NDACE - Online Scholarship Application

Applicant Information

First Name^*

Middle Name

Last Name^*

Current Mailing Address^*

City^*

County^*

State^*

Zip Code^*

Home Address ( if different than above )

Phone^*

Email^*

Date of Birth^*

Place of Birth^*

Educational Information

College or University attending^*

Major^*

College GPA ( from unofficial transcript )^*

High school attended^*

Honors or Prizes^*

List university or student organizations:^*

List off-campus or volunteer activities:^*

Have you had experience working for a county?^*

Yes

What are your goals after graduation?^*

Other Information

Do any of your relatives work in County Government?^*

Yes

Are you or have you been a part of the U.S. Armed Forces?^*

Yes

Submittal

Letter of Recommendation will be^* A general letter of recommendation from a person (non-relative) is required.

Attached

Mailed

Copy of your Unofficial Transcripts^* Please include a copy of your unofficial transcript(s) from the University that you are currently attending or previously attended.

Resume^* Please include a copy of your resume, including detailed work experience.

Signature

In submitting this application, I certify that the information provided is complete and accurate to the best of my knowledge. Falsification of information may result in termination of any scholarship granted. Initials^*

Security Image^*

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Would you be willing to attend the North Dakota County Roads Conference? (This will not impact the decision on scholarship selection). The banquet will be held on Wednesday, January 29 at the Holiday Inn in Fargo. All mileage/lodging expenses will be covered.

Yes

An email to verify your application submission will be sent to the email address provided above.
if the email receipt is not received, please contact : Mr. Tim Pickering, Scholarship Committee Chair at tpickering@co.mckenzie.nd.us.

Online Scholarship Application

North Dakota Association of County Engineers Scholarship Application