Scholarship Application

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APPLICATION
Sponsored By:
New Jersey Society of Professional Land Surveyors
Scholarship Foundation
PO Box 101
Cream Ridge, NJ 08514-0101
1-800-853-LAND
e-mail: rgoldberg@njspls.org
BACKGROUND
In 1978 NJSPLS was begun by eight Professional Land Surveyors meeting in a restaurant in Hightstown,
New Jersey. Existing at the same time was a Land Surveyors Practice Division of the New Jersey Society of
Professional Engineers. These organizations existed side by side until the growth of NJSPLS made it obvious
that there should be only one voice for the profession. The Society also became aware of the need for a
permanent headquarters and staff, as well as a lobbyist in Trenton to monitor the legislative interest of land
surveyors.
In 1983, NJSPE agreed to disband the LS Practice Division and split the treasury, half to go directly to
NJSPLS and half to go to a scholarship fund operating under the auspices of NJSPLS and NJSPE. That contract
was finalized at Conference ‘83. The Scholarship Fund was opened shortly thereafter and a committee was
organized to administer the funds.
Over the years, the New Jersey Society of Professional Land Surveyors Scholarship Foundation has
received donations from various professionals. Additional monies have been generated over the years through
specific contributions made on behalf of individuals who have been prominent in the land surveying profession.
Awards are made annually by the New Jersey Society of Professional Land Surveyors Scholarship
Foundation to individuals pursuing careers in the surveying profession. The annual scholarship amount(s)
granted from these funds is based on the interest earned by the invested principal and does not touch the original
principal in these funds. Additionally, the Foundation is funded by proceeds from the Annual Auction and Golf
Outing, combining these NJSPLS annual contributions with the earned interest on the core funds. There are
also several scholarship awards made annually by individual Chapters of NJSPLS.
Presentation of scholarships is made by the New Jersey Society of Professional Land Surveyors
Scholarship Foundation annually prior to commencement of the Fall Semester.
BASIS OF THE AWARD
These scholarships are awarded to the recipient for one academic year only. The same recipient may
reapply for subsequent years by submitting a new application and transcript of academic performance for the
previous year to the New Jersey Society of Professional Land Surveyors Scholarship Foundation.
The applicant must be a New Jersey resident, studying at an accredited college (in state or out-of-state)
acceptable to the New Jersey Society of Professional Land Surveyors Scholarship Foundation Selection
Committee, in active pursuit of an Undergraduate or Graduate Degree in Surveying or a related field, i.e.
Cartography or Geodesy, etc. Preference will be given to applicants enrolled as full-time students.
Financial need, academic ability, personal interests and personal references will be evaluated in
determining the successful recipient. All data and materials contained in and supplemental to this application
will be used only by the New Jersey Society of Professional Land Surveyors Scholarship Foundation Selection
Committee, and only to evaluate prospective candidates for determining the successful recipients.
NJSPLS MICHAEL J. GALANTE MILITARY SERVICE SCHOLARSHIP
To honor those who currently serve or have completed service in any branch of the military, the Michael
J. Galante Military Service Scholarship has been created to assist our service men and women pursuing studies
in surveying or geomatics. Recognizing that some have already made the ultimate sacrifice, the scholarship is
open to the children of fallen or disabled veterans as well.
APPLICATION
LAND SURVEYING SCHOLARSHIPS
RETURN TO:
New Jersey Society of Professional Land Surveyors Scholarship Foundation
PO Box 101, Cream Ridge, NJ 08514-0101
DUE DATE:
Postmarked by March 1 - AWARD DATE: On or about May 1.
Applicant Name: ______________________________________________________________________
(Last)
(First)
(Middle or Initial)
Street Address: _______________________________________________________________________
Town: _________________________________ County:______________________________________
State: _____________Zip: ___________Phone: _______________e-mail: ________________________
Do you rent or own your home: _________ Indicate your monthly mortgage/rent ___________________
Current Marital Status:
Married _______Single _______ Divorced ________ Widowed __________
Number of Children living in your home (#) _________________ Indicate Their Ages ______________
Total Dependents (excluding self) (#) ___________________
Applicant/Spouse Total Combined Gross Income: $ ____________________________
Parents’ or Guardians’ Names: ___________________________________________________________
Street Address: _______________________________________________________________________
Town: _________________________________ County:______________________________________
State: ___________________Zip: ______________Phone: ____________________________________
Total# in Household _____________
High School:
Address: ____________________________________________________________________________
Town: __________________State: _____________Zip: ______________________________________
Telephone:_____________________ Teacher/Advisor: _______________________________________
College Major: ________________________________Grade Point Average: _____________________
Other Education: (if any) ______________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Most Current Official Transcript of Records available must be received by application due date
(Internet transcripts are acceptable):
Enclosed ____________________________
Separate: __________________________________
Work during Scholastic Year: (circle one)
Full Time
Part Time
None
Employer: ____________________________________________________________________________
Length of Service:
From _________________________to __________________________________
Phone: ________________________
Please supply information on any prior Land Surveying experience. (Use separate sheet.)
Professional Registrations - list State and License No. (If any):
State: _______________________________
State: _______________________________
License: ___________________________________
License: ___________________________________
Personal References: (At least two references are required to be deemed complete. Please include letter from
each reference)
The evaluation of scholarship applications is a difficult task when all that is submitted is a stack of cold
facts regarding dollars desired and courses taken. The role of a surveyor in society involves a wide range of
human interactions: with individuals, special interest and religious groups, corporations, community
organizations. Therefore the most effective letters of recommendation are those that reveal the character as well
as the accomplishments of the scholarship applicant. We suggest that you ask your references to include
information about how long they have known you and under what circumstances, their personal or professional
knowledge of you, activities they may be aware of that you participate in or have organized. For academic
references, both grades and participation in class and school activities are important in assessing each
individual.
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
Town: _____________________________ State: ___________ Zip: ____________________________
Telephone No: _______________________
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
Town: _____________________________ State: ___________ Zip: ____________________________
Telephone No: _______________________
Name: ______________________________________________________________________________
Address: ____________________________________________________________________________
Town: _____________________________ State: ___________ Zip: ____________________________
Telephone No: _______________________
Academic References: (REQUIRED – Please include letter from each academic reference)
Teacher's Name: ______________________________________________________________________
Address: ____________________________________________________________________________
Town: _____________________________ State: ___________ Zip: ____________________________
Telephone No: _______________________
EDUCATIONAL ENROLLMENT PLANS
School: _______________________________________________
City:______________________________ State: ______________
Circle/Specify Level of Educational Study this award request will apply toward:
Graduate
Bachelor
Associate
Certificate
Other __________________
Student’s Academic Year this award request will apply toward:
Circle the Academic Year of study to which you will be applying the award requested:
Freshman
Sophomore
Junior
Senior
Other _____________________
ESTIMATED ANNUAL EDUCATIONAL FINANCES (One Academic Year)
Tuition
Fees
Books, etc.
Room & Board
A
Required
B
Family/Applicant Provided
(Deduct)
C
Other*
(Deduct)
$_____________
$_____________
$_____________
$_____________
$_________________
$_________________
$_________________
$_________________
$ ____________
$ ____________
$ ____________
$ ____________
Total Amount Requested:
(A-B-C) $ __________________
* For C above state source; “Other” may be grants, other scholarships, employer educational reimbursement,
loans, etc., or part-time work being planned
____________________________________________________________________________________
____________________________________________________________________________________
NJSPLS MICHAEL J. GALANTE MILITARY SERVICE SCHOLARSHIP
If you meet the requirements of the NJSPLS Michael J. Galante Military Service Scholarship, please provide
documentation of your service, or your parents’ military service, with your application.
STUDENT & COMMUNITY ORGANIZATIONAL ACTIVITIES
Name of Organization __________________________________
National
State
Chapter
NJSPLS Affiliation: Are you or a member of NJSPLS? Yes ___ No___
Is any member of your family a member of NJSPLS? Yes ___ No ___
Membership
_______________________________________________________________________
_______________________________________________________________________
Elected Offices ______________________________________________________________________
Held
______________________________________________________________________
Committees
Served On
______________________________________________________________________
______________________________________________________________________
Committee
Chairperson
______________________________________________________________________
______________________________________________________________________
Served as
Representative
or Delegate
______________________________________________________________________
______________________________________________________________________
______________________________________________________________________
Community
Activities
______________________________________________________________________
______________________________________________________________________
Please list on a separate sheet any other activities, programs and/or awards that you participated in or received.
Please indicate if you would be interested in participating in any of the various NJSPLS activities, such as
writing articles, assisting in Trig Star competitions, service on committees, etc.
Essay (Required): Attach a separate sheet to explain clearly and concisely what has prompted you to pursue a
career in Land Surveying or a related profession. This essay shall include the following:





Identify other factors not stated in this application affecting your financial need.
Indicate if you are a past recipient of an NJSPLS award. If so, state year(s) and award amount(s).
Provide additional information on other scholarships and/or employer educational reimbursement you
have received in support of your degree.
Identify any courses taken that do not yet appear on your transcript, the school(s) where you took the
course(s), and the credits expected for each course.
List the course(s) that you plan on taking in the upcoming semester/year. Include the number of credits
per course and the school where you plan to take the course(s).
APPLICANT’S ACKNOWLEDGEMENT AND ACCEPTANCE OF TERMS
I hereby understand and accept that this grant will be used to further my education. If monies received are not
used for the intended purpose, the scholarship award will be returned to the Foundation. I will forward to the
New Jersey Society of Professional Land Surveyors Scholarship Foundation a copy of my transcripts and tuition
receipts for classes attended and completed, financed all or in part by this award. I accept these terms as agreed
upon by myself and the New Jersey Society of Professional Land Surveyors Scholarship Foundation.
__________________________________________
Applicant Signature
Date: _______________________________
__________________________________________
Parent or Guardian (if under age)
Date: _______________________________
NOTE: The NJSPLS and the Foundation, its officers, members, employees and agents, (herein collectively
referred to as the “NJSPLS”,) will exercise its best efforts to keep information provided by you in this
application confidential. NJSPLS will not intentionally disclose your information to any third party not
affiliated with the NJSPLS. NJSPLS will not sell any portion of your information to any third party. Your
information will be examined by the NJSPLS in connection with your request for a scholarship. NJSPLS shall
not be liable for disclosure of your information to any third party not affiliated with the NJSPLS as a result of its
carelessness, negligence, or gross negligence. Your signature or that of your parent or guardian, on this
application shall constitute a release of liability to NJSPLS.
Incomplete applications shall not be considered for Scholarship. Make sure current official transcript is
included, (Internet transcripts are acceptable).
REQUIRED INFORMATION: (Must be postmarked by MARCH 1)

Complete Application

Current Official Transcript

Documentation of Military Service (if applying for Michael J. Galante Service Scholarship)

Reference Letters (At least two personal and one academic required)

Letter of Interest including emphasis on Financial Need and Past Award information (Essay)
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