Submit your application package (including application, essay and academic Records) to w-win scholarship Committee


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NameSubmit your application package (including application, essay and academic Records) to w-win scholarship Committee
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2016
Westinghouse


Women in Nuclear (WIN)
SCHOLARSHIP


http://www.westinghousenuclear.com/About/Community-and-Education/Westinghouse-Women-In-Nuclear

SUBMITAL:

Submit your application package (including application, essay AND Academic Records) to W-WIN Scholarship Committee (in MS word or PDF format only) at WINscholarship@westinghouse.com or by postal mail to:
Westinghouse Electric Company
W-WIN Scholarship Committee
ATTN: Christine Van Horn, Suite 172
1000 Westinghouse Drive
Cranberry Township, PA 16066

ELIGIBILITY

Females graduating in spring 2016 from a Pittsburgh area school are eligible. The student must be pursuing a bachelor’s degree program in engineering, mathematics, or physical sciences at an accredited college or university. If the student was eligible to apply for the Westinghouse 2016 Family Scholarship, the student cannot apply for this scholarship.

THE SCHOLARSHIP COMMITTEE MUST HAVE A COMPLETED APPLICATION, COMPLETED ESSAY AND THE HIGH SCHOOL TRANSCRIPT OR CLASS RECORD BEFORE A CANDIDATE SHALL BE CONSIDERED.

INCOMPLETE SCHOLARSHIP APPLICATION PACKAGES WILL NOT BE CONSIDERED.


PERSONAL INFORMATION

Name

     

     

     




Last

First

Middle

Parents’ Names

     

     

Do you have a parent employed by Westinghouse?     Yes     No




Father’s First & Last Name

Mother’s First & Last Name




Email Address

     

Address

     

Number and Street (No P.O. Boxes)

     

     

     

City

State

ZIP Code

     

     

Date of Birth

Telephone (include Area Code)

Schools attended in last three years. If different from one presently attending, give dates.

     

     

     

     

     

School Now Attending

Graduation Date (mo./yr.)

     

     

     

     

Address

City

State

ZIP Code

     

Principal (Full Name and Title)



APPLICATION (Attach extra page if more space is needed for any item.)

1.

What course of study do you desire to pursue?




     










Physics, Mathematics, Engineering, etc.




At what college(s)?




1.      










2.      










3.      

2.




List and briefly describe any academic activities you engaged in and any leadership positions held while in high school (for example: National Honors Society, Science Bowl, Tutoring/Mentoring, etc.).

Academic Activity

Years Active
(provide hours per week (h/wk.) and weeks per year(wk./y)

Did you receive any awards or honors? If so, list award and year

FR

SO

JR

SR




     

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3.




List any non-academic activities you engaged in and any leadership positions held while in high school (for example: Girl Scouts/Boy Scouts, 4-H, church groups, community service, jobs, sports, music, etc.).

Non-Academic Activity

Years Active
(provide hours per week (h/wk.) and weeks per year(wk./y)

Did you receive any awards or honors? If so, list award and year

FR

SO

JR

SR

     

h/wk.:      

wk./y: 
     



h/wk.:      

wk./y: 
     



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  1. Essay Question (1 total)

Use the following form on the next page or separate sheet of paper: single-spaced, Times New Roman font, 12-size font, 1-inch margins. Essay should be no more than 3300 characters with spaces (~500 words).
(MS word or PDF format only)

Please type your answer to the following question:
What has motivated and/ or inspired you to pursue an education in science/mathematics/engineering, and what should be done to encourage more females to become interested in these fields?
Type your answer here
WESTINGHOUSE ELECTRIC COMPANY

ATTN: Christine Van Horn,

W-WIN Scholarship Committee,
Suite 172, 1000 Westinghouse Drive
Cranberry Township, PA 16066

1) TO BE COMPLETED BY APPLICANT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 




 

 

 

 

 

 

 

 

 

 

 

 

 

 

Applicant’s Last Name




First Name

Middle Initial




Home address

Number and Street

     




City

     

State

     

ZIP Code

     

2) TO BE COMPLETED BY GUIDANCE COUNSELOR

The student named above has applied for a Westinghouse Women in Nuclear Scholarship. The following information is necessary for eligibility in this competition:

1.

The applicant’s Transcript of Grades (securely fasten to last page of this form or email / mail separately as noted below).
If a copy of the applicant’s transcript is not available, complete the form on page 8.


RETURN TO WESTINGHOUSE WOMEN IN NUCLEAR AT THE ABOVE ADDRESS; POSTMARKED NO LATER THAN MARCH 18th2016.









Counselor’s Signature




Date


INSTRUCTIONS:

1) Applicant completes parts 1 and 3 (next page) and gives to school guidance counselor.

2) Guidance counselor completes part 2, detaches and retains part 3 (next page) for school’s records.

3) Guidance counselor gives this form and attached transcript or class record to Applicant.

4) Applicant sends this form and transcript or class record to Westinghouse WIN.

NOTE:

  • IF MAILING APPLICATION, PLEASE SECURELY FASTEN TRANSCRIPT (to be completed by guidance counselor) TO THE LAST PAGE OF THIS FORM.

  • IF SUBMITTING ELECTRONICALLY (IN MS WORD OR PDF FORMAT ONLY) , PLEASE EITHER HAVE GUIDANCE COUNSELOR EMAIL TRANSCRIPTS TO WINscholarship@westinghouse.com .


WESTINGHOUSE ELECTRIC COMPANY

ATTN: Christine Van Horn

W-WIN Scholarship Committee
Suite 172

1000 Westinghouse Drive
Cranberry Township, PA 16066








3) TO BE COMPLETED BY APPLICANT AND RETAINED BY SCHOOL GUIDANCE COUNSELOR

I give my permission for:      

Name of High School

     

Address

     

to release the above requested information (class rank and transcript of grades) to the Westinghouse Women in Nuclear Scholarship program.










Date




Applicant’s Signature


WESTINGHOUSE ELECTRIC COMPANY

ATTN: Christine Van Horn

W-WIN Scholarship Committee
Suite 172

1000 Westinghouse Drive
Cranberry Township, PA 16066

If a copy of the applicant’s transcript is NOT available, complete the form below.

Please include the list of all classes the applicant will take until graduation, even if grades are not available


CLASS RECORD

INCLUDE SUBJECTS FAILED OR REPEATED







GRADE













GRADE










Credit or Unit

1st Sem

2nd Sem

LAB
T.V. Summer

Honor Access. Adv. Pl.




Credit or Unit

1st Sem

2nd Sem

LAB
T.V. Summer

Honor Accel. Adv. Pl.

9th Grade Subjects

10th Grade Subjects

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   










GRADE













GRADE










Credit or Unit

1st Sem

2nd Sem

LAB
T.V. Summer

Honor Access. Adv. Pl.




Credit or Unit

1st Sem

2nd Sem

LAB
T.V. Summer

Honor Accel. Adv. Pl.

11th Grade Subjects

12th Grade Subjects

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

     

  

   

   

   

   

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