Name of Applicant (First Middle Last)
AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareWashington DCFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming
Name of Secondary or High School
Year of Graduation
Year of Birth
Employee of Member Firm
I certify that the information in this application is complete and accurate to the best of my knowledge and belief.
Signature of Applicant
I approve the submission of this application.
Signature of Parent or Guardian
Signature of High School Guidance Counselor
After application is received and acknowledged, this page will be placed in a sealed envelope and will not be opened until after selection of scholarship recipients has been made. The Committee and the Board of Directors will have no knowledge of this information during the selection process.
High School (name and address)
If you graduated before this year, briefly describe what you’ve been doing since high school:
Kindly ask your Guidance Counselor to attach a copy of your transcript to this application, as this is a requirement for applying. Be certain that the guidance counselor signs the transcript.
Name and address of school you intend to enroll in for the next academic year:
Have you been accepted?
How long is the course of study?
When do you expect to finish?
Briefly describe your planned course of study(The UCAC Foundations Scholarship is limited to students of studies related to engineering, building, construction management and related trades):
What are your plans for the summer?
What are your career plans after completing your education?(Remember that the UCAC Foundations Scholarship was set up to specifically support the building trades and related industries.)
What course of study have you followed in high school?
Class Standing (____ of ____):
Have you taken the College Board Examinations?
If yes, please list subjects and scores:
What honors, awards, prizes or distinctions have you received?
What activities in school, other than sports, have you participated in? Also please list any offices that you have held.
Describe any other group activities in the community in which you have participated and list offices held in organizations.
List and describe your hobbies and interests.
If you want to share, describe any extraordinary responsibilities you have at home.
What work experience have you had?
Submit an essay of 500 words or less describing why you feel you are deserving of this award.Please note that the UCAC Scholarship Committee will be paying particular attention to your plans and interests related to the building trades, engineering, construction project management and other pursuits that advance the building and construction industries.
The Utility Contractors Association of Connecticut is an active, collegial group of professionals engaged in utility work and the industries that support it. We welcome prospective members at events throughout the year.
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