W4DOC, The Atlanta Radio Club Inc.

Atlanta Radio Club Scholarship

Because the amateur radio service is an educational and productive extracurricular activity to which many young people dedicate their valuable time, the Atlanta Radio Club awards a scholarship.  Scholarship funds are awarded from the profits of the Atlanta Ham Festival. For 2003 we plan to award a single scholarship of $1000.  Checks are made payable to the institution and the student.

Applications are accepted from licensed amateur radio operators from the ARRL Georgia Section and adjacent states.

The recipient must attend an accredited higher education facility. There are no age limits or financial need assessment.  

The criteria that we will use to evaluate candidates are Amateur Radio activities, community service, GPA, and the essay question on this application. 

Deadline for application: May 1, 2003

Award announcement: June 7, 2003 at the Atlanta Hamfest

ATLANTA RADIO CLUB SCHOLARSHIP APPLICATION

Submit to:

Chair of Scholarship Committee
The Atlanta Radio Club 
P O Box 720398 
Atlanta, GA 30358

 

1) Personal Data: 

Last Name: __________________________________ 
First, Middle_________________ 
Street___________________________________________ Apt_________
City_________________________________________________ State_______ ZIP______ 
Phone __ __ __ - __ __ __ - __ __ __ __ 
E-mail___________________________________ 

2. Schools attended (high school and above) with most recent first: School Name and Location Dates Degree or Diploma GPA Enter GPA Basis (4 pt, 5 pt, 12 pt, 100%, etc.) Class Standing (X of Y) From To

__________________________________________________________________________________ __________________________________________________________________________________

3. Student Honors, Awards or Distinctions and Date Received: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 

4. Community and Extracurricular Activities: List all community, extracurricular or volunteer activities during last four years that you believe are relevant. Include dates and/or period of the activity. Include any leadership positions held, dates, and approximate number of hours per month or per year dedicated to the activity. __________________________________________________________________________________ __________________________________________________________________________________  __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 

5. Amateur Radio Activities: Call Sign___________________ License Class_______________
Year First Licensed_____________

List all ham radio or ham radio related organizations with which you are or have been associated during the last four years. Include any leadership positions held along with the approximate number of hours per year dedicated to the activity: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 

List your current ham radio participations, operating activities, preferences, modes and bands: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ 

6. Why do you feel you qualify for this scholarship?  (Hint: Address the impact that Amateur Radio has had on your life. 1000 words or less and you may submit a separate piece of paper for this question.)
__________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ ___________________________________________________________________________________ _________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________  __________________________________________________________________________________ __________________________________________________________________________________  __________________________________________________________________________________  

7. Field of Study and Career Intentions: 

Major Field of Study:__________________________________________________________________
Career Intentions:____________________________________________________________________
Please briefly explain why you have made these choices and what role amateur radio has had in influencing these choices: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

8. Colleges or Universities to which you are attending, or applied, or have been accepted: __________________________________________________________________________________ __________________________________________________________________________________ __________________________________________________________________________________

9. I hereby attest that the foregoing information provided by me is true to the best of my knowledge. If I am granted a scholarship by The Atlanta Radio Club, I will permit my name to be used for publicity releases to further the aims and purposes of The Atlanta Radio Club.

Signature_____________________________________________________ Date_________________

The Atlanta Radio Club does not discriminate on the basis of race, creed, national origin, or handicap in administration of its scholarship program. 

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