Scholarship Application – Existing Students 2016-2017 Academic Year Department of Civil Engineering University of Akron Name: Student ID#. Last Co-op Program: First yes no Class for 2016-2017 Academic Yr.: Status: Initial Co-op Employer: Sophomore 3rd Year Junior 4th Year Junior Senior full-time part-time co-op full-time part-time co-op full-time part-time co-op other Fall Semester 2016 Spring Semester 2017 Summer Session 2017 Expected Graduation Date: Home Address: Street Address ( City State Zip Code State Zip Code ) Telephone School Address: Street Address ( City ) Telephone Current Funding for Educational Expenses for 2015-2016 academic year and Summer 2016: Source Amount Source Amount Source Amount Source Amount Scholarships and other financial aid already awarded for 2016-2017 academic year and Summer 2017: Source Amount Source Amount Source Amount Source Amount Plans after graduation (type of work, type of employer, location, additional schooling, other): On a separate sheet of paper, write a short essay describing: a) your strengths and weaknesses, 2) why a scholarship award is important to you and why you should be considered to receive a scholarship, and 3) your school-related and non-school-related extracurricular activities and interests. The essay should be on ONE PAGE ONLY and should be typed or neatly hand written. This application, the accompanying essay, and my academic record may be released to persons and/or companies that may want to consider me for a scholarship. yes no I certify that, to the best of my knowledge, the information contained on this application and the accompanying essay is true. Signature Date Return to: Scholarship Applications, Department of Civil Engineering, University of Akron, Akron, OH 44325-3905 or email to civilengineering@uakron.edu. Deadline for submission is February 26, 2016.