National Engineers Week
Of Ventura and Santa Barbara Counties
2016 Banquet Date: February 25, 2016
SCHOLARSHIP APPLICATION – Due Wednesday, January 20, 2016
Check One:
 First-time Applicant
 Past Applicant
 Past Recipient
Check Present Year of College:
1
 Post Graduate
2
3
4
5
6
Check One:
 California Lutheran University
 California State University, Channel Islands
 Moorpark College
 Oxnard College
 Santa Barbara City College
 University of California-Santa Barbara
 Ventura College
 Westmont College
 Other _______________________________________
PERSONAL DATA: (Please print or type)
NAME:
LAST
Date of Birth: ____________
FIRST
M.I.
Email Address:
Address:
Home Telephone: (_______) __________________
CITIZENSHIP STATUS:
 U.S. Citizen
Work/Cell Telephone: (_______) ___________________
 Resident Alien
 Student Visa
If not U.S. Citizen, what country are you from? _____________________________
RESIDENCY STATUS:
 Ventura or Santa Barbara County
 Other: __________________________
EDUCATION:
Pick one of the following two choices and fill out the subsequent information.
 New Transfer Student, From: _____________________________________ G.P.A.: ______________
 Current Student Current GPA _________
High School Attended: _______________________________________________ G.P.A.:
What is your declared or anticipated major? __________________ ______________________________
Which specific field of engineering?
Anticipated Graduation Date:
Plans after graduation:
Name/Title of Academic Advisor:
Advisor’s Telephone: _____________________ Email Address: _________________________________
2016 NEWC Scholarship Application, Released 30-November-2015
National Engineers Week
Of Ventura and Santa Barbara Counties
2016 Banquet Date: February 25, 2016
SCHOLARSHIP APPLICATION – Due Wednesday, January 20, 2016
QUESTIONS:
1. How are you funding your education?
[Type your response here. Are you using loans, grants, scholarships, working, parents, etc.?
Provide approximate percentage of each source. Use as much space as needed but emphasize
quality over quantity.]
2. What awards or recognitions have you received (academic or otherwise)?
[Type your response here. List awards or recognition as well as dates received. Spell out any
acronyms. Explain any acronyms Use as much space as needed but emphasize quality over
quantity.]
3. Please describe any extracurricular activities (clubs, societies, volunteering, etc.).
[Type your response here. Use as much space as needed but emphasize quality over quantity.]
4. Please describe any work or research or intern experience that is related to your chosen field.
If no experience, tell us about tutoring, TA and similar activities in which you have been
involved.
[Type your response here. Use as much space as needed but emphasize quality over quantity.]
5. Write a short essay (500 words or less) about yourself explaining your background, personal
interest, what you plan to study and why you want to further your education.
[Type your response here. Use as much space as needed but emphasize quality over quantity.]
CERTIFICATION:
I certify that all the information included in this application is true and complete.
Signature
[Digital Signature OK - Just type in your name and date.]
2016 NEWC Scholarship Application, Released 30-November-2015
Date
National Engineers Week
Of Ventura and Santa Barbara Counties
2016 Banquet Date: February 25, 2016
SCHOLARSHIP APPLICATION – Due Wednesday, January 20, 2016
SCHOLARSHIPS GUIDELINES
Each year, the National Engineer’s Week Committee of Ventura and Santa Barbara Counties (NEWC-VSB) awards scholarships to
a select group of students attending a 2 or 4 year college in the region who are working towards an engineering degree. The
scholarship committee looks for engineering students who they consider are exemplary examples of the future of the engineering
profession. Last year seven scholarships of $1000 each were awarded out of 40 applicants.
I.
ELIGIBILITY REQUIREMENTS
All engineering students are eligible (regardless of need) but the following minimum requirements must be met:
II.
A.
The applicant must be currently enrolled in an accredited two or four-year college or university in Ventura or
Santa Barbara counties.
B.
The applicant must be studying towards an engineering or technical degree related to engineering. If the
applicant’s college or university does not offer an engineering program, then a course of study preparatory to
engineering will be accepted.
C.
The applicant must have maintained a grade point average of 3.0 or better in college level courses.
D.
An applicant does not need to have a sponsor to be considered.
APPLICATION PROCEDURES
ALL SUBMITTALS MUST BE RECEIVED BY Wednesday, January 20, 2016.
Extra consideration is provided to early submittals. Plan ahead.
All applications must be submitted in digital format (PDF, WORD or GDOC). We do not accept
handwritten Applications. We expect that all engineering students have access to a computer. Download
the MSWORD DOC file and type in your responses. If submitting digitally, we accept only DOC,
DOCX, GDOC or PDF formats.
We will accept digital Applications (DOC, DOCX, GDOC or PDF), Letters of Recommendations (PDF
only) and Secure Digital Transcripts (PDF only) emailed to newc.scholarships@gmail.com
Any or all of your documents may be mailed or hand delivered (weekdays only) to:
Dennis Horwitz, NEWC Scholarship Chair
Micronor Inc
900 Calle Plano, Suite K
Camarillo, CA 93012
Questions may be emailed to newc.scholarships@gmail.com or call Dennis Horwitz at (805) 377-9480.
Include in your scholarship submission:
A.
This Application Form. For maximum points, please answer all questions. Answer all sections. If emailed to
the Scholarship Committee, we accept only DOC, DOCX, GDOC or PDF files.
B.
An official college Academic Transcript. Official Transcripts must be in sealed envelope or a Secure Digital
Transcript can be emailed. Include those from all colleges previously attended if a transfer student. Copies
(including electronic). Unofficial copies are not accepted. Since freshman students may not have completed
their first semester by the Due Date, we request a copy of their high school transcript.
C.
A PERSONAL Letter of Recommendation (on letterhead - if applicable) from non-relative. Delivered in a
sealed envelope or PDF copy emailed.
2016 NEWC Scholarship Application, Released 30-November-2015
National Engineers Week
Of Ventura and Santa Barbara Counties
2016 Banquet Date: February 25, 2016
SCHOLARSHIP APPLICATION – Due Wednesday, January 20, 2016
III.
D.
An ACADEMIC Letter of Recommendation (on letterhead) from your academic advisor. Delivered in a sealed
envelope or PDF copy emailed.
E.
Optional. A PROFESSIONAL Letter of Recommendation (on letterhead) from a non-academic, technical
professional. Delivered in a sealed envelope or PDF copy emailed.
F.
Plan ahead. The deadline for receiving all documents is Wednesday, January 20, 2016.
SELECTION PROCESS
Selections will be based on student’s overall academic progress, extracurricular activities, leadership skills, and
participation in community activities. Other factors to be considered are engineering projects completed or
participated in, financial need and evidence of professional promise.
IV.
NOTICE OF AWARDS
Winning students will be notified by e-mail of selection results.
V.
PRESENTATION OF AWARDS
The scholarship awards will be presented at the annual NEWC-VSB banquet to be held Thursday evening,
February 25, 2016 at the The Ronald Reagan Presidential Library in Simi Valley. Attendance is not mandatory
but desirable. Every scholarship recipient is offered a free seat at the banquet. Family and friends may attend at a
special rate.
2016 NEWC Scholarship Application, Released 30-November-2015