Association of California Water Agencies ASSOCIATION OF CALIFORNIA WATER AGENCIES SCHOLARSHIP APPLICATION Leadership Advocacy Information 2011-’12 Academic Year Since 1910 www.acwa.com PLEASE TYPE OR PRINT ALL ENTRIES Last Name First Middle Student ID # (4 year college) Home address City State ZIP Present mailing address City State ZIP (____)________________________ Present phone number (____)____________________________ Home phone number PLEASE NOTE: Students who will not attend school full-time for the complete 2011-’12 academic year are not eligible to apply. Read guidelines carefully before completing this application form. E-mail address Name of college now attending Check one: 2 year 4 year Year of college next Fall (check one): Junior Senior Name of 4-year college you plan to attend in Fall (must be an accredited, publicly funded college or university in California). Degree sought (degree should be in a water resources-related field of study). __________________________________Anticipated date of completion __________________________________Cumulative GPA in major (# of units) __________________________________Cumulative GPA (# of units) Have you ever received an ACWA scholarship (check one)? - over - ACWA began its scholarship program in 1961 to assist talented and innovative students join the effort to ensure California’s water quality, and to implement sound water management policies. This year, ACWA continues its academic scholarship program by offering two $3,000 scholarships to qualified students. Yes No APPLICATIONS MUST BE POST MARKED ON OR BEFORE APRIL 1, 2011. 1. Attach a sealed, complete college transcript including current course of study. 2. Attach two - three letters of recommendation. 3. Briefly describe any past or current employment directly related to your field, and the average number of hours worked per week: 4. List your extra curricular activities in college, the community, etc., related to California’s water industry: 5. List significant awards, honors, etc., you have received, including dates (please limit to five): 6. List any technical societies of which you are a member and any offices held: 7. Briefly describe how you will finance next year’s college expenses: 8. Attach a typed 1-2 page essay addressing the following: • Identify key water-related issues you would address, if given the opportunity. • Why have you chosen a career in the water resources field? • How do your educational and career goals relate to a future in California water resources? Return completed form to: ACWA Scholarship Program 910 K Street, Suite 100 Sacramento, California 95814-3577 FAX 916.554.2342 Association of California Water Agencies Leadership Advocacy Information Since 1910