Scholarship Application

I would like to be considered for the Technology Scholarship presented by the Denver Biz Tech Expo. Permission has been given by my high school to release transcripts of my academic record and other requested information for consideration for the scholarship. I confirm that I have read through the criteria and meet the requirements.

This application is my own work or formally cited from other sources. I affirm that the information contained herein is true and accurate to the best of my knowledge and belief.

Full Name*

FirstLast

Address*

Street AddressAddress Line 2CityState / Province / RegionZIP / Postal CodeCountry

Phone*

Email*

YOU

1. In 50 words or less, please describe yourself.*

2. In 50 words or less, why do you want to pursue a degree in technology?*

3. In 50 words or less, describe an influential experience.*

YOUR SCHOOLING

1. What school do you attend?*

2. What is your graduation date?*

3. Do you plan on going to a two year or four year institution?*

4. What is the name of the institution(s) you are considering?*

5. What degree to you plan to pursue?*

6. List all awards, honors accomplishments if any that you have received during your high school years:*

YOUR PROGRAMS AND ACTIVITIES

1. List any programs and activities in which you have participated in during your high school years (clubs, publications, dramatics, art, student government)*

2. List any public service and/or community service activities you have participated in your high school years*

YOUR WORK

1. List your work experience during your high school years in descending order.*

Additional Information

1. What additional information, not already addressed, do you wish to share with the Scholarship Review Committee?*

APPLICATION SIGNATURE

I certify that all of the information in this application is accurate and complete. I understand that if I am selected for this award, I may be asked to provide proof of the information stated on this form. I understand that if this information is not provided, or if the information is different than presented in this application, the award may be rescinded. If the I am selected to receive this award, I agree that my name, award amount, and information provided about future plans may be used in announcements or articles (ex. graduation, newspaper) issued by the Denver Biz Tech Expo, and/or my school. I understand that I may be asked to submit a transcript after the 2014-2015 academic year is completed. In addition, by signing this form, I hereby authorize the college/university I will be attending in the fall of 2015 to release enrollment and transcript information to the Denver Biz Tech Expo for confirmation.

Name

This field is for validation purposes and should be left unchanged.

YOU

YOUR SCHOOLING

YOUR PROGRAMS AND ACTIVITIES

YOUR WORK

Additional Information

APPLICATION SIGNATURE

Denver Biz Tech Expo

OUR ADDRESS

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