EPOC 2008 Scholarship Fund Application

Home	Environmental Professionals' Organization of Connecticut Environmental Scholarship Fund Online Application - 2008

EPOC recognizes its duty to assist in the education of individuals planning a career in the environmental industry. Consequently, the EPOC Environmental Scholarship Fund was established in 1998 to assist Connecticut residents who are attending a college or university (CT colleges or out of state colleges) and have declared majors pertinent to the environmental field. The scholarships are awarded annually to junior, senior, and graduate level students (full or part time) enrolled in accepted programs of study (see below) preparing the student to become a Technical Environmental Professional* in the State of Connecticut as defined by the CT DEP, or a professional in a related service discipline who may render technical assistance to the Technical Environmental Professional.

*As defined by the CT DEP, a Technical Environmental Professional (TEP) is anyone, including a Licensed Environmental Professional, who collects soil, water, vapor, or air samples in order to investigate and remediate pollution to the state's soil or water, and who may be directly employed or retained as a consultant by a public or private employer.

See our Scholarship Fund page for more information.

Accepted Programs of Study
Environmental Science Environmental Studies Geology Biology Chemistry Hydrogeology Hydrology Earth Science Natural Resource Management	Ecology Soil Sciences Water Resources Toxicology Wetland Science Engineering: Civil, Environmental, Chemical, Mechanical, Agricultural Other Related Degreed Environmental Programs

Application Instructions

EPOC accepts applications for our scholarship awards throughout the year. Our committee reviews applications in June/July and awards are given in September annually. Although you can apply for this scholarship online, we do require you to submit your transcripts by mail to: EPOC Scholarship Committee, P.O. Box 176, Amston, CT 06231-0176. If you prefer, you can mail the entire application. Also, please note that while financial need may be taken into consideration, the scholarship will not be awarded solely on a financial need basis.

Section 1. This section asks for information about your residence. (The fund supports Connecticut full-time residents attending college.)
Section 2. This section requests information about your declared major concentration of study. (The fund supports disciplines within the environmental industry. Please see list above.)
Section 3. This section requests a 400-500 word essay. (We are interested in how you logically assemble your thoughts and ideas.)
Section 4. This section is for recommendations from your instructors. (We want to know how your teachers perceive your chances for success in this industry.) Please list two (2) instructors and provide a letter of reference from one of the instructors to be submitted to EPOC under separate cover or confidential E-mail/fax.

Please complete each field on this form and click "Submit Form" at end of form. Use "Tab" key to move between fields and "Enter" when inside text boxes. Please take your time and enter information carefully. If you want to print this application, use landscape orientation for best results.

For questions/problems using this form, please call Seth Molofsky at (860) 537-0337, or E-mail: sjm@epoc.org. For further information about the scholarship fund, please contact John Figurelli at (860) 513-1473, E-mail: figurelj@wseinc.com.

Section 1 - Personal Information

Full Name:
E-mail:
Permanent Street Address:
City, State, Zip:
Work Phone: xxx-xxx-xxxx
Home Phone: xxx-xxx-xxxx
School Name:
School Phone: xxx-xxx-xxxx
Student Street Address:
Student City, State, Zip:
Declared Major:
GPA:	(Note: Must submit copies of transcripts)
Entering:
Select One:	Full Time Student, Part Time Student
Percent You Contribute to Your Education (approx.):
How do you earn this amount?
Elected Offices Held:
Extracurricular Activities:
Awards Received:
Scholarships Awarded to Date:
Any other information we should know about you?
Section 2 - Major Concentrations of Study
Please list courses completed toward your major concentration:

Freshman/Sophomore Year:

Junior Year (actual or scheduled courses):

Senior Year (actual or scheduled courses):

Graduate Studies (actual or scheduled courses):

Section 3 - Essay of 400-500 Words

Explain the reason(s) you chose your major, what you expect from a career in this field of study, and why this scholarship is important to you. Be specific and direct.

NOTE: The essay may be submitted in any of the following ways:

"Paste" or type into text box below
E-mail document to EPOC: sjm@epoc.org
Fax to (860) 537-6268
Send by mail to EPOC Scholarship Committee, PO Box 176, Amston, CT 06231-0176.

Section 4 - Instructor References

Please indicate contact information for two instructor references. Please also provide a letter of reference from one of the below listed instructors to EPOC under separate cover or confidential E-mail/fax.

Instructor #1:
Name:
School:
Phone:
E-mail:

Instructor #2:
Name:
School:
Phone:
E-mail:

AUTHORIZATION:

I authorize EPOC Scholarship Committee to verify all answers given on this scholarship application request:

(MUST TYPE "YES")

DATE (mm/dd/yr):

If we need to contact you after May (during the summer), please provide mailing address, phone and e-mail:

COMMENTS/REMARKS:

How did you learn about the EPOC Scholarship Program?

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