SCTE Foundation Scholarship for Engineering and Software Development Application

SCTE Member Number *

How long have you been a member of SCTE? * NOTE: Four consecutive years of SCTE membership required.

Name *

Company *

Job Title *

Address Line 1 *

Address Line 2

City *

State *

Zip *

Country *

Email address *

Phone *

Please state the program or college degree you are pursuing. *

What is the total cost of Program? *

Please provide the location (school, university, online) and date the program *

What is the scholarship amount you are requesting? *

Does your employer offer educational assistance? *

If yes, please state the dollar amount you have received from your company.

If you have NOT applied, please state your reason(s)

Have you applied for financial assistance from an organization(s) other than your employer? *

Yes

If YES, please list the following: 1. Organization(s) to whom you have applied; 2. Amount of the grant(s) for which you have applied; 3. The amount awarded

What objectives do you hope to achieve by attending/taking this program/course?

In what ways do you believe the program/course can be most useful for you and your company?