APPLICATION

AMERICAN CONCRETE INSTITUTE ONTARIO CHAPTER SCHOLARSHIP for Graduate Studies in the Field of Concrete Research

Anyone who is completing or has completed studies for the bachelor’s degree from an accredited program may apply for this award. This award consists of a stipend of $1,000 (CDN) for a one-year period.

The following criteria must be met by the applicant:

Possess a bachelors degree from an accredited higher education institution before the start of the next academic year (and not necessarily at the time of application).
At the time of acceptance of this award (and not necessarily at the time of application), the applicant must have been accepted for graduate study. The graduate program MUST be in concrete research and design or concrete construction at an accredited university in ONTARIO (Toronto, Royal Military College, Laurentian, Lakehead, McMaster, Ryerson, Western, Guelph, Queens or Waterloo) which offers such a graduate program.
Must be a full-time graduate student during the entire scholarship year.

The application must be typewritten or computer printed. Responses to questions on the application must be answered on the form. Do not attach additional sheets. The application must be accompanied by undergraduate records of academic performance (transcripts).

Statements of appraisal of the applicant in terms of growth, character, leadership capacity, and career interest from three evaluators are required; at least one must be from a faculty member. The statements of appraisal must be returned directly to ACI Ontario Chapter by each evaluator. Recommendations sent to the ACI by the applicant will not be accepted. Applicants must ensure that ACI is in receipt of these appraisals prior to the application deadline.

ACI will accept applications from anywhere in the world, but study must take place in Ontario, Canada.

Personal Data

Name *

Address during school year

City

Province

Postal Code

Telephone at School

Home Telephone

Education

School / College / University	Location	Date of Actual or Expected Graduation	Degree

Fields of specialization

Major

Minor

Why are you applying for this scholarship? (Give reasons which support and justify your application. Financial need is not an important criteria.) What is the extent of your interest in concrete, such as design, materials, construction, or any combination of these areas? What is your plan for continuing your education? What educational goals have you established? Provide a brief resume of your work experience and accomplishments. Describe your Graduate Study Program for the year to which you will apply this scholarship, if known. What are your longer-term career goals?

Graduate Study

Name of Institution

Location: City

Province

Postal Code

Date of Admission

Period of Study: Beginning Date

Ending Date

Advanced Degree Expected

Date

Subjects related to concrete which will be included in your program

References

List the names of two persons from whom you have requested appraisals and recommendations to be mailed to ACI Ontario Chapter:

Name	Title	Employer	Address

I certify that the information contained in this application is true and that I have answered all questions to the best of my ability.

Further, I agree that I will notify ACI ONTARIO CHAPTER immediately when my educational program is interrupted or changed in any manner which might jeopardize the interest of the scholarship award.

I further agree that I will accept the scholarship only as long as I pursue, successfully, the full-time graduate study program for which the award is made, and that any funds remaining at the termination of my enrollment will be returned to ACI ONTARIO CHAPTER.

Signature

Date

Return completed application and required information to:
PO Box 92046, Woodbridge RPO Plaza Villagio, ON L4H 3J3