2013-2014 FLORIDA ENGINEERING SOCIETY HIGH SCHOOL GRADUATE SCHOLARSHIP APPLICATION

The Florida Engineering Society (FES) will grant (6) $2,500 scholarships (one-time lump sum distribution) to graduating high school seniors who have a genuine interest in engineering and might need financial assistance. Many local chapters of the FES also issue scholarships. Please read the instructions carefully and fulfill all of the requirements. Should you have questions that your parent, guidance counselor, or principal cannot answer, please refer them to your local FES chapter representative using the information included in this package. Douglas Davis at dd@fletchermgmt.com or his assistant, Trisha Barket, 904-285-6921 or tab@fletchermgmt.com To access the appliction, go to: www.fleng.org/scholarships.cfm and click on High School Scholarship Application. ELIGIBILITY REQUIREMENTS Be a high school senior. Have been enrolled in one semester and will graduate from a FL school. Be a citizen of the United States at the time of application. Have at least a 3.5 grade point average based on a 4.0 scale. Attain a minimum test score on the Scholastic Aptitude Test (SAT), or the American College Testing Program (ACT). The minimum scores, listed on page two are used as a minimum threshold level, with actual test scores being weighted into the scoring process. Enroll in an engineering program accredited by the Engineering Accreditation Commission of the Accreditation Board for Engineering and Technology (ABET). Certified transcript must be included with the application. Official IB, AICE & AP test score sheet must be included with the application. Complete Certification Sheet tab within excel application file. NOTES TO THE APPLICANT 1. The initial judging will be made by the local FES Chapter Scholarship Committee on the basis of each candidates high school record. Those selected will compete on the state level. 2. The courses you have taken and the credits earned for the 10th through first semester 12th grades will be used to help evaluate your application. All courses except physical education and drivers education will be considered. You will be awarded supplemental credit for math, computer, natural science, and mechanical drawing courses, as well as honors, advanced placement, IB, and collegelevel courses. For purposes of this application, college-level courses are defined as those offered by university, college, or junior college for which special high school or college credit is earned by the applicant. You will be disqualified if a certified copy of your transcript is not submitted with the application. All courses must be recorded by the applicant on Form B. 3. Scholarships are paid directly the college financial aid office. All scholarships are contingent upon your enrollment in an engineering program. The engineering program in which you enroll must be accredited by the national Engineering Accreditation Commission of the Accreditation Board for Engineering and Technology (ABET). 4. All applicants must intend to earn a degree in engineering and to enter the practice of engineering after graduation. 5. The announcement of all scholarship recipients will be made by May 2014. 6. Keep a copy of your completed application for future reference. 7. All applications must be submitted on a FLASH/JUMP DRIVE. Please make sure that applications are submitted in Excel. PLEASE DO NOT CONVERT TO PDF. (Note: Flash/jump drives will NOT be returned) 8. All applicants must provide copies of their ACT/SAT/AP/IB/AICE test scores as they are not always shown on your transcript. RETURN APPLICATION Application submittal deadline is FEBRUARY 14, 2014. Return the completed electronic application to:

Douglas Davis c/o Fletcher Management Company 1548 The Greens Way, Suite 4 Jacksonville Beach, Florida 32250
* Please note: Scholarship funds awarded through the FES/FEF Scholarship program are intended to be used solely to defray some of the costs associated with the pursuit of an engineering education/degree. For the FES/FEF Scholarship to be considered non-taxable to the recipient, the scholarship must be used to purchase tuition, fees, books, supplies, or equipment for your college courses.

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP

2013-2014 FLORIDA ENGINEERING SOCIETY HIGH SCHOOL GRADUATE SCHOLARSHIP APPLICATION

APPLICANTS CERTIFICATION AND PERMISSION TO RELEASE INFORMATION (Electronic Submittal) This sheet must be printed, completed by the applicant and school official, and submitted with application pkg.

- I hereby certify that all information submitted in this application is true and accurate to the best of my knowledge. I understand that submitting non-factual information will automatically disqualify me from any consideration for a scholarship. By submitting this application, I authorize my high school principal or counselor to make available to the Florida Engineering Society information concerning my academic records. - I hereby grant permission to allow the Florida Engineering Society to release my name and likeness when informing the public of this scholarship program . - I hereby grant permission to allow the Florida Engineering Society to release information contained herein to other potential sources of scholarship assistance for engineering studies.

Applicants Signature __________________________ Date _______________

Parent's or Guardian's Signature __________________________ Date _______________

COUNSELORS OR PRINCIPALS CERTIFICATION I hereby certify that the academic information provided to the applicant is correct, that to the best of my knowledge, applications have been submitted by the candidate to the schools listed below, and that the applicant meets all eligibility requirements as outlined herein. In addition, I have provided a certified transcript showing 10th through the end of the first semester of 12th grade for scoring. Schools the applicant has applied to:

Counselor or Principal Signature _________________________ Date ___________ Printed Name __________________________ High School ________________________ School Address ________________________________________________________ City ____________________ State _____ Zip ______ Phone Number ____________

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP

2013-2014 FLORIDA ENGINEERING SOCIETY HIGH SCHOOL GRADUATE SCHOLARSHIP APPLICATION

PLEASE COMPLETE THE FOLLOWING:
LAST NAME:>>>>>>>>>> FIRST NAME:>>>>>>>>>> F.E.S. CHAPTER>>>>>>>>>> HOME STREET ADDRESS:>>>>>>>>>> CITY:>>>>>>>>>> STATE:>>>>>>>>>> ZIP:>>>>>>>>>> COUNTY:>>>>>>>>>> EMAIL ADDRESS: >>>>>>>>>> PHONE NUMBER:>>>>>>>>>> DATE OF BIRTH:>>>>>>>>>> ALTERNATE CONTACT NAME AND RELATIONSHIP: >>>>>>>>>> ALTERNATE CONTACT ADDRESS: >>>>>>>>>> ALTERNATE CONTACT PHONE:>>>>>>>>>> ALTERNATE CONTACT EMAIL: >>>>>>>>>> SCHOOL WHERE CURRENTLY ENROLLED: >>>>>>>>>> DID YOU PARTICIPATE IN MATHCOUNTS (Y or N) If so, in what year(s)?>>>>>>>>>> COLLEGE FINANCIAL AID OFFICE FUNDS ARE TO BE MAILED TO. ADDRESS:>>>>>>>>>> CITY/STATE/ZIP:>>>>>>>>>> US Citizen (Y or N)>>>>>>>>>> RESIDENT OF THE STATE OF FLORIDA? (Y or N)>>>>>>>>>> PARENT A MEMBER OF FES? (Y or N)>>>>>>>>> If so, please provide Parent's NAME>>>>>>>>> & FES Number >>>>>>>>>>

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP

2013-2014 FLORIDA ENGINEERING SOCIETY HIGH SCHOOL GRADUATE SCHOLARSHIP APPLICATION

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COLLEGES APPLIED TO:

You must have applied to at least one University or College with an accredited engineering program. The applicant will be disqualified if application has not been made to the appropriate college or university. List below those colleges and universities to which you have applied and the date you applied:

TEST SCORES
Each applicant must meet both of the minimum requirements for one of the following tests. Below, post your highest individual test scores from your transcript or other enclosed documentation. SAT Math Your scores Minimum score to qualify. 600 500 500 26 21 SAT Reading SAT Writing ACT Math ACT English

HIGH SCHOOL TRANSCRIPT

Obtain a certified copy of your high school transcript with your courses which should include the 10th, 11th & first semester of the 12th grade indicated and include it with your application. Ensure that your SAT or ACT scores are included on the transcript, or attach a copy of the official test result report. Have your Guidance Counselor include a description of the curriculum, grading system used and your CLASS RANKING, and indicate on the transcript those courses completed for the first semester of the 12th grade. Also clearly indicate on the transcript all courses that are included in the high school Honors or Advanced Placement programs; any courses completed from a college or university curriculum for which high school credit is earned; and any credits earned from a special industry program. This information will be used to award supplemental credit to the applicant. ALL COURSES MUST BE RECORDED BY THE APPLICANT ON FORM B. GPA (UNWEIGHTED - on a scale of 0-4) = Class Ranking as provided on certified transcript at the completion of your first semester of 12th grade or a signed letter from your Guidance Counselor or Principal on proper letterhead. =

out of

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP

2013-2014 FLORIDA ENGINEERING SOCIETY HIGH SCHOOL GRADUATE SCHOLARSHIP APPLICATION

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ACTIVITIES - PART ONE

(Sections A, B and C)
Section A Technical Activities Sponsored by High School Chemathon Chemistry Team Computer Club JETS Junior Academy of Science Science Fairs Mu Alpha Theta Math Club/Math Team Physics Olympics Science Club Science Symposium OTHERS YOU'D LIKE TO HAVE CONSIDERED School Year 10 11 12 Major Office Held and Year Hours per Year and Significant Contribution

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Section B Non-Technical Activities Sponsored by High School Asian Club Athletic Team or Manager Band Beta Club Cheerleader Debate Team Drill Team Junior Classical League Key Club Language Club School Year 10 11 12 Major Office Held and Year Hours per Year and Significant Contribution

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP - ACTIVITIES

Literary Guild NHS Orchestra Pep Squad Political Clubs Rotary Club Student Council or Student Government Newspaper Yearbook OTHERS YOU'D LIKE TO HAVE CONSIDERED

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Section C Involvement in Outside Academic Activities where Special Recognition or Honors were Received National Science Fair Westinghouse Science Talent Search National Merit Semi-Finalist OTHERS YOU'D LIKE TO HAVE CONSIDERED School Year 10 11 12 Description of What You Did to Earn Recognition

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP - ACTIVITIES

2013-2014 FLORIDA ENGINEERING SOCIETY HIGH SCHOOL GRADUATE SCHOLARSHIP APPLICATION

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ACTIVITIES - PART TWO

(Sections A, B and C)
Section A Paid Employment While Attending High School School Year 10 11 12 Average Hours per Week Number of Weeks Working During Each School Year

Section B Summer Activities (Paid Employment or Involvement in a Major Project) Boy Scouts or Girl Scouts Church or Community Choir Future Farmers of America Governor's School Junior Achievement University-Sponsored Program (no school credit) OTHERS YOU'D LIKE TO HAVE CONSIDERED

School Year 10 11 12

Average Hours per Week

Number of Weeks Working During Each Summer

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP - ACTIVITIES

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Section C Organized Volunteer, Community or Other Activities not Sponsored by High School Boy Scouts or Girl Scouts 4H Club Music Candy Striper Big Brothers/Big Sisters Drug Rehabilitation Counselor Sunday School Teacher Unpaid Camp Counselor Voluntary Tutoring OTHERS YOU'D LIKE TO HAVE CONSIDERED School Year 10 11 12 Avg. Hours per Week and Length of Involvement in weeks Significant Contributions

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP - ACTIVITIES

FLORIDA ENGINEERING SOCIETY - FORM B APPLICANT NAME:___________________________________________________

2013-2014 FLORIDA ENGINEERING SOCIETY HIGH SCHOOL GRADUATE SCHOLARSHIP APPLICATION

Columns in red are intended to be completed by the applicant. Please do not alter math formulas in the spreadsheet. 9th grade classes are not to be included.
Grade Earned Honors / AP Pre-IB / IB / AICE AP>3 / IB>5 / college>B

Science, Math, Computer, and Mech. Drawing Courses

Year Taken only list 10th, 11th, 12th grade courses and courses taken at a college Geometry Algebra Trigonometry Computer Studies Computer Studies II Biology Physics I - 1st semester Physics I - 2nd semester Physics II - 1st semester Physics II - 2nd semester Physics III - 1st semester Chemistry I - 1st semester Chemistry I - 2nd semester Chemistry II - 1st semester Chemistry II - 2nd semester Pre-Calculus Calculus I - 1st semester Calculus I - 2nd semester Calculus II - 1st semester Calculus II - 2nd semester Calculus III - 1st semester Differential Equations Matrix Theory Statistics Course Name

Add Additional Classes as Necessary Courses should be listed by semester

Grade Earned

AP courses: score > 3 on exam; record 1 pt. record 1 point per per semester IB semester for all courses: score > 5 on exam; record 1 pt. per Honors, AP, Pre-IB, semester college IB, AICE or college courses: grade in class was > B; record 1 courses point per semester

Totals Science, Math, Computer, & Mech.Drawing

A TRANSCRIPT OR OTHER OFFICIAL DOCUMENT CERTIFYING THE GRADES AND COURSES TAKEN MUST BE INCLUDED WITH APPLICATION ALONG WITH OFFICIAL SCORES FOR AP, PRE-IB AND IB TESTS.

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP GRADE WORKSHEET - FORM B

FLORIDA ENGINEERING GRADING SHEET - FORM B

2013-2014 FLORIDA ENGINEERING SOCIETY HIGH SCHOOL GRADUATE SCHOLARSHIP APPLICATION

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APPLICANT NAME _____________________________________________

Other Than Science, Math, Computer, and Mech. Drawing Courses

Year Taken only list 10th, 11th, 12th grade courses and courses taken at a college Course Name

Columns in red are intended to be completed by the applicant. Please do not alter math formulas in the spreadsheet. 9th grade classes are not to be included.
Grade Earned Honors / AP Pre-IB / IB / AICE AP>3 / IB>5 / college>B*

Add Additional Classes as Necessary should be listed by semester

Courses

Grade Earned

record 0.5 point AP courses: score > 3 on exam; record .5 pt. per semester for per semester IB all Honors, AP, courses: score > 5 on exam; record .5 pt. per college Pre-IB, IB, AICE semester courses: grade in class was > B; record .5 or college point per semester courses

Listing of All Other Courses (except PE and Driver's Ed)

English - 10th grade, 1st semester English - 10th grade, 2nd semester English - 11th grade, 1st semester English - 11th grade, 2nd semester English - 12th grade, 1st semester US History - 1st semester US History - 2nd semester World History - 1st semester World History - 2nd semester Foreign Language - 10th grade, 1st semester Foreign Language - 10th grade, 2nd semester Foreign Language - 11th grade, 1st semester Foreign Language - 11th grade, 2nd semester Foreign Language - 12th grade, 1st semester Economics US Government

Totals All Other Courses (except PE, Driver's Education)

A TRANSCRIPT OR OTHER OFFICIAL DOCUMENT CERTIFYING THE GRADES AND COURSES TAKEN MUST BE INCLUDED WITH APPLICATION ALONG WITH OFFICIAL SCORES FOR AP, PRE-IB AND IB TESTS.

FLORIDA ENGINEERING HIGH SCHOOL SCHOLARSHIP GRADE WORKSHEET - FORM B