THE FOUNDRY EDUCATIONAL FOUNDATION (FEF) IS REQUIRED. THIS CAN BE ACCOMPLISHED BY VISITING THEIR WEB SITE AT HTTP://WWW.FEFOFFICE.ORG