Expanding Knowledge in Existing and Emerging Computer Technologies


            Download this application in PDF (Adobe Acrobat) format here or DOC (MS Word) format here.
 

NTRI Technical Scholarship Application



Name:   Last  ________________________  First  __________________  MI  _______ 

Phone: (     )   _______________________  Social Security Number  ____________________

Address:  __________________________________________________________

City:  ______________________   State:  ____________  Zip:  ______________

Intended Program:  _________________________  Part-time ___  Full-time ___

Educational Background of Student

Name of School
Attended/Attending

(in chronological order)

Type of School

(Primary, Secondary, etc)

Date Joined

(DD/MM/YYYY)

Date Left

(DD/MM/YYYY)

Credits Earned

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 




Please list any extracurricular activities you were involved in:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________


Please list your employment history including the dates of employment and approximately how many hours you work(ed) per week:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________
 

What are your career plans following graduation from AVIT?:

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________


In a brief narrative, please explain how and why this scholarship would be beneficial to you in reaching your educational goals.

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

________________________________________________________________________________________

I certify that all information contained in this application is correct and complete to the best of my knowledge. I understand that withholding and/or giving false information on this application may make me ineligible for the scholarship.

Signature _____________________________   Date:  _____________________________

Please return Application directly and two reference letters (non-related persons) submitted on your behalf to:

Network Technology Resources
One Kiski Avenue
Leechburg, PA 15656

Attention:
Scholarship Review Board

 

Note:  Your reference letters must be received before your application for a scholarship can be considered.

 
     Home    Contact Us

     Copyright 1990- Allegheny Valley Institute of Technology. All rights reserved.

Inclement
Weather
Notification