AFCEA Gold Vault Chapter 2018 Lift Off Scholarship. Criteria for Eligibility:

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AFCEA Gold Vault Chapter 2018 Lift Off Scholarship Criteria for Eligibility The Armed Forces Communications Electronics Association (AFCEA) Ft Knox Gold Vault Chapter will award one or more $1,000 scholarships in 2018 to High School students planning to major in a Science, Technology, Engineering, or Mathematics (STEM) discipline. Criteria for Eligibility: To qualify, applicants must: Be a U.S. citizen Be a High School Senior attending school in: Kentucky: Bullitt, Hardin, Henry, LaRue, Oldham, Nelson, Meade, Shelby, Spencer, Trimble, or Jefferson County. Indiana: Clark, Floyd, Harrison, Scott, Washington, or Jefferson County. Have a minimum, cumulative GPA of 3.0 Plan to major in a course of study that will lead to a Bachelors degree in one of the Science, Technology, Engineering, or Mathematics (STEM) disciplines. Qualifying academic majors include, but are not limited to: Electrical, Mechanical, Chemical, Aerospace or Systems Engineering Computer Science, Information Security, Management of Information Systems, Technology Management Electronics Mathematics or Math Education, Physics or Science Education Medical Sciences Scholarship Application Rules and Requirements: 1) Submission Deadline: Scholarship application packages must be received no sooner than March 1, 2018 and no later than March 31, 2018. 2) Required Documentation: Completed AFCEA Gold Vault Chapter Application Form. Incomplete, late or illegible applications will not be considered for scholarship award. Submission of a typed form using the fill in fields is encouraged. Applicant s Personal Statement (see page 5) Official Transcript from High School showing cumulative GPA of 3.0 or higher Two or more completed AFCEA Gold Vault Chapter Lift Off Scholarship Recommendation Forms quantifying student demonstration of leadership and STEM 1

related scholastic achievement. Forms may be from a variety of sources including teachers, faculty coaches, supervisors, and leaders of organizations the student participates in (including religious organizations). At least 1 form must be from a STEM teacher who has taught the applicant quantifying STEM related scholastic achievement. Recommendation forms are available at https://ftknox.afceachapters.org/?q=scholarships. Recommendation forms may be sent separately from the rest of the application. Copy of ACT. ACT scores that are part of a high school transcript are acceptable provided they include the composite score. The highest composite score is used. 3) Submission Options: By Mail: AFCEA Lift Off Scholarship Ft. Knox Gold Vault Chapter P. O. Box 2044 Ft. Knox, KY 40121 By Email: scholarships@ftknox.afceachapter.org 4) Verification of Receipt: A confirmation email will be sent to all applicants by April 15, 2018 acknowledging AFCEA Gold Vault Chapter s receipt of their package. 5) Selection Process: A Scholarship Committee, comprised of 3-7 AFCEA Directors, Officers or Members, will evaluate and rank all applications received. The final score will be comprised of GPA, ACT, Letter of Recommendation, cumulative awards identified in application, and the quality of the Applicant s Personal Statement. No relatives of applicants will be allowed to serve on the Scholarship Selection Committee. 6) Notification: Applicants will be notified of final Selection results by May 15, 2018. 7) Payment: Scholarship funds will be paid directly to the Scholarship Winner in the form of a check drawn on the AFCEA Ft Knox Gold Vault Chapter Education Fund account. Funds must be used for STEM education purposes only, but may include books, computers, tuition, etc. Awards may be presented at an Academic Awards ceremony at the student s school or a Gold Vault General Meeting 8) Further Information: Direct questions to scholarships@ftknox.afceachapter.org. 2

Full Name Home Mailing Address Telephone E-mail Citizenship High School School Mailing Address Year of Graduation Name of the College you plan to attend:: Projected Major in college: AFCEA Gold Vault Chapter 2018 Lift Off Scholarship Application Form Applicant Information Academic Status for 2017/2018 Academic Year (Check One) FRESHMAN SOPHOMORE JUNIOR SENIOR Projected Major Academic Honors And Awards Award Description Presented By Year 3

Community Service Honors And Awards Award/Recognition Presented by Year Extra-Curricular Activities Organization Office Held From (Mo/Yr) To (Mo/Yr) Work Experience: List your work experience, whether part-time, vacation, or other during the past three years. (Use additional sheet if required.) From (Mo/Yr) To (Mo/Yr) Name of Business Your Job Hrs/Wk Other demonstrations of leadership, innovation or community service: 4

Applicant s Personal Statement In 200-250 words, discuss the factors and influences that led you to consider an academic major in the hard sciences or engineering disciplines and your reasons for pursuing a career in your chosen field. 5

Recommendations Included with Application Check and Complete One This is a complete application that includes all supporting documents and recommendations. This is an application that includes all supporting documents except recommendations sent separately from the application. Recommendations sent separately from the application must be received by March 31, 2018. Recommendation forms are available at https://ftknox.afceachapters.org/?q=scholarships. I affirm that all information provided in this application is true to the best of my knowledge. Signature of Applicant: Date: Signature of Parent: Date: If you have completed this form using the Adobe PDF fill in fields, it is not necessary to print, sign, and scan the entire document to submit via e-mail. It is acceptable and encouraged to sign and scan this page. Please proofread any saved PDF files before sending them as some programs do not save the information correctly resulting in a blank form. Attach both the filled in form and the signed and scanned signature page to the same e-mail, along with an electronic or scanned copy of the High school transcript plus recommendations and all other supporting documentation. Send the application with supporting documentation attached to one e-mail to scholarships@ftknox.afceachapter.org. The email will serve as an electronic record associating the scanned signature with the electronically filled application and associated supporting documentation. It is also acceptable to electronically sign this application with a digital signature if you have that capability. If you have difficulty printing or scanning the PDF, please send a signed paper copy of the application and supporting documents to AFCEA Lift Off Scholarship, PO Box 2044, Ft. Knox, KY 40121. ### End of Application ### 6