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IEA Member or Dependent*
Applicants must be dependents of IEA members or their employees, who are in good standing as of March 1st of the current year.
- Member
- Dependent
Applicant Data
Name*
First Middle Int. Last
Address*
Street Address Address Line 2 City State ZIP Code
Work Phone
Mobile Phone*
Email*
Parent or Guardian Information
Name*
First Middle Int. Last
Relationship to Applicant*
Email*
Company Name*
Position*
Work Phone
Mobile Phone*
Sponsor
Name of Company Sponsoring You*
(MUST BE AN IEA MEMBER)

Name of post secondary school for which financial aid is requested.

(If unknown, please list in order of preference the schools to which applications for admissions have been sent.) Click the + Button to add more

School	City	State

Work Experience
Describe your work experience during the past four year. Indicate dates of employment in each job and approximate number of hours worked each week. List hourly rate paid at each job.

Work Experience

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Position and Company / Organization	From- Month/Year	To- Month/Year	Hrs. Per Week	Hourly Rate

Activities And Honors:
List all schools and community activities in which you have participated during the past four years (i.e. student government, sports, choir, band, volunteer work)

Work Experience

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Activity	# of Yrs.	Award / Honors

Goals And Aspirations*
Write a paragraph describing your educational plans as they relate to your career objectives and future goals.
Unusual Circumstances*
Report any unusual family or personal circumstances that have affected your school activities, work experience, or achievements in school.
Explain Financial Need*

Other Scholarships Received

Name	Amount	Duration

Transcript Information
High school seniors and college freshman must submit an official transcript of high school grades and if possible, have the following section completed by the secondary school official. College sophomores and juniors need only submit a current and official college transcript.
Applicant’s Rank
In a class of
Cumulative Grade Point Average
Scores
PSAT Verbal PSAT Math SAT/ACT Verbal SAT/ACT Math
School Official Name
Enter name of school official who may be contacted to verify the above info.
First Last
School Official Title
School Official Phone
Official Transcript Information Upload*
Please upload official transcript information (preferred format in PDF)
Drop files here or

Max. file size: 300 MB.

Certification
I certify…*
- By checking this box, I certify that all of the information on this form is true and complete to the best of my knowledge. If asked by IEA, we agree to give proof of the information that I have given on this application. We realize that if we do not give proof when asked, the student will not be considered for a scholarship.
Hidden
Applicant’s Signature*
Use your mouse (or finger on mobile device) to sign.
Employee/Parent certify…*
- I certify that I, the IEA Member/parent, give permission for my dependent to submit this application.
Hidden
Employee/Parent Signature*
Use your mouse (or finger on mobile device) to sign.
3 Letters of Recommendation*
You must submit three letters of recommendation {from (non-relatives), teachers, clergy, or former employers}
Drop files here or

Max. file size: 300 MB.
Please review your info above before submitting. You must submit the application with the attached three letters of recommendation {from (non-relatives), teachers, clergy, or former employers and official transcript information; POSTMARKED NO LATER THAN APRIL 15TH THIS APPLICATION FOR SCHOLARSHIP BECOMES COMPLETE AND VALID ONLY WHEN YOU UPLOAD THE COMPLETED AND SIGNED SCHOLARSHIP APPLICATION, A CURRENT AND OFFICIAL TRANSCRIPT, AND THREE LETTERS OF RECOMMENDATION.
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Applicant Data