Southwest Virginia Solid Waste Management Association

Education Grant   APPLICATION

Deadline: ?, 2008

Use tab key until cursor appears in question #1,You can then fill out each question and tab to the next one, after filling out the application, print and mail to: Teresa Sweeney, Montgomery Regional Solid Waste, PO BOX 2130, Christiansburg, VA. 24068-2130

1. Applicant's Full Name: 

2. Applicant's Permanent Address: 

3. Currently a Full-Time Student at: 

     Scheduled to attend in the fall: 

4. Check class standing in the fall:  Freshman  Sophomore    Junior    Senior  

5.  Current G.P.A.  ,   Briefly describe courses related to solid waste management.

6. Major: 

7. Please provide a brief narrative of how your anticipated future career goals relate to solid waste management and the geographic area you would like to find employment.

8. Provide a brief dicussion and dates of any solid waste-related research efforts, field experience, work experience, volunteer experience, interships, or assistantships.

9. Provide a list and the dates of any academic achievement awards, honors, special accomplishments, extracurricular activities, or other relevant outside interests.

10. Provide any other information or qualifications that you would like the Selection Committee to consider.

By submitting this application, you certify that all information on this form is complete and true to the best of your knowledge, and that you understand, and can comply, with the SVSWMA Scholarship Program Guidelines.

Print this form and Sign Here:    and Date: