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April 2015
NEWSLETTER
NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS
FLORIDA ENGINEERING SOCIETY—PINELLAS CHAPTER
The purpose of the Florida Engineering
Society shall be the advancement of the
public welfare and the promotion of the
professional, educational, social, and
economic interests of the engineering
profession; to stimulate and develop
professional concepts among all
engineers; and to strive throughout the
profession to make registration more
meaningful in terms of individual
achievement in engineering as reflected
by education and practice.
FES Pinellas Chapter April Membership Meeting
DATE: THURSDAY, APRIL 9, 2015 (See Attached)
Program: Florida Wildlife Corridor Expedition
Presented By: Mallory Likes Dimmitt
Executive Director of the Florida Wildlife Corridor
Location: Pinellas County’s General Maintenance Division South
Training Room
6730 142nd Avenue North, Largo
Time:
11:30 A.M.: Registration and begin lunch (Sandwiches & Drinks)
12:00 P.M.—1:00 P.M.: Presentation
Cost:
$15 Professional Members and Guests
Please make your checks payable to FES Pinellas Chapter,
Credit Cards Accepted. Registration collected at the door.
R.S.V.P:
Please send your RSVP to: Jonathan Gotwald (727) 822.4317 or
E-mail: gotwald@georgefyoung.com
Please RSVP — EARLY REGISTRATION is necessary to order appropriate
food and drinks. ~ Thank you.
APRIL 2015 SPECIAL FES CHAPTER MEETING
HOSTED BY THE FES TAMPA CHAPTER
DATE: TUESDAY, APRIL 14, 2015 (See Attached)
Program: Gateway Express Project, FDOT District 7
Presented By: Richard Moss, PE
FDOT D7 Design Engineer
Location: Clarion Hotel and Conference Center
2701 E. Fowler Avenue
Tampa, FL 33612
Time:
11:30 A.M.: Registration (Please check in at the PINELLAS Chapter
Table)
12:00 P.M.—1:00 P.M.: Lunch and Presentation
Cost:
$35 Professional Members, Guests and Students
R.S.V.P:
RSVP online and choose Pay at the Door
Please make your checks payable to FES Pinellas Chapter.
Please send your RSVP to: Jonathan Gotwald (727) 822.4317 or
E-mail: gotwald@georgefyoung.com, AS WELL AS using the online
registration by noon, Friday, April 10th. Please RSVP as walk-ins cannot be guaranteed a seat. Early on-line registration is greatly appreciated!
INSIDE THIS ISSUE :
President’s Message
3
FES Golf Tournament
4
Meet Pinellas FES Chapter ; FES Pinellas Chapter Membership
5
Pinellas Chapter K-12 Committee
6
FES News Pinellas Chapter News
7
FES News from Tallahassee
April 2015
NEWSLETTER
NATIONAL SOCIETY OF PROFESSIONAL ENGINEERS
FLORIDA ENGINEERING SOCIETY—PINELLAS CHAPTER
The purpose of the Florida Engineering
Society shall be the advancement of the
public welfare and the promotion of the
professional, educational, social, and
economic interests of the engineering
profession; to stimulate and develop
professional concepts among all
engineers; and to strive throughout the
profession to make registration more
meaningful in terms of individual
achievement in engineering as reflected
by education and practice.
8 - 11
Mark Your Calendar
12
Job Announcements
13
Chapter Officers and Committee Chairs
14
President’s Message — F. Fred Dargahi, P.E., C.B.I.
Dear FES Pinellas Chapter Members and Friends,
I hope everybody is enjoying this pleasant spring weather. John Wayne called this weather
“FALLSPRING” in the movie Shooter.
Last month, we had the state wide middle school MATHCOUNTS competition on March 19th
and 20th in Walt Disney, Orlando. Over 200 students participated in both individual and school
group categories. Myself and Chapter Vice President / MATHCOUNTS coordinator Jon Gotwald, PE, were there as the representatives for the Pinellas Chapter.
This month, we have two (2) Luncheon Meeting’s scheduled. On April 9th, the Program is Florida Wildlife Corridor Expedition. Executive Director Mallory Lykes Dimmitt, will give a presentation at the Pinellas County General Maintenance Division South in Largo. On April 13, we have
scheduled a joint meeting with ASCE, ASHE, FES Tampa, and FES Pinellas. The Program is
Gateway Express Project. Richard Moss, PE (FDOT, D7 Engineer) is the guest speaker. The
meeting will take place at the Clarion Hotel on Fowler Avenue in Tampa.
Remember to sign your team up for our Annual Spring Golf Tournament scheduled for Friday,
April 27th, at Eagles Golf Club (Odessa). The course is in great shape and will hopefully feature
nice weather for the day. This Golf Tournament is our main fundraiser to help pay for scholarship for local high school seniors that will be studying engineering in college. We have varying
levels of sponsorship’s for this fund raiser event. We need sponsors and volunteers that make
these events such a hit. Company items for goody bags and donations for prizes are greatly
appreciated.
Looking forward to see you at the above events and at the Pinellas Chapter Board Meeting on
April 17, at 7:30 AM at Village Inn on Gulf to Bay in Clearwater.
Sincerely,
~ F. Fred Dargahi, P.E. ~ President FES Pinellas Chapter
A P R I L 20 1 5 NE W S L E T T E R
Page 3
26th Annual Pinellas Chapter FES Golf Tournament
FRIDAY, APRIL 24, 2015
The Eagles Golf Club
16101 Nine Eagles Drive
Odessa, FL 33556
12:00 P.M. : REGISTRATION
1:00 P.M.: START TIME
Regular Registration Deadline: April 22, 2015
Fee is $340 for foursome, $85 per player.
Includes: Golf, Dinner, and Prizes.
See attached brochure for more information.
A P R I L 20 1 5 NE W S L E T T E R
Page 4
MEET FES PINELLAS CHAPTER:
WE NEED YOU!!!!
Would you like to be featured in “Meet FES Pinellas Chapter”? If so, please e-mail FES Pinellas Chapter
Secretary, Michelle Giuliani at mgiuliani@cityofsafetyharbor.com.
We welcome all FES Pinellas Chapter Members, current or retired, to participate!
FES PINELLAS CHAPTER MEMBERSHIP
The FES Pinellas Chapter welcomes new members! If you know or work with someone who would like to
join FES Pinellas Chapter, please sponsor them! Attached is a Membership Application.
Contact Chuck Warrington or Jane Roberts for more information.
Chuck Warrington, PE
FES Pinellas Membership Development Director
400 North Myrtle Avenue
Clearwater, FL 33755
Phone: 727-562-4901
Fax: 727-562-4902
E-Mail: chuck.warrington@clearwatergas.com
Jane Roberts
Member Services Representative
Florida Engineering Society
Florida Institute of Consulting Engineers
PO Box 750
Tallahassee, FL 32302
Phone: 850-224-7121
Fax: 850-222-4349
E-Mail: jroberts@fleng.org
A P R I L 20 1 5 NE W S L E T T E R
Page 5
FES PINELLAS CHAPTER NEWS
PINELLAS CHAPTER K-12 COMMITTEE
The FES Pinellas K-12 Committee is providing our support to the latest addition to
Pinellas County Schools Magnet Program at Azalea Middle School. The 2014-15
school year is the first year of the Middle Grades Engineering Gateway to Technology
program and has already shown signs of success with 159 students.
The Azalea Middle School Breakfast for Women Engineers (Sponsored by the FES)
on Thursday March 19, 2015 had an extraordinary turnout of women, nearly 30, in
STEM fields, representing Pinellas County, City of Clearwater, City of Largo, Raytheon, GE Systems, and
many more local companies. The Pinellas Chapter FES was well represented and a THANK YOU goes
out to: Tara Kivett, PE, Alex Hebert, EI, Nan Bennett, PE, Kimberly Tracy, PE, and Kathleen Ruvarek,
PE. Thank you for representing the FES! Since the event, there have been 14 confirmed new
applicants and many more requesting the applications and more information. All of the young women
attending from Azalea MS received the book titled Code Name Verity by Elizabeth Wein, which is a story
relevant to the STEM topic.
“Nan Bennett, PE, Kim Tracy, PE
and Alex Hebert, EI - sharing with
Azalea Middle School Students”
A P R I L 20 1 5 NE W S L E T T E R
Page 6
FES PINELLAS CHAPTER NEWS
HIGH SCHOOL ENGINEERING INTERNSHIPS – Pinellas County Schools is looking for
opportunities to place High School students in the Engineering and Pre-Engineering
programs throughout the County in Summer Internships. The PCSB is looking for host
companies or organizations that are willing to have our future Engineers work as interns for
the summer months and possibly during the school year. Marti Giancola with the school
district is coordinating this effort and anyone interested can contact Marti at
GIANCOLAM@pcsb.org or Jon Gotwald at gotwald@georgefyoung.com.
ENGINEERING SCHOLARSHIP OPPORTUNITIES
FES UNIVERSITY SCHOLARSHIP APPLICATION DEADLINES
EXTENDED TO APRIL 12, 2015. SEE ATTACHED APPLICATION.
FES offers several scholarship programs for students interested in pursuing
careers in engineering. Volunteers are needed to assist with the chapter and state
selection processes.
For more information, please visit: http://www.fleng.org/scholarships.cfm
A PR I L 20 1 5 N E W S L E T T E R
Page 7
FES NEWS FROM TALLAHASSEE
FES/FICE NEWS
2015 FES MEMBERSHIP RENEWAL UNDERWAY
Renew today and keep YOUR professional society strong. The 2014-2015 FES
Membership renewal statement is available for your review at
http://www.fleng.org/customers.cfm.
Invoices were mailed at the end of August and payments were due on October 1.
Please contact Amanda (ahudson@fleng.org), Janice (janice@fleng.org), or
Jane(jroberts@fleng.org) for assistance or call 850-224-7121.
FLORIDA ENGINEERING SOCIETY ANNUAL DIRECTORY & GUIDE
NOW AVAILABLE:
GO TO:
http://www.fleng.org
ATTENTION FES MEMBERS
The Florida Board of Professional Engineers is seeking nominations for the following
Board seats:
1.
Mechanical
2.
Electrical
3.
Non-Engineer (Public Lay Seat)
The FES Nominating Committee is seeking recommendations and interest from
members. If you are interested or would like more information, please contact
Charlie Geer, PE, F.ACEC (FBPE/FEMC Liaison) at charlie.geer@greyling.com.
The Florida Board of Professional Engineers is established under the Engineering
Registration Law, Chapter 471, Florida Statutes and is comprised of 11 members,
nine of whom are licensed professional engineers representing multiple disciplines
and two laypersons who are not and never have been engineers or members of any
closely related profession or occupation. All members are appointed by the
Governor for terms of four years each. The FBPE meets six times a year in
designated locations around the state. http://www.fbpe.org/about-fbpe
A P R I L 20 1 5 NE W S L E T T E R
Page 8
FES NEWS FROM TALLAHASSEE (CONTINUED)
Award for Chapter Excellence (ACE Award) Deadline, April 30, 2015
The ACE Award competition emphasizes individual chapter activities. The ACE Award is presented to the
winning chapters at the Annual Summer Conference & Exposition in August. The emphasis on individual
activities should allow for even competition between all chapters — small, medium or large.
ACE Award Application - MS Word
ACE Award Application - PDF
2015 FES Practice Section Awards
Applications are available at www.fleng.org under each respective Practice Section.
Florida Professional Engineers in Industry (FPEI)
Submittal Deadline is April 17, 2015 to FES Headquarters
- FPEI Engineer of the Year
The FPEI Engineer of the Year Award recognizes the nominated engineer who has made the most
outstanding contribution to the advancement of engineers in industry.
Florida Professional Engineers in Government (FPEG)
Submittal Deadline has been extended to April 30, 2015 to FES Headquarters
- 2015 FPEG Fellowship Award
Application available at: http://www.fleng.org/FPEG/FPEGawards.cfm
Submittal Deadline has been extended to April 30, 2015 to FES Headquarters
- FPEG Government Engineer of the Year
- FPEG Professional Development Award
Florida Engineers in Construction (FECON)
Submittal Deadline is April 17, 2015 to FES Headquarters
FECON Scholarship Award

Submittal Deadline has been extended to April 30, 2015 to FES Headquarters

An applicant must:
Be currently enrolled or accepted into a Florida university engineering program.
Be in or entering his/her junior or senior year.
Have at least a 3.0 average on a 4.0 scale.
Be recommended by an engineering faculty member.
Be interested in pursuing a career in the field of construction.
Further questions, please contact Kelly Jones at kelly@fleng.org or 850.224.7121
A P R I L 20 1 5 NE W S L E T T E R
Page 9
FES NEWS FROM TALLAHASSEE (CONTINUED)
2015 K-12 Awards
CHAPTERS — IT IS TIME TO NOMINATE - Deadline May 15, 2015.
The Florida Engineering Society K-12 Committee is pleased to present two awards designed to
acknowledge individuals who endeavor to introduce engineering to K-12 students.
 K-12 Engineer Volunteer of the Year- recognizes the FES member who has volunteered his or her time
to introduce engineering and technology concepts and activities to K-12 students.
 K-12 Teacher of the Year for Engineering - recognizes a K-12 teacher who creatively incorporates or
promotes engineering and technology concepts and activities in his or her lessons in the classroom.
Each of these awards includes a monetary prize to be presented to the teacher, school, volunteer, and
chapter. Nomination forms are available on the FES K-12 website. Please review the nomination forms and
make your nominations before May 15. The nominations will be reviewed by the K-12 Committee, and the
winning engineer and teacher will be presented with their awards at the FES/FICE 99th Annual Summer
Conference, July 29-August 1 at the Marriott Harbor Beach, Ft. Lauderdale.
Geotechnical and Materials Engineers Council
2015 Conference
April 9-10, 2015
Hilton Cocoa Beach Oceanfront
For more information, visit: https://www.fleng.org/seminars.cfm?event_id=662
2015 Transportation Conference
May 6-7, 2015
Wyndham Orlando Resort International
For more information, visit: https://www.fleng.org/seminars.cfm?event_id=665
Save the Dates
FES/FICE 99th Annual Summer Conference & Exposition
July 29-August 1, 2015
Marriott Harbor Beach Resort & Spa
Fort Lauderdale — Room Rate $159 plus 11% tax per night Special Concessions
Reservations Cutoff Date: July 10, 2015 — Complimentary fitness center, 10% discount on
hotel restaurants. Parking: 30% discount on self parking.
FES Upcoming Seminars
For more information please go to: http://www.fleng.org/seminars.cfm
A P R I L 20 1 5 NE W S L E T T E R
Page 10
FES NEWS FROM TALLAHASSEE (CONTINUED)
Calendar of Events
APRIL
9
GMEC Conference, Hilton Cocoa Beach
https://www.fleng.org/seminars.cfm?event_id=662
15—16
FICE / FDOT Mutual Gains, D2, Lake City
http://www.fleng.org/seminars.cfm?event_id=653
23 - 25
FELI Class of 2015, Session IV, Hyatt Jacksonville Riverfront
MAY
6 - 7
2015 FICE Transportation Conference, Wyndham Orlando
Resort International
http://www.fleng.org/seminars.cfm?event_id=665
A P R I L 20 1 5 NE W S L E T T E R
Page 11
Florida Engineering Society
Pinellas Chapter
Mark Your Calendar
http://www.pinellasfes.org/
April 2015
April 9 :
FES Membership and Guest
Lunch Meeting at Pinellas County’s General
Maintenance Division South — Training Room
April 14:
Special FES Chapter Meeting Hosted by the FES
Tampa Chapter. Lunch Meeting at Clarion Hotel
and Conference Center, Tampa.
April 17:
7:30 A.M. FES Board Member Meeting
Village Inn - Gulf to Bay, Clearwater
For additional information
about these events
contact the chapter
officers or FES Headquarters
at
850-224-7121
A P R I L 20 1 5 NE W S L E T T E R
Page 12
JOB ANNOUNCEMENTS
NONE AT THIS TIME
A P R I L 20 1 5 NE W S L E T T E R
Page 13
Chapter Officers and Committee Chairs (2015)
PRESIDENT
Fred Dargahi, PE
SECRETARY
Michelle C. Giuliani, E.I.
Annual Meeting
David O’Connor
(727) 431-1543
Awards
Kevin Becotte
(727) 464-5377
City of St. Petersburg
City of Safety Harbor
Charter & Bylaws
David O’Connor
(727) 464-5377
(727) 892-5379
(727) 724-1555, Ext. 1706
Communications
Rick Bowers
fred.dargahi@stpete.org
mgiuliani@cityofsafetyharbor.com
Conservation & Enviro. Quality R. Drew Hollis
(727) 530-7600
PRESIDENT ELECT
Brad Foran, PE
PAST PRESIDENT
Mahshid Arasteh, PE
Construct Environment
Vacant
Energy
Brian Langille
(727) 562-4911
Lighthouse Engineering
American Quality Consultants
Ethical Practice
Kevin Becotte
(727) 464-5377
(727) 726-7856
(727) 543-1458
E-Week Banquet
Fred Dargahi
(813) 758-0052
bforan@lighthouseenginc.com
americanquality
Golf Tournament
Fred Dargahi
(813) 758-0052
K-12 Education
Jon Gotwald
(727) 822-4317
consultants@gmail.com
VICE PRESIDENT
Jonathan Gotwald, PE
STATE DIRECTOR
David O’Connor, PE
Leadership Adv.
Legislative & Government
Vacant
George F. Young, Inc.
Cardno TBE
Affairs
Mahshid Arasteh
(727) 822-4317
(727) 431-1543
Membership Development
Chuck Warrington (727) 562-4901
gotwald@georgefyoung.com
david.oconnor@cardno.com
MathCounts
Jon Gotwald
Professional Concerns
R. Drew Hollis
(727) 530-7600
TREASURER
Brian Langille, PE
FES STATE
PO Box 750
Professional Development
Bob Pierro
(727) 789-9500
(727) 365-3616
Tallahassee, FL 32302-0750
Scholarship
Student Professional
Brad Foran
Clearwater Gas System
(727) 562-4911
1255 Gadson St.
Development
Vacant
brian.langille@clearwatergas.com
Tallahassee, FL 32301
Transportation Supersession
Fred Dargahi
(813) 758-0052
(850) 224-7121
FPEG
Kevin Becotte
(727) 464-5377
FECON
Michael Gibson
(410) 872-2250
FEE
Vacant
FPEI
Rich Fraze
FPER
Don Henderson
FICE
Vacant
FES@fleng.org
A P R I L 20 1 5 NE W S L E T T E R
(727) 543-1458
(727) 822-4317
Page 14
FES Pinellas Chapter April Membership Meeting
DATE: THURSDAY, APRIL 09, 2015
Program:
Florida Wildlife Corridor Expedition
Presented By:
Mallory Lykes Dimmitt
Executive Director of the Florida Wildlife Corridor
Location:
Pinellas County’s General Maintenance Division South
Training Room
6730 142nd Ave North, Largo
Time:
11:30 A.M.: Registration and begin lunch (Sandwiches and Drinks)
12:00 P.M. - 1:00 P.M.: Presentation
Cost:
$15 Professional Members and Guests
Please make your checks payable to FES Pinellas Chapter,
Credit Cards Accepted. Registration collected at the door.
R.S.V.P:
Please send your RSVP to: Jonathan Gotwald (727) 822.4317 or
E-mail: gotwald@georgefyoung.com
Please RSVP — EARLY REGISTRATION is necessary to order appropriate
food and drinks.
April 2015 Special FES Chapter Meeting
Hosted by the FES Tampa Chapter
FES Tampa Chapter, FES Pinellas
Chapter, ASHE and ASCE April Joint
Meeting Notice
Date:
April 14, 2015
Program: Gateway Express Project, FDOT District 7
In partnership with ASHE & ASCE, the Tampa Chapter FES Luncheon hosts the
Gateway Express Project w/ Richard Moss, PE as he presents on the Gateway Express
Project connecting I-275 to US-19 and SR 686 in Pinellas County. Please join us for the
opportunity to network and hear our District Design Engineer present on this high profile
project!
Speaker:
Richard Moss, PE
FDOT D7 Design Engineer (or his designated alternate)
Location: Clarion Hotel and Conference Center
2701 E. Fowler Ave.
Tampa, FL 33612
Time:
11:30 AM: Registration (Make sure to check in at the PINELLAS Chapter Table)
12:00 noon: Lunch and Presentation
Cost:
$35 Professional Members, Guests and Students
(Please make checks payable to FES Pinellas Chapter.)
R.S.V.P. Please send your RSVP to Jon Gotwald at 727-822-4317 or
gotwald@georgefyoung.com AS WELL AS using the Online RSVP Registration below and
choose Pay at the Door by noon, Friday, April 10th. Please R.S.V.P. as walk-ups cannot be
guaranteed a seat. Early on-line registration is greatly appreciated!!!!
******************************************************************************
In partnership with FES Pinellas, ASHE & ASCE, our April Luncheon hosts Richard Moss, PE
(or his Designated Alternate) from FDOT District 7, as he presents on the Gateway Express
Project connecting I-275 to SR 686 and US-19. Please join us for the opportunity to network and
hear our District Design Engineer present on this high profile project!
Note: the location and event fee of $35 applicable to this unique luncheon.
CLICK HERE TO RSVP ONLINE!!
Presenter Biography
Mallory Lykes Dimmitt
Executive Director, Florida Wildlife Corridor
Mallory Lykes Dimmitt is a seventh generation Floridian whose childhood was partly spent exploring the
lands and waters of central Florida. She pursued her passion for the outdoors by receiving her B.S. in Natural
Resources from the University of the South in Sewanee, Tennessee. She was awarded a Doris Duke Conservation
Fellowship at Duke University’s Nicholas School of Environment, where she earned a Masters of Environmental
Management (MEM) in Environmental Economics and Policy, as well as a certificate in Non-profit Management.
Mallory specializes in large landscape conservation and the nexus of agriculture and conservation, freshwater
issues, and payments for ecosystem services. She is a currently a member of Class IX of the Wedgworth
Leadership Institute for Agriculture and Natural Resources.
Mallory is the Executive Director of the Florida Wildlife Corridor, and recently lead the 2015 Florida
Wildlife Corridor Expedition to bring visibility to the Corridor vision and the public-private partnerships
to conserve working lands. Previously she led The Nature Conservancy's Colorado Plateau Initiative from
Telluride, Colorado, assessing large-scale conservation opportunities in a four-state region of the West, and prior
to that directed the Southwest Colorado Project for the Conservancy's Colorado Chapter. Mallory has served as a
member of Telluride’s Town Council and has worked with local, regional, state, and federal agencies and
organizations on natural resource issues. Some of Mallory’s other projects include research in Sri Lanka for the
International Water Management Institute and strategic planning and organizational development with Legacy
Institute for Nature & Culture (LINC).
Florida Wildlife Corridor
The Florida Wildlife Corridor is a conservation advocacy organization focused on connecting, protecting and
restoring corridors of conserved lands and waters essential for the survival of Florida’s diverse wildlife. The
organization showcases the need to protect the missing links in the Corridor, preserve Florida’s waters, and
sustain working lands and rural economies from the Everglades to Georgia and Alabama. A dedicated statewide
Corridor will benefit wildlife, watersheds and people for generations to come.
The Florida Wildlife Corridor aims to protect and restore connected landscapes throughout the Florida
Peninsula and Panhandle to create a viable corridor from the Everglades to Georgia and west to Alabama. The
corridor addresses the fragmentation of natural landscapes and watersheds from the Everglades ecosystem north.
Contributing to the fragmentation problem is the disconnect between the perceptions of Floridians, and the real
need to keep natural systems connected. The Florida Wildlife Corridor is positioned to mend the perception gap
through an education and awareness campaign that demonstrates the connection between the landscapes and
watersheds. If we show Floridians the panthers, bears, native cultures, ranchlands and rivers—and how they are
all connected—then they can help us make the Florida Wildlife Corridor a reality.
The centerpiece of this strategy is the Florida Wildlife Corridor Expedition. The first expedition launched
January 17, 2012, and traversed the Everglades ecosystem into Big Cypress, over to the Everglades Agricultural
Area, back to the Okaloacoochee Slough, across the Caloosahatchee, over to Babcock Ranch, back along
Fisheating Creek toward Lake Okeechobee, up the Kissimmee River with excursions toward the Lake Wales
Ridge, up the Kissimmee Chain of Lakes, east around Orlando into Ocala National Forest, and north along the
O2O corridor (Ocala to Osceola) to Okefenokee National Wildlife Refuge. The trek covered over 1,000 miles in
100 days.
The vision for the second Florida Wildlife Corridor Expedition is to connect natural lands and waters
throughout the northwest region of Florida, from the Green Swamp to the panhandle. Despite extensive
fragmentation of the landscape in recent decades, a statewide network of connected natural areas is still possible
Take a
Friday
afternoon
off ...
26th Annual
Pinellas Chapter
FES Golf
Tournament
16101 Nine Eagles Dr., Odessa, FL 33556
From Tampa Airport
... to treat yourself, your
client or reward your vendor
to a great day of golf at one
of the most professionally
manicured and enjoyable
courses in the state.
Proceeds will go to the
Pinellas Education Fund for
educational programs and
scholarships for students
in the Bay Area. Prizes will
be awarded to first through
third place.
•
•
Follow the exit airport signs to SR 60 West/Clearwater.
Take SR 60 west for approximately ¼ mile and take
Veteran's Expressway North to the Linebaugh Avenue.
DO NOT GO OVER THE BRIDGE.
• Exit (first exit after the toll booth) and follow Linebaugh
Avenue West to Countryway.
• Turn right on Countryway and follow Countryway to Racetrack Road; cross over Racetrack Road at the traffic light.
• Countryway turns into Nine Eagles Drive at this point.
Follow Nine Eagles Drive through the front gate to the golf
course.
From South Pinellas Area
• Go north on Rte. 611, McMullen Booth Rd. and follow it to
Rte. 580, Main Street. Take 580 east to Forest Lakes Road
and turn left.
• Follow Forest Lakes Road over Tampa Road/Hillsborough
Ave. to the Race Track Road intersection.
• Turn left on Race Track Road and follow to Nine Eagles/
Countryway intersection. Turn left on Nine Eagles Drive.
• Follow Nine Eagles Drive until it dead ends at the Front
gate.
From New Port Richey Area
• Take US 19 south to Rte. 582, Tarpon Avenue and turn left
going east. Rte. 582 Tarpon Avenue changes names to
Keystone Road and then to Tarpon Springs-Lake Fern.
• Continue on Rte. 582 crossing over Rte. 611 East Lake
Road.
•
Follow Rte. 582 until you see Patterson Road. Be careful,
Patterson is a small two lane road on your right side. Turn
right on Patterson.
• Follow Patterson for approx. 3 miles and The Eagles back
entrance will be on your right hand side.
Regular Registration
Deadline
April 22, 2015
The Eagles Golf Club
Friday, April 24, 2015
12:00 p.m. Registration
1:00 p.m. Start
Benefiting Our Scholarship
Fund and Youth Activities
Tournament Information
Dress:
Where:
The Eagles Golf Club
When:
Friday, April 24, 2 015
Cost:
$85 per player
Includes:
Golf cart, green fees, buffet
dinner, and two drink tokens
(soft drinks or beer)
Only tennis or golf shoes with soft spikes will be
permitted on the course. Men's shirts must have
collars and sleeves. Slacks or Bermuda length
shorts are acceptable, but no jeans. Woman's halter
tops or bare midriffs are not permitted.
Schedule:
12:00 pm
Registration Begins
1:00 pm
Shotgun Start
5:30 pm
Buffet / Awards / Raffle
The tournament will be a shotgun start with
four member teams competing against other
teams according to the standard
"Scramble" format.
Mulligans can be purchased
prior to the tournament (5 max
per person). USGA rules will
apply, except for course rules,
which will be distributed the day
of the tournament. Mulligans
can be played, with a limit of
two on each of nine holes, per
golfer, and can be purchased at
the time of registration. Please try to complete
a foursome. Individuals and teams of less than
four will be paired prior to registration to create
as many foursomes as possible.
Prizes:
Prizes will be awarded for first and second place
team finishers; prizes for longest drives (men's and
women's) on designated Par 5 holes, and closest
to the pin on designated Par 3 holes.
26 th Annual FES Pinellas Chapter
Golf Tournament Registration Form
Contact:
E-mail Address:
Company/Agency:
Phone #:
Address:
Cause:
The annual Pinellas Chapter FES Golf Tournament
is the main fund raiser of the year for youth programs
such as MATHCOUNTS, Young Engineers Society ,
and the High School Scholarship program.
Some of the money is obtained
from golf tournament participants,
but the main funds are obtained
through generous sponsors that
want to help educational programs
for kids in the Tampa Bay Area.
Please make a donation by using
the enclosed Sponsorship Form
and we thank you in advance for
your support.
Come join us at the tournament and play one of the
most exciting golf courses in Florida.
If you need additional Tournament Information, a Registration Form, a Sponsorship Form, information about sponsorship levels or
directions to the course, please contact Fred Dargahi at (727) 892-5379 or by e-mail at fred.dargahi@stpete.org.
City:
State:
Zip:
FOURSOME:
Name:
Company:
Name:
Company:
Name:
Company:
Name:
Company:
Make checks payable to Florida Engineering Society and mail to:
Fred Dargahi, P.E.
23233 Cypress Trail Drive
Lutz, FL 33549
813-758-0052
Or send completed form back with credit card information completed
below.
Charge to:
Card #
Name on Card:
Signature:
Visa
MasterCard Amount $
Exp. Date:
26th Annual Florida Engineering Society
Pinellas Chapter
Golf Tournament Sponsorship Form
@ THE EAGLES GOLF CLUB - FRIDAY, April 24, 2015, 1:00 PM SHOTGUN START
The Pinellas Chapter of the Florida Engineering Society, is sponsoring their 4th
FALL ANNUAL GOLF TOURNAMENT. Proceeds from this fund-raising event will be the main financial source
available this year to sponsor the Pinellas Chapter's Education Programs. As always we will be expending an extraordinary
effort to generate sponsorship funds.
These educational programs include: scholarships for college bound high school students, Mathcounts Tournament for the
middle school students and the Young Engineers’ Society (a grade school program introducing engineering into the students’
curriculum). Please consider making your donation by sponsoring one or more of the following:
DONATION
SPONSORSHIP
$400
Registration
$400
Dinner
$250
Beverage Cart
$250
Closest to Pin
$150
Tee
$150
Green
$50
Door Prize
More than $25
Honorable Mention
Contact Name_____________________________
Address:
_____________________________
City _____________State ______Zip_________
Phone No.______________________________
Fax No._________________________________
Longest Drive
$250
Support the young students in the area (the
engineers and scientists of the future) by writing a
check payable to the Florida Engineering Society,
Education Fund and mail to:
Sponsor Name____________________________
E-mail Address____________________________
Pledge Amount $__________________________
Charge to: ___Visa ___MasterCard Amount $________
Card # ______________________ Exp. Date_________
Name on Card _________________________________
Signature _____________________________________
Your contribution may be tax deductible. All sponsors $150 and up will receive an advertising sign or banner placed on the
course targeting participants during the golf tournament and recognition in our monthly newsletter. The Sponsor must
provide a digital image for use on any sign or banner.
Support the young students in the area (the engineers and scientists of the future) by writing a check payable to the Florida
Engineering Society, Education Fund and mail to: Florida Engineering Society
F. Fred Dargahi, P.E., 23233 Cypress Trail Drive, Lutz, Florida 33549
Cell (813) 758-0052
MEMBERSHIP APPLICATION
Please complete all sections and return to: Florida Engineering Society, PO Box 750, Tallahassee, FL 32302-0750 or
fax to 850-222-4349. Contact the Florida Engineering Society (FES) Member Services Department at 850-224-7121 with any questions.
Please use your complete and official job title and firm or agency name. This information will be used in member records and publications.
Please do not abbreviate.
Nickname ___________________
Employer ___________________________________________
Title ________________________________________________
Preferred Mailing Address: ❑ Home ❑ Business Name of Spouse _______________________________________
Date of Birth _________
_________________________________________________
__________________________________________________
_________________________________________________
__________________________________________________
Phone ___________________________________________ Fax _____________________________________________ Home Address
Business Address
Name ______________________________________________
E-mail ___________________________________________ Phone _____________________________________________
Fax _______________________________________________
County ____________________________________________
County ___________________________________________
Registration
State
I am a registered Professional Engineer ❑ Yes _______________
Registration Number Date Registered
____________________________ _____________
I am a certified Engineer Intern ❑ Yes _______________
____________________________ (If registered in state other than Florida, enclose copy of current registration.) _____________
Education
___________________________________________________________________________________________________________
Undergraduate Degree Major University Date Graduated
NSPE Section
Are you a current or former member of NSPE? ❑ Yes
❑ No NSPE Member # _______________________________
NSPE dues paid through (date) ___________________ ❑ Yes ❑ No
Name of State __________________________________
If currently a member of another state society, do you wish to arrange to pay for your future NSPE dues through FES? ❑ Yes ❑ No
Sponsor (Applicants residing in Florida are required to have their application endorsed by a “sponsor” who shall be a member of FES.
If you do not know an FES member, we will gladly assist you upon receipt of your application.)
___________________________________________________________________________________________________________
Sponsor Signature Sponsor Name (please print) Date
New Member Signature
___________________________________________________________________________________________________________
Signature
Date
I certify that the above statements are correct and agree that I will be governed by the Charter and Bylaws and policies of the Society and
will conform to the FES/NSPE Code of Ethics as they currently exist and as they may be amended from time-to-time (the most current
copy of the Code of Ethics is available at www.fleng.org).
QUALIFICATIONS AND DUES INFORMATION
Use the following to calculate your dues OR send in your $20 application fee and let us invoice you.
FES membership includes membership in NSPE, FES, a local chapter, and a state practice section. The FES dues year begins October 1 and
ends September 30. National dues are collected and forwarded to NSPE in compliance with their dues year, which runs from January 1 through
December 31. Dues payments are due on October 1 each year and are prorated for new members on a quarterly basis as follows:
National Dues
October 1–March 31 ........................... Full Year
April 1–September 30 .......................... 1/2 Year
State and Chapter Dues
October 1–December 31 ...................... Full year
January 1–March 31 .............................. 3/4 year
April 1–June 30 ..................................... 1/2 year July 1–September 30 .............................. 1/4 year
1.Application Fee: A $20 application fee must accompany your application.
2.APPLICATION GRADE (Choose One–Includes NSPE and FES dues, unless otherwise noted):
$ 20
❑ A PROFESSIONAL ENGINEER MEMBER shall be a Professional Engineer as defined by the holding of a valid license or certificate of
engineering registration issued under the laws of any state, territory, possession, or district of the United States or Canada. If registered in a state other
than Florida, please enclose a copy of current registration.
NSPE $110 + FES $133 = $243
❑ AN ENGINEER INTERN MEMBER shall be an Engineer Intern, or equivalent holding a valid certificate issued under the laws of any state,
territory, possession, or district of the United States or Canada. Include proof of status with application. NSPE $110 + FES $133 = $243
❑ AN ASSOCIATE MEMBER shall be a graduate engineer qualified to be admitted to examination as an Engineer Intern as defined in Chapter
471.013 of the Florida Statutes but who does not hold a valid certificate as an Engineer Intern-in-Training in any state, territory, possession or
district of the United States or Canada. State ONLY membership. Please include evidence of engineering degree.
FES $133 = $133 ❑ A RESPECT MEMBER (Retired Special Transfer) (a) shall be at least 65 years of age, (b) shall have retired from the active practice of professional
engineering, and (c) shall have been made a Life Member of the National Society of Professional Engineers through his membership in a State
Society other than the Florida Engineering Society.
NSPE $0 + FES $22 = $ 22
❑
A RECENT UNDERGRADUATE MEMBER shall be a graduate of an ABET-accredited undergraduate engineering program
within the last five years.
Year Post Graduation
1
2
3
4
5
NSPE Dues $22
$44
$66
$88
$110
FES Dues
$27
$53
$80
$106
$133
Grade Subtotal (Prorate dues if appropriate)
Total
$49
$97
$146
$194
$243
________
3.CHAPTER DUES (Choose One) For All Grades Except RESPECT (Out-of-state members are not required to pay chapter dues.)
❑ BIG BEND*** (Franklin, Gadsden, Jefferson, Leon, Liberty, Madison, Taylor, and Wakulla Counties) ..................................................................................... $15
❑ BROWARD*** (Broward County) .............................................................................................................................................................................................. $13
❑ CALUSA*** (Charlotte, Collier, Glades, Hendry, and Lee Counties) .......................................................................................................................................... $15
❑ CENTRAL FLORIDA (Lake, Orange, Osceola, Seminole, and Sumter Counties) ...................................................................................................................... $15
❑ DAYTONA BEACH*** (Flagler and Volusia Counties) .............................................................................................................................................................. $15
❑ EMERALD COAST (Okaloosa and Walton Counties) ................................................................................................................................................................ $10
❑ FOREST*** (Citrus, Levy and Marion Counties) ........................................................................................................................................................................ $20
❑ GULF COAST (Bay, Calhoun, Gulf, Holmes, Jackson, Walton, and Washington Counties) ...................................................................................................... $5
❑ INDIAN RIVER*** (Brevard and Indian River Counties) ........................................................................................................................................................... $15
❑ MIAMI*** (Miami-Dade and Monroe Counties) ........................................................................................................................................................................ $20
❑ MYAKKA (DeSoto, Manatee, and Sarasota Counties) ................................................................................................................................................................. $20
❑NATURE COAST (Hernando and Pasco Counties) .................................................................................................................................................................... $20
❑NORTH CENTRAL (Alachua, Dixie, Gilchrist, Hamilton, Lafayette, Putnam, and Suwannee Counties) .................................................................................. $10
❑NORTHEAST FLORIDA*** (Baker, Bradford, Clay, Columbia, Duval, Nassau, St. Johns, and Union Counties) .................................................................... $15
❑ NORTHWEST FLORIDA*** (Escambia and Santa Rosa Counties) .......................................................................................................................................... $10
❑ PALM BEACH (Palm Beach County) ......................................................................................................................................................................................... $20
❑ PINELLAS (Pinellas County) ....................................................................................................................................................................................................... $20
❑ RIDGE*** (Hardee and Polk Counties) ....................................................................................................................................................................................... $12
❑ TAMPA*** (Hillsborough and Pasco Counties) ........................................................................................................................................................................... $12
❑ TREASURE COAST (Highlands, Martin, Okeechobee, and St. Lucie Counties) ........................................................................................................................ $15
❑ RESPECT MEMBERS (Big Bend and Indian River Chapters) ..................................................................................................................................................... $3
❑ ALL OTHER CHAPTERS RESPECT MEMBERS ..................................................................................................................................................................... $2
*** Chapters offer half dues or discounts to retired members
Chapter Dues Subtotal (Prorate dues if appropriate) 4.Practice Section (Please choose the practice section which best describes your field of employment.)
❑PEPP Private Practice ❑FPEG Government ❑FPEI Industry ❑FEE Education ❑FECON Construction ❑FPER Retired
TOTAL DUES [Add (1)
$20
+ (2)____________________ + (3) _______________ + (4)
Application Fee
❑ Total Payment Enclosed or ❑
NSPE+FES Membership Dues
Chapter Dues
$12
________
$ 12
] = _______________
Practice Section Dues
Total
$20 Application Fee Enclosed, Please Send Me A Dues Invoice
Charge to: ❑ VISA ❑ MasterCard ____________________________________________________________ __________________ ____________________________________________________________ __________________
Card Number
Signature
Expiration Date Today’s Date
Send completed form and payment to: Florida Engineering Society
PO Box 750 • Tallahassee, FL 32302-0750 • Phone 850-224-7121 • Fax 850-222-4349
FLORIDA ENGINEERING SOCIETY
UNIVERSITY SCHOLARSHIP
APPLICATION
2014-2015 Academic Year
Please submit your application by APRIL 12, 2015 to ensure consideration for the scholarship. Each applicant is only
required to submit one application in order to be considered for all Foundation scholarships available. If permitted by
the applicant, each application may be passed to other engineering entities for scholarship consideration as well.
To be eligible, a candidate must be entering his or her Sophomore, Junior or Senior year in an ABET accredited Florida
University Engineering Program, have at least a 3.0 grade point average on a 4.0 scale, be recommended by an
engineering faculty member, and be a United States citizen or permanent resident (Green card holder)
Students who meet the eligibility requirements should complete this application and submit by February 13, 2015 to
your local Chapter representative. For contact information of your local chapter representative see the “Chapter
Representatives” link on the FES Scholarship website www.fleng.org/scholarships.cfm.
An official transcript (high school if needed & collegiate) and letter of recommendation from an engineering faculty
member must also be submitted with the application in a separate sealed envelope. Applicants will be sent a
notification letter regarding selection of semi‐finalist candidates. A member or members of the Scholarship Committee
will interview the semi‐finalists. The interview process is part of the application grading.
2014-2015 Florida Engineering Society University
Scholarship Application
Page 1 of 7
Please complete the following:
NAME:
PHONE:
HOME ADDRESS:
CITY
STATE
ZIP
COUNTY
EMAIL ADDRESS:
ALTERNATE CONTACT NAME & RELATIONSHIP:
ALTERNATE CONTACT ADDRESS:
ALTERNATE CONTACT PHONE:
EMAIL:
SCHOOL WHERE CURRENTLY ENROLLED:
CURRENT CLASSIFICATION:
Freshman
Sophomore
Junior
SCHOOL I WILL BE ATTENDING:
FIELD OF STUDY:
GRADE POINT AVERAGE:
CHECK APPROPRIATE BOX(ES):
US Citizen
HAVE YOU INCLUDED THE FOLLOWING IN SEPARATE ENVELOPES?
Official Transcript
US Permanent Resident (Green card holder)
Letter of Recommendation
MAY WE SUBMIT YOUR APPLICATION TO OTHER ENGINEERING ENTITIES FOR SCHOLARSHIP CONSIDERATION AS WELL?
Yes
No

Please note: Scholarship funds awarded through the FES/FEF Scholarship program are intended to be
used solely to defray some of the costs associated with the pursuit of an engineering education/degree.
For the FES/FEF Scholarship to be considered non‐taxable to the recipient, the scholarship must be used
to purchase tuition, fees, books, supplies or equipment for your college courses.
2014-2015 Florida Engineering Society University
Scholarship Application
Page 2 of 7
HONORS
Applicant Name
List special honors and awards, either in or out of school, since entering college.*
Description of Honor or Award
Date Awarded:
Date Awarded:
Date Awarded:
Date Awarded:
Date Awarded:
WORK EXPERIENCE
List any jobs or Engineering Internships you have held since entering college:
Employer:
From(mm/yy)
/ to(mm/yy)
/
Hours/wk (avg for year):
From(mm/yy)
/ to(mm/yy)
/
Hours/wk (avg for year):
From(mm/yy)
/ to(mm/yy)
/
Hours/wk (avg for year):
Duties:
Employer:
Duties:
Employer:
Duties:
ACTIVITIES
List your college and community activities (other than employment) in the order of interest to you. Please indicate
if you are an FES Student Member, or FES Student Chapter officer. List only those activities in which you have
been active since entering college.*
Activity:
Hours per week:
# of Years:
Your most significant contribution:
Activity:
Hours per week:
# of Years:
Your most significant contribution:
Activity:
Hours per week:
# of Years:
Your most significant contribution:
MISCELLEANEOUS
If your parent or legal guardian is an active member of the Florida Engineering Society (FES)
Please include their name and FES member number in the area provided.
Name:
FES Member Number:
* Attach extra sheets if necessary
2014-2015 Florida Engineering Society University
Scholarship Application
Page 3 of 7
COURSE LISTING
Applicant Name
Please list Math and Basic Science Courses ‐ DO NOT ENTER ANY COURSES YOU ARE CURRENTLY ENROLLED IN,
FOR WHICH YOU DO NOT HAVE A FINAL GRADE ON YOUR TRANSCRIPT.
Year
Taken
When
Taken
Course
Name
High School
Junior College
University
Pre‐Calculus Math
High School
Junior College
University
Calculus I
High School
Junior College
University
Calculus II
High School
Junior College
University
Calculus III
High School
Junior College
University
Differential Equations
High School
Junior College
University
Multi‐Variable Calculus
High School
Junior College
University
Vectors and Matrices
High School
Junior College
University
Engineering Math I
High School
Junior College
University
Engineering Math II
High School
Junior College
University
Intro to Engineering Analysis
High School
Junior College
University
Physics I
High School
Junior College
University
Physics I Recitation
Grade
Earned
Course
Type
(select one)
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
2014-2015 Florida Engineering Society University
Scholarship Application
Page 4 of 7
Honors Scores
(Minimum scores
AP ≥3/IB≥5 College
≥B)
COURSE LISTING , continued
Applicant Name
Please list Math and Basic Science Courses ‐ DO NOT ENTER ANY COURSES YOU ARE CURRENTLY ENROLLED IN,
FOR WHICH YOU DO NOT HAVE A FINAL GRADE ON YOUR TRANSCRIPT.
Year
Taken
When
Taken
Course
Name
High School
Junior College
University
Physics II Recitation
High School
Junior College
University
Physics II
High School
Junior College
University
University Physics II
High School
Junior College
University
University Physics III
High School
Junior College
University
Chemistry I
High School
Junior College
University
Chemistry II
High School
Junior College
University
Chemistry Fundamentals I
High School
Junior College
University
Chemistry Fundamentals II
High School
Junior College
University
Chemistry for Engineers
High School
Junior College
University
Principals of Chemistry
High School
Junior College
University
High School
Junior College
University
Analytical Tools in Mechanical
Engineering
Geology for Engineers
Grade
Earned
Course
Type
(select one)
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
2014-2015 Florida Engineering Society University
Scholarship Application
Page 5 of 7
Honors Scores
(Minimum scores
AP ≥3/IB≥5
College ≥B)
COURSE LISTING, continued
Applicant Name
Please list Math and Basic Science Courses (DO NOT ENTER ANY COURSES YOU ARE CURRENTLY ENROLLED IN,
FOR WHICH YOU DO NOT HAVE A FINAL GRADE ON YOUR TRANSCRIPT.)
Year
Taken
When
Taken
High School
Junior College
University
High School
Junior College
University
Course
Name
Physics I ‐ Lab
Physics II ‐ Lab
High School
Junior College
University
University Physics II ‐ Lab
High School
Junior College
University
University Physics III ‐ Lab
High School
Junior College
University
Chemistry I ‐ Lab
High School
Junior College
University
Chemistry II ‐ Lab
High School
Junior College
University
Chemistry for Engineers ‐ Lab
High School
Junior College
University
Principals of Chemistry ‐ Lab
High School
Junior College
University
Organic Chemistry
High School
Junior College
University
High School
Junior College
University
High School
Junior College
University
Grade
Earned
Course
Type
(select one)
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
2014-2015 Florida Engineering Society University
Scholarship Application
Page 6 of 7
Honors Scores
(Minimum scores
AP ≥3/IB≥5
College ≥B)
COURSE LISTING, continued
Applicant Name
Please list Math and Basic Science Courses (DO NOT ENTER ANY COURSES YOU ARE CURRENTLY ENROLLED IN,
FOR WHICH YOU DO NOT HAVE A FINAL GRADE ON YOUR TRANSCRIPT.)
Year
Taken
When
Taken
High School
Junior College
University
High School
Junior College
University
High School
Junior College
University
High School
Junior College
University
High School
Junior College
University
High School
Junior College
University
High School
Junior College
University
High School
Junior College
University
Course
Name
Grade
Earned
Course
Type
(select one)
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors
AP
Pre‐IB
IB
Honors Scores
(Minimum scores
AP ≥3/IB≥5
College ≥B)
APPLICANT’S CERTIFICATION AND PERMISSION TO RELEASE INFORMATION
 I hereby certify that all information submitted on this application is true and accurate to the best
of my knowledge. I understand that submitting non‐factual information will automatically
disqualify me from any consideration for a scholarship.
 I hereby grant permission to allow the Florida Engineering Society to release information
contained herein to other potential sources of scholarship assistance for engineering studies.
Applicant’s Signature
Date
2014-2015 Florida Engineering Society University
Scholarship Application
Page 7 of 7
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