Rules of eligibility are:1. Be a female junior college transfer student from a local junior college.2. Apply to an accredited engineering school.3. Submit proof of acceptance in an accredited school for the Fall of 2017.4. 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 2017-2018 school year.

Scholarship ChairSOCIETY OF WOMEN ENGINEERS P.O. Box 1941Martinez, CA 94553

Sincerely,

Diane Beck Scholarship Committee Mt. Diablo SWE Section

The Mt. Diablo Section of the Society of Women Engineers is pleased to announce our 2017 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.

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 2017. For questions, please contact me at dianebeck@sbcglobal.net or at (925) 372-8782.

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 4, 2017. Mail all materials to:

SCHOLARSHIP APPLICATIONJUNIOR COLLEGE WOMEN ENTERING ENGINEERING

PERSONAL DATAName Nickname Home Phone

Home Address City State Zip Code

Email Address

Mother's Name

Father's Name

Name of Guardian if other than Parent

Address of Parent or Guardian City State Zip Code

EDUCATIONHigh School Location Year of Graduation

MajorList colleges to which you have applied for admission. (A copy of a letter of acceptance from an accredited engineering school must be submitted).

Check here if you have

been accepted

CHECKLIST FOR APPLICANT

___ ___ ______

A. Pages 1, 2, & 3 of the application?B. A copy of your high school and college transcripts?C. A copy of your SAT Student Score Report Summary?D. A copy of a letter of acceptance from an accredited engineering school? (one letter is sufficient)

Make sure you include in one envelope and mailed by April 4th:

Page 1 of 3

College or University Location

Name (Please Print):____________________

List school and community activities (other than jobs)Grades 11, 12,

13, 14 Hours

per weekWeeks per year Activity

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 Dates of employment Hrs/Wk

Page 2 of 3

SUPPLEMENTARY INFORMATION (Please use space provided--no additional sheets.)List any special honors you have won, either in or out of school

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