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UB ENGINEERING ALUMNI ASSOCIATION

2009 SCHOLARSHIP APPLICATION

"LEADERS IN EXCELLENCE"

Name:

 

Local Address:

 

Local Telephone:

 

E-Mail Address:

 

Expected Degree and Department:

 

Expected Graduation Date:

 

GPA:

 

Engineering GPA:

 

List and describe your involvement in the following:

1. Engineering Organizations:

 

 

 

2. Other Campus Organizations:

 

 

 

3. Community and Religious Organizations:

 

 

 

4. Part-time Work and Internships:

 

 

 

Additional Comments (250 Word Limit)

 

 

 

 

 

 

 

YOU MUST ATTACH A RESUME TO BE CONSIDERED FOR THIS SCHOLARSHIP

Completed scholarship applications may be e-mailed to Mike Dray by Saturday, January 31, 2009 at michael_dray@praxair.com