NTRI Technical Scholarship Application
Name:
Last ________________________
First __________________
MI _______
Phone: (
) _______________________
Social Security Number ____________________
Address: __________________________________________________________
City: ______________________
State: ____________ Zip: ______________
Intended
Program:
_________________________ Part-time ___ Full-time ___
Educational Background of Student
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Name of School
Attended/Attending
(in chronological order)
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Type of School
(Primary,
Secondary, etc)
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Date Joined
(DD/MM/YYYY)
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Date Left
(DD/MM/YYYY)
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Credits Earned
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Please list any extracurricular activities you were involved in:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
Please list your employment history including the dates of employment and
approximately how many hours you work(ed) per week:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
What are your career plans following graduation from AVIT?:
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
In a brief narrative, please explain how and why this scholarship would be
beneficial to you in reaching your educational goals.
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
________________________________________________________________________________________
I certify that all information contained in
this application is correct and complete to the best of my knowledge. I
understand that withholding and/or giving false information on this
application may make me ineligible for the scholarship.
Signature
_____________________________ Date:
_____________________________
Please return Application
directly and two reference letters (non-related persons) submitted on your
behalf to:
Network Technology Resources
One Kiski Avenue
Leechburg, PA 15656
Attention: Scholarship
Review Board
Note: Your reference letters must
be received before your application for a scholarship can be considered.
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