Rocky Mountain Water Environment Association

Tony Campman Education Grand

First Name *

Last Name *

Email *

Name *

Address *

City *

State *

Zip *

Phone (day) *

School or other phone

Email address *

What is your field of study? *

State your current level of study: *

What College or University are you currently attending or plan on attending?

How long have you attended this College or University?

What is your current grade point average?

What are your professional goals and/or aspirations? *

Have you previously received any other grants, scholarships and/or scholastic awards (during the year for which you would be using the Tony Campman Educational Grant)? If so, please describe:

Have you ever been employed in a wastewater or environmentally related position? If so, please list your position, employer, immediate supervisor, and length of employment. Also, please explain the duties of your position.
*

List three (3) scholastic or personal references. Please include addresses, email, and phone numbers. *

Please explain your reasons why you believe that you should be considered as a recipient of the RMWEA Tony Campman Memorial Educational Grant (approx. 200 words in length, use separate sheets, as needed). *

(Word limit: 200)

Essay Question

Please complete a response to the question below.
Response must be 200 to 500 words

Describe your interest in the environment and how this interest influences your career goals.

(Word limit: 500)

BE SURE TO INCLUDE WITH APPLICATION:

ACCEPTANCE LETTER FROM COLLEGE OR UNIVERSITY
A COPY OF YOUR PERSONAL RESUME (IF AVAILABLE), AND AN OFFICIAL HIGH SCHOOL OR COLLEGE TRANSCRIPT;
TWO LETTERS OF RECOMMENDATION FROM FACULTY MEMBERS OR SUPERVISORS WHO ARE FAMILIAR WITH YOUR ACADEMIC OR PROFESSIONAL WORK;
A DESCRIPTION OF ANY HONORS OR AWARDS RECEIVED, EXTRACURRICULAR ACTIVITIES AND HOBBIES;

Letters of reference or transcripts may be submitted on line with this application or submitted separately via mail to the address shown or email to jose@malovela.com.

Please attach a COPY OF YOUR PERSONAL RESUME (IF AVAILABLE). *

Please attach an OFFICIAL COLLEGE TRANSCRIPT

TWO LETTERS OF RECOMMENDATION FROM FACULTY MEMBERS OR SUPERVISORS WHO ARE FAMILIAR WITH YOUR ACADEMIC OR PROFESSIONAL WORK
Letters of reference or transcripts may be submitted on line with this application or submitted separately via mail to the address shown or email to jose@malovela.com.

LETTERS OF RECOMMENDATION 1

LETTERS OF RECOMMENDATION 2

A DESCRIPTION OF ANY HONORS OR AWARDS RECEIVED, EXTRACURRICULAR ACTIVITIES AND HOBBIES

Certification and Release Authorization:

The applicant to be considered for an RMWEA scholarship award must complete the following information.

Signature of Applicant or Parent/Guardian *

Date *