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LOUISIANA ASSOCIATED GENERAL CONTRACTORS ALEXANDRIA DISTRICT SCHOLARSHIP APPLICATION Applicant requirements: 1. Applicant MUST have at least 60 hours of college credit prior to fall semester and be enrolled as a full-time student. Senior level applicants must have one full academic year of coursework remaining at the beginning of the fall term. 2. Applicant MUST be pursuing a degree in Construction, Engineering or other construction related curriculum, at a college/university in the State of Louisiana. 3. Applicant should have a GPA of 2.5 in their major. 4. Applicant MUST be a high school graduate from the following parishes: Avoyelles, Grant, LaSalle, Natchitoches, Rapides, Sabine, St. Landry, Vernon, and Winn. Awards: 1. Scholarships will be for $500 per semester (not to exceed $1000 per school year), and will be renewable for a total of two years or until graduation, whichever occurs first. Maximum award: $2,000 2. Applications will be reviewed and winner selected by the AGC Scholarship Committee. 3. All applicants may be subject to a personal interview with the AGC Scholarship Committee. 4. Awards will be announced before school begins in fall term. 5. Funds will be presented directly to the recipient. 6. Scholarship recipient must maintain the 2.5 GPA in their major courses, and be enrolled as a full-time student to remain eligible. 7. Grade transcripts shall be forwarded to the AGC office upon receipt of grades each semester. Responsibility for transmitting grades shall be strictly up to the student, and failure to do so may be grounds for disqualification. NOTE: It is the applicant’s responsibility to ensure that this form is submitted to the Louisiana Associated General Contractors office, 3622 Government Street, Alexandria, LA 71302, (hand delivered or postmarked) no later than June 7th.


LOUISIANA ASSOCIATED GENERAL CONTRACTORS ALEXANDRIA DISTRICT SCHOLARSHIP APPLICATION Applicant please complete ALL sections of this application. (Type or print) Use N/A if question does not apply. Appearance and completeness will be considered during evaluation. I. PERSONAL A. Name (Last, First, Middle)_____________________________________________________ B. Address (Number & Street, City, State, Zip) 1. Home_____________________________________________________________________ 2. College____________________________________________________________________ C. Telephone Number (

)_______________ Cell Number (

)_______________________

Email Address___________________________________________ D. Present Age _______

E. Date of Birth ___________________

F. Marital Status _____________ Spouses Name _____________________________________ Number of dependents _________ G. Parent or legal guardian’s name _________________________________________________

II. SCHOLASTIC INFORMATION A. Provide names, city and state of high schools, college and/or universities you have attended or are currently attending. (List most recent first.) School

Attendance (from/to)

Major

Mth/Yr of completion or anticipated graduation date

1. ____________________________________________________________________________ 2. ____________________________________________________________________________ 3. ____________________________________________________________________________ 4. ____________________________________________________________________________


B. Current year in college:

____ Sophomore

C. Overall GPA ________

____ Junior

____ Senior

D. GPA in your major ________

E. In what extracurricular activities have you participated while attending High School? College? Indicate elected offices held, if any. 1. Student Activities (student government, fraternity/sorority, National Honor Society, etc) ____ ___________________________________________________________________________ ___________________________________________________________________________ 2. Community Activities (Boy Scouts, church, etc.) ___________________________________ ___________________________________________________________________________ ___________________________________________________________________________ 3. Athletics ___________________________________________________________________ ___________________________________________________________________________ 4. Other ______________________________________________________________________ III. EMPLOYMENT HISTORY List below full-time employment, summer employment and/or part-time work. Briefly explain duties and responsibilities (beginning with your most recent job). 1. From (Mth/Yr) ______________ To (Mth/Yr) ______________ Firm’s Name/Type Business ______________________________________________________ Location______________________________________________________________________ Supervisor Name/Position________________________________________________________ Your Duties____________________________________________________________________ ______________________________________________________________________________ 2. From (Mth/Yr) ______________ To (Mth/Yr) ______________ Firm’s Name/Type Business ______________________________________________________ Location______________________________________________________________________ Supervisor Name/Position________________________________________________________ Your Duties____________________________________________________________________ ______________________________________________________________________________ 3. From (Mth/Yr) ______________ To (Mth/Yr) ______________ Firm’s Name/Type Business ______________________________________________________ Location______________________________________________________________________ Supervisor Name/Position________________________________________________________ Your Duties____________________________________________________________________ ______________________________________________________________________________ 4. From (Mth/Yr) ______________ To (Mth/Yr) ______________ Firm’s Name/Type Business ______________________________________________________ Location______________________________________________________________________ Supervisor Name/Position________________________________________________________ Your Duties____________________________________________________________________ ______________________________________________________________________________


IV. SOURCES OF FUNDING FOR COLLEGE EXPENSES

1. 2. 3. 4. 5.

SOURCE Earned from work From Parents/Guardian From Loans From Scholarships Other Sources TOTAL

PERCENTAGE ____________ ____________ ____________ ____________ ____________ 100%

V. ADDITIONAL INFORMATION 1. What has been your most important extracurricular activity, and why? __________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 2. Are you interested in a career in the construction industry? _____ Yes _____ No If “yes”, answer question #3. If “no”, what career does interest you? _____________________________ 3. Why are you interested in a construction industry career, and what event or series of events led you to this decision? __________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ 4. What are your specific construction career goals? ___________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________


B. Are any members of your immediate family presently employed in the construction industry? 1. Name____________________________ Relationship ____________________ Employer____________________________________________ Position in company___________________________________ 2. Name____________________________ Relationship ____________________ Employer____________________________________________ Position in company___________________________________ 3. Name____________________________ Relationship ____________________ Employer____________________________________________ Position in company___________________________________

I agree that this application may be used for the purpose of evaluation and selection. ________________________________ Applicant’s Signature

_____________________ Date

Application MUST be delivered or postmarked by June 7th. Submit completed application to: Louisiana AGC – Alexandria District 3622 Government Street Alexandria, LA 71302


LA AGC Alexandria Scholarship