2015 FPEG FELLOWSHIP APPLICATION The Florida Professional Engineers in Government are pleased to announce the availability of fellowships to be awarded for the 2014-2015 school year. An applicant must: - Be eligible to be a member of the Florida Engineering Society. - Be employed by a government agency in an engineering position. - Be enrolled in or accepted by a graduate program to obtain an advanced degree in engineering, engineering management, public administration, public works administration or business administration (copy of proof of registration of acceptance letter). - Complete the application and submit it to FES/FPEG Headquarters by March 6, 2015. Please request your transcript be forwarded to FES/FPEG by the deadline. - If no qualified applications are received, FPEG reserves the right not to award a fellowship or to select a winner from the applications received by the FES scholarship committee. Preference will be given to upper division engineering students with an interest in working for a government agency. AMOUNT OF FELLOWSHIP: $1,000 DEADLINE FOR SUBMITTAL OF APPLICATION: The application must be received at the FES/FPEG Headquarters by April 30, 2015 (Extended). Please visit the FES web site at www.fleng.org for an application form or contact Kelly Jones at FES Headquarters, 850-224-7121 for further information. Note: The selection of fellowship recipient(s) is made by the FPEG Awards Committee and is final. FLORIDA PROFESSIONAL ENGINEERS IN GOVERNMENT 2015 Fellowship Application Form NAME: Last First Middle Permanent Mailing Address: Email Address: ______________________________________________________________ Cell: __________________________________________________ This fellowship is made available only to an individual presently a regular or student member (or be eligible to be a member*) of the Florida Engineering Society and employed by a governmental agency in an engineering position, who has obtained a Bachelor of Science degree from an accredited engineering college, and is enrolled or intends to enroll in graduate school to obtain an advanced degree in engineering, engineering management, public administration, public works administration, or business administration. Name of government agency in which you are employed: Agency Address: Your Current Title: Briefly describe your job duties/requirements: Name of Supervisor: Full Time? Title: Part Time? Average Work Week:__________ (Hours) Name of the school from which you received a Bachelor of Science Degree in Engineering: Transcript of Undergraduate Studies: Enclosed Will Follow: What school are you attending or planning to attend: Location: How did you hear about this fellowship? ACTIVITIES (Attach additional sheets if required) Work Experience - (Firm, Position, Dates) Activities - List Professional, school, and community activities Honors - List any special honors and awards either in or out of school. FPEG 2015 FELLOWSHIP APPLICATION PAGE 2 OF 3 GOAL STATEMENT Statement by applicant of personal goals and future plans. Please submit application by April 30, 2015 to: Florida Professional Engineers in Government Fellowship 125 S. Gadsden Street Tallahassee, FL 32301 FPEG 2015 FELLOWSHIP APPLICATION PAGE 3 OF 3