ASIS FOUNDATION, INC.
Scholarship Application
Eligibility: Open to ASIS members and other students of merit who are interested in the security profession and who have demonstrated a potential to make a contribution to the field of business security.
A minimum grade point of 3.0 (on a 4.0 scale) is required for graduate students. Undergraduate grade point requirement set by local ASIS chapter. Applicants may be part-time or full-time students at an accredited college, university, or community college. Scholarships will be awarded on a calendar year basis, January 1 through December 31.
Student Requirements:
- Complete and submit application to chapter.
- Submit transcript to chapter.
- Submit faculty member letter of recommendation to chapter.
Address of Puget Sound Scholarship Review Committee:
| FOR CHAPTER USE ONLY
Date Received______ Student Notification______ Faculty Letter Received______ Transcript Received__________________ Check sent to ASIS Foundation______ Matching Scholarship?____ (Only one chapter scholarship per calendar year will be matched) |
Student Information:
(Please print clearly)
Name__________________________________________________________________
SSN#____________________________Home Telephone (____) ___________________
eMail Address:_______________________________________________
Home Address___________________________________________________________
_______________________________________________________________________
_______________________________________________________________________
School Address__________________________________________________________
______________________________________________________________________
______________________________________________________________________
School Telephone (____)__________________________________________________
Major _________________________________________________________________
Courses taken relevant to security (if any):__________________________________
______________________________________________________________________
______________________________________________________________________
Name and phone number of faculty member sending recommendation: ___________
______________________________________________________________________
Cumulative grade point average __________________________________________
(must also submit an official copy of your transcript)
Current and/or previous security or related work experience:_____________________
_______________________________________________________________________
Future career plans: ______________________________________________________
_______________________________________________________________________
_______________________________________________________________________
Future academic plans (advanced degrees, courses, etc.):_______________________
_______________________________________________________________________
_______________________________________________________________________
Academic and/or professional memberships: __________________________________
_______________________________________________________________________
_______________________________________________________________________
Briefly explain your interest in the security profession:__________________________
_______________________________________________________________________
_______________________________________________________________________
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______________________________ ________________
Applicant’s Signature Date
FOR CHAPTER USE ONLY
CHAPTER REQUIREMENTS CHECKLIST
_____1 Ensure student requirements have been met.
_____2 Select one matching scholarship winner.
_____3 Ensure all award checks are processed through ASIS Foundation, Inc. Headquarters for IRS compliance purposes.
_____4 Send copy of application for all award recipients to ASIS Foundation, Inc. Headquarters.
_____5 Send Regional Vice President a copy of the application for matching scholarship winner.
_____6 Acknowledge receipt of candidate’s application.
Chapter Statement:
Is this your one chapter matching scholarship selection? Yes______ No______
Is the matching scholarship winner an ASIS chapter member? Yes______ No______
In order for you candidate to receive the one matching scholarship and/or be eligible for the Regional Vice President award, the following statement is required:
“I attest to the fact that ______________________________ (name) has met the minimum selection requirements as stated in the ASIS Foundation, Inc. Scholarship Policy for the awarding of the ____________(year) matching scholarship from Chapter____________________________(name and number).
_________________________________________________________________
Signature of Chapter Chairman Date