1. education
2. school

The Mt. Diablo Section of the Society of Women Engineers is pleased to announce our 2015 Scholarship
Program. We will award scholarships of $1000 each, based on merit. Please bring this opportunity to the
attention of your eligible students, and your math and science teachers.
Rules of eligibility are:
1. Be a female in her senior year of a local high school.
2. Apply to an accredited engineering school.
3. Submit proof of acceptance in an accredited school for the Fall of 2015.
4. Declare an engineering major. Double majors are not eligible for this scholarship
if one is outside an engineering discipline.
5. Use this one-time scholarship during the 2015-2016 school year.
Application forms with instructions are enclosed. You may reproduce additional copies at your school. The
application is also available on our website at http://mtdiablo.swe.org/scholarship.html. THE
APPLICATION FORM AND SUPPORTIVE MATERIALS MUST BE IN ONE ENVELOPE AND MUST BE
POSTMARKED ON OR BEFORE APRIL 15, 2015. Mail all materials to:
Scholarship Chair
SOCIETY OF WOMEN ENGINEERS
P.O. Box 1941
Martinez, CA 94553
Applications will be judged by a committee of at least three engineers, not connected with an engineering
school, from our local chapter. Recipients will be notified by the end of May 2015. For questions, please
contact me at dianebeck@sbcglobal.net or at (925) 372-8782.
Sincerely,
Diane Beck Scholarship Committee
Mt. Diablo SWE Section
SCHOLARSHIP APPLICATION
HIGH SCHOOL WOMEN ENTERING ENGINEERING
PERSONAL DATA
Name
Nickname
Home Phone
Home Address
City
State
Zip Code
City
State
Zip Code
Email Address
Mother's Name
Father's Name
Name of Guardian if other than Parent
Address of Parent or Guardian
EDUCATION
High School
Location
List colleges to which you have applied for admission. (A copy of a letter of
acceptance from an accredited engineering school must be submitted).
Year of Graduation
Major
Check here if you have
been accepted
CHECKLIST FOR APPLICANT
Make sure you include in one envelope and mailed by April 15th:
___
___
___
___
A.
B.
C.
D.
Pages 1, 2, & 3 of the application?
A copy of your school transcript (including 12th grade)?
A copy of your SAT Student Score Report Summary?
A copy of a letter of acceptance from an accredited engineering school? (one letter is sufficient)
Page 1 of 3
Name (Please Print):____________________
SUPPLEMENTARY INFORMATION (Please use space provided--no additional sheets.)
List any special honors you have won, either in or out of school
List school and community activities (other than jobs)
Grades 9, 10,
Activity
11, 12
Hours
per week
Weeks
per year
Position(s) held
Special honors, etc.
List full-time, part-time, summer, or volunteer jobs held since entering high school.
Employer
Description of your job
Page 2 of 3
Dates of employment
Hrs/Wk
Name (Please Print):____________________
ESSAY
Write an essay in the space provided below (typewritten, no additional sheets) on why you want to become an
engineer. Include how you became interested in engineering and which branch of engineering you are
considering.
CERTIFICATION
I certify that all of the information furnished on this form is true, complete, and correct to the best of my
knowledge. I understand that such information is confidential and subject to verification by the
SWE - Mt. Diablo Scholarship Committee.
Signature:_____________________________________________________ Date:_______________________
Page 3 of 3