Eric Niemitalo Memorial Scholarship in Earth and
Environmental Science
Eric Niemitalo was a student at Shoreline Community College. He was working towards an Associate of Science
Degree and planning to transfer to a 4-year College to pursue a degree in Environmental Science with
emphasis in Geology. His progress towards his dream career was tragically interrupted by his premature death.
The Shoreline Community College Foundation, on behalf of family and friends who wish to honor Eric’s
memory; are offering a $500 Eric Niemitalo Memorial Scholarship to one student who is pursuing a degree in
the sciences. Preference will be given to those who continuing at an accredited college or university and
focusing on earth or environmental science.
This scholarship is to be used for tuition and fees related to tuition on or before June 2016 at Shoreline Community College.
The scholarship has no cash exchange value and is non-transferable.
Criteria for Eligibility
Applicant must be a Washington state resident (as defined by the college).
Applicant needs to have completed at least 15 credits at Shoreline Community College.
Applicant must be presently enrolled at SCC for at least 12 credits.
Applicant must have completed at least one course at Shoreline Community College in one of the
following subject areas: Geology, Environmental Science, Geography or Oceanography.
 Applicant must be in Good Academic Standing.
 Applicant must demonstrate financial need.
 Applicant must intend to pursue a degree in the Sciences. Preference will be given to those who are
pursuing a degree in Earth or Environmental Science at an accredited college or university.




Application Procedures
To be considered, each applicant must submit four collated packets (typed). Each packet must
include:
Completed Application.
Completed Budget Worksheet.
Current Class Schedule.
SCC Unofficial Transcript through winter 2015.
One page typed essay describing your interest in Earth or Environmental Science
and your professional goals.
6. Statement regarding current financial need.
7. Written permission to contact all Earth/Environmental Science instructors.
8. Names of three references (outside of Shoreline’s science faculty) including email addresses & phone
numbers.
1.
2.
3.
4.
5.
EXTENDED DEADLINE: 4:00 pm – Tuesday, May 5, 2015
NOTIFICATION: Applicants will be notified by May 30, 2015
16101 Greenwood Avenue North - Shoreline, WA 98133-5696
Lynn Yaw (206) 533-6783 or Chandra Passé (206) 546-4755
Shoreline Community College provides equal opportunity in education and employment and does not discriminate on the basis of race, color, religion,
national origin, sexual orientation, age, marital status or disability.
Eric Niemitalo Memorial Scholarship in Earth and
Environmental Science Application
Please submit four collated packets (typed). Each packet must include:
Completed Application.
Completed Budget Worksheet.
Current Class Schedule.
Unofficial Shoreline Community College Transcript through winter 2015.
One page typed essay describing your interest in Earth or Environmental Science and
your professional goals.
6. Statement regarding current financial need.
7. Written permission to contact all Earth/Environmental Science instructors.
8. Names of three references (outside of Shoreline’s science faculty) including email addresses
and phone numbers.
1.
2.
3.
4.
5.
NAME: __________________________________________________ PHONE #: _________________________
Last
First
ADDRESS: _______________________________
Street
E-MAIL: _________________________________
Middle
________________
City
____________
State
_________
Zip
BIRTHDATE: ________________ M ___ F ___
SCC STUDENT #: ___________________________ EXPECTED DEGREE: _______________________________
SCC CLVL GPA: ________
EXPECTED DATE OF GRADUATION - Month: ________________ Year: ______
COLLEGE/UNIVERSITY TRANSFERING TO: ___________________________________________________
(If planning to transfer)
I certify that the information provided in this application and all attachments are accurate and complete. By applying, I certify that I meet the
qualifications and requirements. I authorize the SCC Foundation to verify any and all submitted information through appropriate means. I also
authorize this information to be released to individual contributors and selection committees in addition to the SCC Foundation. I understand that
submission of this application authorizes Shoreline Community College and SCC Foundation the right to use my name, application materials and
images for publications, reports and press releases in any media. I understand that scholarships may possibly affect need based aid awarded by the
College.
To be eligible for consideration, applications and all required material are due in the SCC Foundation office by the indicated deadline. Applications
and materials must be submitted as complete collated packets – each copy of materials stapled or clipped together. Faxed or emailed applications
are not an acceptable form of submission. Incomplete/ineligible applications will not be reviewed by the selection committee. Applications and all
materials submitted become the property of SCC Foundation and will not be returned to the applicant.
Failure to meet any of the above may result in forfeiture of any scholarship awarded.
______________________________________________
Signature
SCC FOUNDATION
16101 Greenwood Avenue North - room 1005
Shoreline, WA 98133-5696
(206) 533-6783
____________________
Date
EXTENDED DEADLINE TO APPLY: 4:00 pm - May 5, 2015
BUDGET WORKSHEET
Name ________________________
INCOME AND OTHER
RESOURCES
Student # __________________ Date __________
MONTHLY
AMOUNT
FAMILY INCOME
Student’s Net Income
Other income
Assistance from others
ESTIMATED EXPENSES
MONTHLY
AMOUNT
HOUSING AND FOOD
Rent/Mortgage
Utilities
Telephone/Cell Phone
Cable/Internet
Food
OTHER RESOURCES
(Federal Financial Aid in separate section)
PERSONAL
Clothing
Entertainment
Medical/Dental
Child Care
Personal misc
Credit Card(s)
Public Assistance
Food Stamps
Veteran’s benefits
Social Security
Unemployment
Alimony
Child Support
DVR
TRANSPORTATION
Bus
Car
Gas
Maintenance
Insurance
Payment
Parking Permit
Other
OTHER
TOTAL MONTHLY INCOME
A) $
TOTAL MONTHLY EXPENSES
E) $
QUARTERLY INCOME
(3 months A x 3)
B) $
QUARTERLY EXPENSES
(3 months E X 3)
F) $
FINANCIAL AID
Grants
Scholarships
Work Study
Worker Retraining
BFET
Loans
Quarterly Amount
EDUCATION EXPENSES
Tuition & Fees
Books
Supplies
Testing Fees
Other
Quarterly Amount
Total Financial Aid
C) $
Total Education Expenses
G) $
Savings
TOTAL QUARTERLY
INCOME
(B + C + D)
D) $
TOTAL QUARTERLY
EXPENSES
(F + G)