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2025 Scholarship Application
*
First name
*
Last name
*
Home Telephone Number
*
School Telephone Number
*
Student’s Home Address
*
City
*
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
*
Zip Code
*
Student’s Campus Address
*
City
*
State
AK
AL
AR
AS
AZ
CA
CO
CT
DC
DE
FL
FM
GA
GU
HI
IA
ID
IL
IN
KS
KY
LA
MA
MD
ME
MH
MI
MN
MO
MP
MS
MT
NC
ND
NE
NH
NJ
NM
NV
NY
OH
OK
OR
PA
PR
PW
RI
SC
SD
TN
TX
UT
VA
VI
VT
WA
WI
WV
WY
*
Zip Code
Spouse’s Name
*
Occupation
*
Mother’s Name
*
Occupation
*
Father’s Name
*
Occupation
Education
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High School
*
Location
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Year Graduated H.S.
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Technical School, College or University
*
Location
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Major Subject
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Year Graduated
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College or University Now Attending
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Location
*
Major Subject
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Cumulative Grade Point Average
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No. of Terms to Complete Degree
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Anticipated Month & Year of Graduation
Work Experience
*
Type of Work
*
Employer
*
Dates of Employment
Activities
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In what extra curricular and other activities have you participated?
Professional Goals
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What is your particular interest in the field covered by ASHRAE?
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To what extent have you participated in activities related to fields covered by ASHRAE?
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Submit any additional information that you might consider helpful. Why should we award this scholarship to you? Justify financial need.
References
*
1. Professor or Faculty Advisor
(Please have references submit Evaluation Form)
*
Address
*
2. Business Person or Former Employer
*
Address
*
3. Other
*
Address
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