Formosa Plastics PTEC Scholarship Application PURPOSE Founded in 1954 Formosa is a global leader in petrochemical, plastics, and a variety of other industries. The Formosa PTEC Scholarship Award is available to students who are currently enrolled in Baton Rouge Community College’s PTEC program. SCHOLARSHIP AWARDS BRCC Foundation Scholarship awards on the basis of a comprehensive process. Scholarships are awarded each semester. Scholarship awards may be renewed provided the award recipient maintains select scholarship qualifying criteria. ELIGIBILITY CRITERIA Applicants must be a citizen or legal permanent resident of the United States. Applicants must have been admitted to BRCC’s PTEC program Student must have completed 30 of PTEC curriculum. Applicants must submit a transcript. Applicants must submit 3 letters of recommendation from an instructor, employer and a non-family member. Instructions 1. Refer to application process below for a list of the supporting documents needed (i.e., reference letters, evidence of program completion, etc.) Incomplete applications will not be considered. 2. Type or print legibly. Illegible applications will be returned to you. 3. You will be notified by phone or mail regarding the status of your application. 4. If you have any questions about the application, please call Theryl Drew, Executive Assistant to the Vice Chancellor for Institutional Advancement at 225-216-8190 or by email, drewt@mybrcc.edu Required Documentation SCHOLARSHIP APPLICANTS MUST PROVIDE: Completed application form. Official departmental transcript in a sealed envelope from the institution. Three (3) letters of recommendation from an instructor, employer and a non-family member. Proof of current enrollment in the PTEC program at BRCC. 1 Please mail OR submit application in person to: Baton Rouge Community College Foundation Attention: Mrs. Theryl Drew 201 Community College Drive, Baton Rouge, Louisiana 70806 2 Please check one of the following: Current Student applicant ___ High School Senior Applicant ____ Application must be filled out by applicant. Please type on a separate sheet or print your answers below. If application is illegible it will be returned to you. Last Name: First Name: 1 Home Address: 2 __________________________________________________________________________ Street City State Zip 3 Social Security #: ______________________ Student I.D.#__________________________ Daytime Telephone Number: ( ) 4 Email address:________________________________________ 5 Will you be a full time student? YES NO 6 High School Attended: ________________________________________________________ 7 Overall GPA 8 Have you ever been convicted of a felony? YES 9 Are you a full-time student? NO 10 Please list other financial aid and/or scholarships that you currently receive. PTEC GPA YES NO __________________________________________________________________________ __________________________________________________________________________ __________________________________________________________________________ 3 11 What are the key aspects of a Process Technician job that influenced you to select PTEC as a career? 12 What is your greatest attribute as a person? 4 13 Who is the biggest influence in your life and why? 14 Why did you choose Baton Rouge Community College? 5 15 What are your career goals for your future in Process Technology? 6 16 A. The following items must be attached to this application in order for the application to qualify to be reviewed by the scholarship committee. B. Your application will be returned to you if these items are not attached to this application. (No exceptions.) C. Circle “YES” or “NO” to be sure you have attached each item as required. Three letters of recommendation addressed to: YES NO Baton Rouge Community College Foundation Attention: Mrs. Theryl Drew 201 Community College Drive, Baton Rouge, Louisiana 70806 or emailed from the person making the recommendation to Theryl Drew at drewt@mybrcc.edu. YES NO Proof of college acceptance or current student enrollment. YES NO Most recent official high school or official college/ptec transcript. Photocopies of your transcript are not acceptable. YES NO Answers to questions 1-15 STATEMENT OF ACCURACY I agree that the application and all attachments may be used for the purpose of evaluation and selection by the Scholarship Committee of the Baton Rouge Community College Foundation and/or representatives designated by the Awards Committee. I affirm that all the above stated information provided by me to the Baton Rouge Community College Foundation Scholarship Committee is true, correct and without forgery. I also consent that my picture may be taken and used for any purpose deemed necessary to promote BRCC Foundation’s Scholarship Program. APPLICATION MUST BE SIGNED TO BE CONSIDERED Signature: ___________________________________________________ Date: _________________________ NOTE TO APPLICANT: To be considered, the application and all attachments must be complete and postmarked by June 15 for the next following academic year. THIS DEADLINE IS STRICTLY ENFORCED. 7