Criteria: Eligible students must be a declared ASET major who is a Maine resident. Recipients may be incoming students with promise of being able to achieve the requisite grade point average of continuing students, or continuing students having at least a 3.0 GPA and demonstrated financial need (must have applied for financial aid).

Please note all information that is required must be provided to qualify for a scholarship. Once you have completed the application, select SUBMIT.

Application deadline is the last Friday of February.

Name Telephone

Address City

State Zip

Major Applied Medical Science Applied Technical Education Applied Technical Leadership Computer Science Engineering Electrical Engineering Mechanical Engineering Environmental Science Environmental Policy and Planning Environmental Safety and Health Industrial Technology Technical Education Other (please describe) (select major) If you selected other

Concentration Computer Engineering Construction Management Industrial Management Information and Communications Technology Precision Manufacturing (select concentration if applicable)

Class standing Freshman (0-30 credits) Sophmore (31 - 61 credits) Junior (61 to 90) credits Senior (90+ credits) Graduate (select class standing)

Expected graduation date December May August (select month) 2006 2007 2008 2009 2010 2011 2012 2013 2014 2015 (year)

Total credits earned to date

Total USM credits earned to date

Grade Point Average (i.e. 3.21)

I have applied for financial aid. Yes No

This scholarship requires an essay of 500 words or less describing describing goals and needs.
Note: You can prepare the essay using wordprocessing software and then copy (text only) and paste the document into the space provided.

(Type or copy essay here.)

Your written permission is required to publicly recognize you as a recipient of a scholarship award. Please indicate if you grant permission for USM to publish your name should you be awarded this scholarship.

Yes No

The Office of the Dean will confirm by email receipt of your application. If you do not receive a comfirmation within 3 working days, contact the Office of the Dean at 207-780-5142 or larsenault@usm.maine.edu.

Email address

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