Please note that the following application cannot be saved. Therefore, we encourage you to print this page out, compile the information requested, and then paste your responses into the form for submission. All fields must be completed including the personal statement in order to successfully submit your application. Remember to check spelling and grammar before submitting. If you have any questions, please contact the SHPE Foundation.

Select Scholarship
A. Personal And Background Information
* firstmilast
Student Permanent Home Address
* city statezip
* (select state first)
  Click here for help finding your congressional district.
Student Mailing Address at University (if different from above)
city statezip
* Race/Ethnicity
 
  --  
Residency
Family Education Background
*
*
B. Academic Information
High School Students
* Select University
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Undergraduate Students
* Select University
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Select University
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Graduate Students
* Select University
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C. Financial Information
(enter 0 if none)
For the 2014-2015 academic year please list any other scholarships/fellowships you are applying for:
2013 Total Family Income
(i.e. 5000, no dollar signs or decimals)
(i.e. 5000)
(i.e. 5000)
(i.e. 5000)
(i.e. 5000)
If your annual income for 2014 will change significantly, please explain
D. SHPE Background
*
 
* E. Personal Statement
Please provide a succinct (maximum 500 words) personal statement that addresses each of the following elements:
  1. Community involvement
  2. Leadership
  3. Academic achievement(s)
  4. Research/scholarship/co-op experience(s)
  5. Short-term and long-term goal(s) and aspiration(s).
Include any additional information you feel the scholarship review committee should take into consideration: