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ECE Scholarship Application Form

This form is to be used by current UMaine ECE students to apply for scholarship funds. If you will be a first year student next Fall, please use the First Year Student Application Form. If you are interested in applying for a Microelectronics Scholarship Consortium scholarship, you should NOT use this form. Please see the Microelectronics Scholarship Consortium page.

Personal information

Last name
First name and middle initial
Today's date (mm/dd/yyyy)
   
  Current (local) address
Street
City
State
Zip
Day phone
Student ID #
Birth Date (mm/dd/yyyy)
Email address

High school from which you graduated

Name

State of Residency

Place of birth

References (professors, advisor, department chair, etc.)

Name Department Email

Academic Honors (since entering UMaine - please include scholarships)

Service to the profession, (e.g. student organizations - include any offices held)

Most recent employment (summers and during school)

Date Job began (mm/dd/yyyy) Date Job Ended (mm/dd/yyyy)

Job Description/Employer

Scholastic Record

Semester GPA's

Fall

Spring

  Cumulative GPA
First year   Major
Sophomore   Advisor
Junior      
Senior      
           

What is (are) your particular area(s) of interest?

microelectronics
instrumentation
computer engineering
communications
sensors
intelligent systems
power/industrial controls
other

Please indicate the scholarship(s) to which you want to apply. From the main ECE Scholarship page, note the current status of the scholarships to which you might apply, and also note that many scholarships have restrictions. You must refer to the fund descriptions (click on the links below) to ensure you are applying for scholarships for which you are eligible. Please do not mark scholarships if you are not eligible for them.

ECE Gift Fund

Sheppard Fund

Turner Fund

Libbey Fund

Brown Fund

Holmes Fund

Other Scholarships