Alaska Native Program
Scholarship Application
2010-2011
Alyeska Alliance
Section 29
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Alaska Native Program
Alyeska Alliance
Section 29
Scholarship Application – 2010/2011
The CH2M HILL Scholarship Program has been organized under Section 29 of the Grant of Right of Way Agreement Lease for the
operation of the Trans-Alaska Pipeline. The goal of the Scholarship Program is to provide financial aid to Alaska Native students, which
will assist them in achieving their underground college educational goals and prepare them for jobs on the Trans Alaska Pipeline System
(TAPS).
Number of Awards:
The number and amount of scholarships/grants awarded each year is dependent upon:
 The number of eligible applicants

The quality of applications

The availability of funds
Applicants Must Meet the Following Eligibility Requirements:
 Applicants must be of Alaska Native Heritage and be able to provide acceptable documentation (see the checklist for specific
documentation accepted).

Have a high school diploma or equivalent.

Be enrolled in an accredited undergraduate program at a college or university, which will prepare candidates for a position on
the Trans-Alaska Pipeline or AutoCAD/Drafting or related field.

Be a full-time (12 credit hours or the number of credits the school requires for full-time status) student during the entire
academic year to be eligible for the total scholarship amount offered.
Award Criteria:

The primary emphasis of CH2M HILL’s Scholarship Program is to provide educational assistance to Alaska Native Students
pursuing degrees in the Engineering, Design and Drafting fields which correspond to the services that CH2M HILL provides
Alyeska under contract. While applicants in other educational fields will be considered, preference is made towards the
Engineering fields.

All scholarships are awarded on an academic year basis.

Be enrolled as an undergraduate student pursuing a two or four year degree at an accredited institution and maintain at least a
2.0 GPA during the scholarship year.

All scholarship award payments are issued in the college’s name and sent to the financial aid office address stated on the
awardee’s application.
How to Apply:
If you are interested in applying for a scholarship, you must meet the above eligibility requirements and complete the attached
application.
Application Deadline July 30, 2010 at 5:00PM:
This is a firm deadline. No exceptions are allowed.
Where to send completed Applications:
CH2M HILL
Attention: Emily Cross
949 E. 36th Suite 500, Avenue
Anchorage, Alaska 99508
CH2M HILL
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Alaska Native Program
Alyeska Alliance
Section 29
APPLICATION PACKAGE CHECKLISTS
Use the appropriate checklist to be sure you have a completed application package.
FRESHMAN - FIRST YEAR COLLEGE STUDENTS CHECK LIST
This also includes anyone that is applying for Alaska Native Program/CH2M HILL Alaska’s scholarship for the first time.

Completed application. Incomplete applications will be returned. (NO EXCEPTIONS)

“Official” College/University transcripts – only if you are applying for the Alaska Native Program Scholarship for the first time and
you are currently attending a University or college.

Copy of “Official” high school diploma or equivalent (GED)

Copy of “Official “ High School Transcripts

Copy of “Official” Letter of acceptance from your college or university

Letter of Intent - This letter must briefly detail the student’s goals and objectives, expected graduation date, and how their selected
academic career will link directly to a position on the Trans-Alaska Pipeline. This letter must accompany the application. There are
no exceptions.

Copy of current class registration indicating full-time status

Current Updated Resume

Provide ONLY ONE (1) of the following documents indicating Alaska Native Heritage. The following are the various examples of
documents that you can submit to complete your application.

CIB Card (Certificate of Indian Blood)

BIA Card (Bureau of Indian Affairs)

Tribal enrollment Number (this must be an “official” letter from your regional corporation or your parent’s regional corporation)

Alaska Native Claims Settlement enrollment number
SOPHOMORE OR HIGHER - RETURNING STUDENTS CHECKLIST

Completed application. Incomplete applications will be returned. (NO EXCEPTIONS)

“Official” College/University transcripts

Letter of Intent - This letter must briefly detail the student’s goals and objectives, expected graduation date, and how their selected
academic career will link directly to a position on the Trans-Alaska Pipeline. This letter must accompany the application. There are
no exceptions.

Copy of “Official” current class registration – indicating full time status (award will not be issued until this document is received)

*Copy of “Official” Letter of acceptance from your college or university
*Continuing students need this document ONLY if you are transferring to different college, or changing your degree program.

Current Updated Resume

Provide ONLY ONE (1) of the following documents indicating Alaska Native Heritage. The following are the various examples of
documents that you can submit to complete your application.

CIB Card (Certificate of Indian Blood)

BIA Card (Bureau of Indian Affairs)

Tribal enrollment Number (must be an “official” letter from your regional corporation or your parent’s regional corporation

Alaska Native Claims Settlement enrollment number

Verification “official” letter from Regional/Village Corporation
The Deadline is July 30, 2010 at 5:00PM.
No exceptions to the deadline
Scholarship Awards are funded for both the Fall and Spring Semesters after the awardee’s have met the reporting and
scholarship requirements.
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The goal of the Alaska Native Education Award is to provide monetary support for Alaska Natives to acquire education and/or training needed to prepare
for jobs with Alyeska and its contractors on the Trans Alaska Pipeline System (TAPS). Applicants must be of Alaska Native heritage.
PLEASE PRINT IN BLUE OR BLACK INK
1. APPLICANT STATUS
2.
New Applicant
3.
2. PERSONAL DATA
4.
Name: (Last, First, M.I.)
Renewal Application
Male
Female
Social Security Number:
ANCSA Regional Corporation or Tribal Affiliation:
Temporary Address:
Permanent Address:
Telephone: (Temporary)
Telephone: (Permanent):
Email Address:
4. Current Academic Status
Vocational-Technical Training Program:
Current College Level:
Freshman
Sophomore
Junior
Senior
ANSEP (Alaska Native Science & Engineering
Program) Student
Yes
No
High School Graduation Date:
GED Date of Completion:
Current cumulative grade point average:
5. Academic Plans
Number of Credits which you plan to take for which this application applies:
Field of Study: (Major)
Field of Study: (Minor)
Length of Study:
2 Year
4 Year
Date term/program begins:
Graduate
Vocational-Technical Program
Date term/program ends:
Graduation date:
6. Institute Information
Name of Institution:
Financial Aid Officer & Address:
CH2M HILL
Financial Aid Office Phone Number:
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7. Education Budget Forecast
Budget Period:
Check the appropriate box(s) which pertain to this application:
Semester
Quarter
Spring
Summer
Winter
Fall
Vocational Technical
Other
Indicate your DIRECT educational costs. Your financial aid may be your “Best guess” until confirmed by the granting authority.
Outline your finances, school costs & funding sources applied for and received.
TYPE OF FEDERAL OR STATE FINANCIAL AID YOU HAVE APPLIED FOR THIS TERM:
(Source: Alaska Student Loan, Pell Grant, DVR, JTPA/DCRA, Stafford Loan, Perkins Loan, etc.)
SOURCE
AMOUNT
RECEIVED/STATUS
$
Yes
Pending
Denied
$
Yes
Pending
Denied
$
Yes
Pending
Denied
$
Yes
Pending
Denied
LIST ALL SCHOLARSHIPS/GRANTS YOU HAVE APPLIED FOR THIS TERM
SOURCE
AMOUNT
$
Yes
Pending
Denied
$
Yes
Pending
Denied
$
Yes
Pending
Denied
$
Yes
Pending
Denied
PERSONAL ESTIMATE:
AMOUNT
STUDENT CONTRIBUTION / SAVINGS
$
PARENTS / SPOUSE CONTRIBUTION
$
TOTAL STUDENT RESOURCES =
(Pell Grant, loans, scholarships, contributions, etc.)
LIST ALL SCHOOL RELATED COSTS:
$
TUITION
$
BOOKS
$
FEES
$
SUPPLIES
$
ROOM
$
MEALS
$
TRANSPORTATION
$
OTHER.MISC
$
TOTAL SCHOOL COSTS
$
UNMET NEED
CH2M HILL
RECEIVED/STATUS
$
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Alyeska Pipeline Service Company
Alaska Native Program Scholarship Awards
Student Information Release Form (SIRF)
2010 – 2011 Academic Year
Alyeska Pipeline Service Company (APSC) has provided scholarship funds through CH2M HILL to Student Name ______________,
Student SS#________________ that made your individual scholarship award. A condition of receipt of this scholarship requires that you
complete this “Student Information Form” and submit a current resume.
VECO Alaska, Inc. must monitor the progress of students beyond the period in which you receive the scholarship funds. This release
form will enable the organization/institution to provide information on your progress as a student, including any degrees or certifications
you receive, resume, and other information as needed. You agree to furnish a current resume annually to the awarding organization for
submission to ALYESKA in ALYESKA’S required electronic format. This resume will be furnished to ALYESKA, by the Awarding
Organization awarding you this scholarship.
I, (Students Name) _______________________________, consent that CH2M HILL identified above may release information to
ALYESKA regarding my progress as a student, now and beyond the period of my scholarship award. This information may include, but
is not limited to: major, year of completion, GPA, school, degree/certification received, and resume. I understand that release of this
information is a condition for receipt of scholarship funds. I also understand that if my GPA falls below 2.0 (C), I will no longer be eligible
for scholarship funds.
I also understand that I can only receive a maximum of $5,000 of ALYESKA PIPELINE SERVICE COMPANY scholarship funding per
award cycle, which can include multiple organizations providing ALYESKA Scholarship Funds. Failure to abide by this requirement will
jeopardize future scholarship funding.
_______________________________________
________________________________
Signed
Date
_______________________________________
________________________________
Printed name
Regional/Village Affiliation
_______________________________________
________________________________
School Name
Phone while in School
_______________________________________
________________________________
School Address
E-mail Address
_______________________________________
________________________________
Home Address
Home phone
_______________________________________
________________________________
Name of Education Program
Name of Educational Program
CH2M HILL – 2010-2011 Scholarship Application
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