SCHOOL OF ENGINEERING AND TECHNOLOGY
2013 HONORS SCHOLARSHIPS & AWARDS APPLICATION
Computer and Information Technology
SUBMIT TO YOUR DEPARTMENT BY MONDAY, FEBRUARY 11, 2013
PRINT WITH BLACK INK – DO NOT USE PENCIL
PERSONAL DATA
Name:
LAST
FIRST
MIDDLE
Permanent Street Address:
NUMBER
STREET
APARTMENT
CITY
STATE
Telephone:
ZIP CODE
Email Address:
University ID#:
Birth Date:
Gender:
Marital Status:
MALE
COUNTRY
FEMALE
Dependents:
SINGLE
Have you submitted the FAFSA?
MARRIED
Age:
If yes, number:
YES
Citizenship:
NO
U.S. CITIZEN
If yes, date:
YES NO
MONTH
YEAR
ACADEMIC INFORMATION
High School:
Dates Attended:
/
to
/
College/University:
Dates Attended:
/
to
/
College/University:
Dates Attended:
/
to
Department:
/
Major:
Current GPA:
Cummulative GPA:
LAST SEMESTER
and
Status:
ALL SEMESTERS
Number of credit hours enrolled in this semester:
Total number of credit hours completed in all course work:
Number of outstanding credit hours needed to graduate:
FULL-TIME
PART-TIME
UNDERGRADUATE
GRADUATE
Number of credit hours completed in major:
Class Standing (year in school):
Attending 2013 Summer School at IUPUI?
YES
Type of degree to be received upon graduation:
Anticipated graduation date:
NO
PERMANENT
RESIDENT
Name:
University ID#:
EMPLOYMENT
Current Employer:
Supervisor:
Duties:
Dates Employed:
/
to
/
Number of hours worked per week during the school year:
If yes, how is the program structured?
Does your employer offer tuiton reimbusement?
YES
NO
Former Employer:
Supervisor:
Duties:
Dates Employed:
/
to
/
FINANCIAL
Please briefly describe how you are financing your college education. List assistance sources such as work (full or part-time), summer work, internships,
scholarships, grants, loans, or family.
TYPE
AMOUNT
DURATION
EXTRACURRICULAR ACTIVITIES (COMMUNITY, VOLUNTEER, CAMPUS, HOBBIES, INTERESTS)
SPECIAL HONORS, AWARDS, SCHOLASTIC ACHIEVEMENTS
PROFESSIONAL AFFILIATIONS
Name:
University ID#:
SCHOLARSHIPS AND AWARDS
Please indicate the scholarship(s) and award(s) for which you are applying.
CIT SCHOLARSHIPS AND AWARDS
□ Charles K. Barker Award
□ Grace Murray Hopper Programming Prize
□ IHSSA Award for Most Outstanding CIT Generalist
□ Indianapolis Society for Information Management
Chapter Alan Stanford Award
□ Nicholas J. Kira III Scholarship
□ Jessie Wuster Lennertz Scholarship
□ John G. Williams, Jr. Memorial Award
□ Outstanding Baccalaureate Degree in CIT
□ Outstanding CIT Woman
□ Outstanding International Student Award
□ Outstanding Upperclassman in CIT
□ David M Williamson Scholarship in CIT The School Scholarships and Awards are open to all students enrolled in a degree program within the School of
Engineering and Technology, assuming you meet the specified criteria of the scholarship/award.
SCHOOL SCHOLARSHIPS AND AWARDS
□ D.J. Angus Scientech Educational Foundation Award
□ Robert H. and Marjorie K. Begeman Scholarship
□ James D. Bercaw Distinguished Engineering Student
If you would like to be considered for special scholarships
and awards open to minorities or international students
please indicate your interest by completing the following
information:
Ethnicity:
Award
□ James D. Bercaw Distinguished Technology Student
Award
□ Brancato Scholarship +*
□ Edgar and Betty Conn Part-Time Student Scholarship+*
□ Dean's Industrial Advisory Council (DIAC) Scholarship
□ H. Eugene Hunt and Rebecca A. Mohr Scholarship
□ Derek Krueger Memorial Scholarship+*
□ Munevar Family Scholarship for Outstanding Civic
Country of Citizenship:
* Denotes application requires a written
personal statement/letter of introduction
+ Denotes application requires a letter of
Engagement and Academic Excellence+*^
recommendation from a faculty member
□ Alfred R. Potvin and Janet H. Potvin Outstanding
^ Denotes application requires a resume
Student Leader and Scholar Award
□ ProAAct Scholarship □ Purdue School of Engineering and Technology Alumni
Association Golf Classic Student Scholarship+*
ALL APPLICATIONS MUST BE SUMITTED
WITH AN UNOFFICAL TRANSCRIPT
FROM ONESTART
□ Gladys Román Memorial Scholarship*^
□ Robert Wolter Tau Alpha Pi Excellence in Leadership
Award
□ United Parcel Service and National Society of Black
Engineers Achievement Award
The Honors Convocation is April 26, 2013. Attendance of scholarship/award recipients is highly encouraged.
CIT Scholarship and Award Descriptions
Charles K. Barker Award
Amount: $500
Class Standing: Undergraduate
Status: Full-time and Part-time
GPA Requirement:
Other Qualifications: Minority student with preference
given to African Americans
John G. Williams, Jr. Memorial Award
Amount: $500
Class Standing:
Status:
GPA Requirement:
Other Qualifications: Outstanding student in computer
information technology
Grace Murray Hopper Programming Prize
Amount: $500
Class Standing: Undergraduate
Status:
GPA Requirement:
Other Qualifications: Grade of A in three or more
programming courses.
Outstanding Baccalaureate Degree in Computer and
Information Technology
Amount: $300
Class Standing:
Status:
GPA Requirement: 3.0 or higher
Other Qualifications: Service to the department or
profession.
IHSAA Award for Most Outstanding CIT Generalist
Amount: $300
Class Standing: Undergraduate
Status:
GPA Requirement:
Other Qualifications: Demonstrate high level of
interest and proficiency in the areas of programming,
networking, and business skills
Indianapolis Society for Information Management
Chapter Alan Stanford Award
Amount: Varies
Class Standing: Undergraduate
Status:
GPA Requirement: 3.2 or higher
Other Qualifications: Student who wants to work in
Indiana after graduation and is available to do a
summer internship.
Nicholas Kira III Scholarship
Amount: $250
Class Standing: Sophomore or Junior
Status:
GPA Requirement: Minimum 3.0
Other Qualifications: Outstanding student in the
Technical Option
Jessie Wuster Lennertz Scholarship
Amount: $500 - $1,000
Class Standing: Undergraduate- Have completed 66
– 97 credit hours
Status:
GPA Requirement: GPA in upper 10% of CIT
program
Other Qualifications: Must be at least 25 years old;
Preference given to those not already receiving
scholarships/awards and are considering graduate
study
Outstanding Computer and Information Technology
Woman
Amount: $250
Class Standing:
Status:
GPA Requirement: 3.0 or higher
Other Qualifications: Service to the department or
profession.
Outstanding International Student Award
Amount: $200
Class Standing:
Status:
GPA Requirement:
Other Qualifications: English as a second language
Outstanding Upperclassman in Computer and
Information Technology
Amount: $300
Class Standing:
Status:
GPA Requirement: 3.0 or higher
Other Qualifications: Service to the department or
profession.
David M Williamson Scholarship in Computer
Information Technology
Amount: $500
Class Standing: Undergraduate or Graduate
Status:
GPA Requirement:
Other Qualifications: Beginning to pursue degree AS/BS
in CIT (undergraduate) or MS Technology (graduate).
Minimum SAT score of 1200 for undergraduate recipients
and minimum GRE score of 1300 for graduate recipients.
School Scholarship and Award Descriptions
D.J. Angus Scientech Educational Foundation
Award
Amount: $500
Class Standing: Sophomore or Junior
Status: Full-time
GPA Requirement: N/A
Other Qualifications: Student shall have shown the
greatest improvement in grade average from one
semester year to the next and displayed a good
citizenship record.
Robert H. and Marjorie K. Begeman Scholarship
Amount: $1,000 - $2,000
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: The scholarship will be given to
an undergraduate student with the following
nationalities and citizenship: Egypt, Ethiopia, Kenya,
Morocco, Nigeria, Tanzania, Zimbabwe, Cambodia,
Indonesia, Thailand, Taiwan, and Vietnam.
James D. Bercaw Distinguished Engineering
Student Award
Amount: $500
Class Standing: Senior
Status: Full-time
GPA Requirement: Highest GPA of all engineering
majors
Other Qualifications: N/A James D. Bercaw Distinguished Technology
Student Award
Amount: $500
Class Standing: Senior
Status: Full-time
GPA Requirement: Highest GPA of all technology
majors
Other Qualifications: N/A
Brancato Scholarship
Amount: $500
Class Standing: Sophomore - Senior
Status: Full-time or Part-time
GPA Requirement: 3.0 or higher
Other Qualifications: Single parent with
demonstrated financial need
Edgar and Betty Conn Part-Time Student
Scholarship
Amount: $500
Class Standing: Have completed a minimum of 24
credit hours
Status: Part-time
GPA Requirement: 3.0 or higher
Other Qualifications: Currently enrolled in 6-11 credit
hours
Dean's Industrial Advisory Council (DIAC)
Scholarship
Amount: $500
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: N/A
H. Eugene Hunt and Rebecca A. Mohr Scholarship
Amount: $750
Class Standing: Undergraduate- Have completed a
minimum of 18 credit hours
Status: Full-time or Part-time
GPA Requirement: Maintain the highest cumulative GPA
with at least nine credit hours completed per semester
over the preceding two semesters
Other Qualifications: N/A
Derek Krueger Memorial Scholarship
Amount: $1,000
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: Must be planning to conduct
undergraduate research in the field (not in a lab on
campus). Please include purpose of the research, setting
where the research will be conducted and expected
outcomes in your personal statement.
Munevar Family Scholarship for Outstanding Civic
Engagement and Academic Excellence
Amount: $500
Class Standing: Undergraduate or Graduate
Status: Full-time
GPA Requirement:
Other Qualifications: Applicant must be actively involved
in the Purdue School of Engineering and Technology, as
well as the greater Indianapolis community through
leading community outreach activities and professional
organizations.
Alfred R. Potvin and Janet H. Potvin Outstanding
Student Leader and Scholar Award
Amount: $500
Class Standing: Undergraduate or Graduate- Senior
(within 30 credit hours of graduation) or Graduate student
(within 10 credit hours of a MS degree or one year of
completing a Ph.D.)
Status: Full-time or Part-time
GPA Requirement: 3.2 or higher
Other Qualifications: Completed 45 or more
undergraduate or 21 or more graduate semester credit
hours at IUPUI, officer in one or more student
organizations with a strong record of accomplishment,
leadership and collegial relations, IUPUI GPA in the top
quarter of students in same degree program.
School Scholarship and Award Descriptions
ProAAct Scholarship
Amount: $500
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: Preference will be given to
underrepresented (minority) students, who without this aid
might not be able to obtain a higher education.
Purdue School of Engineering and Technology
Alumni Association Golf Classic Student Scholarship
Amount: $500
Class Standing: Undergraduate or Graduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: N/A
Gladys Román Memorial Scholarship
Amount: $500
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: Applicant must be Hispanic.
Robert Wolter Tau Alpha Pi Excellence in Leadership
Award
Amount: $500
Class Standing: Undergraduate
Status: Full-time or Part-time
GPA Requirement: N/A
Other Qualifications: Applicant or nominee must be a
current technology undergraduate or continuing
technology graduate student and active member of the
Tau Alpha Pi Honors Society, Pi Beta Chapter at IUPUI
who demonstrates evidence of service/leadership to an
E&T, IUPUI, or community organization.
United Parcel Service and National Society of Black
Engineers Achievement Award
Amount: $500
Class Standing: Undergraduate or Graduate
Status: Full-time or Part-time
GPA Requirement: 3.0 or higher
Other Qualifications: Member in or more student
organizations (NSBE included) or activities with a strong
record of accomplishment leadership, and collegial
relations