{"id":1340,"date":"2025-09-11T19:03:33","date_gmt":"2025-09-11T19:03:33","guid":{"rendered":"https:\/\/aciontario.com\/?page_id=1340"},"modified":"2025-09-11T19:03:37","modified_gmt":"2025-09-11T19:03:37","slug":"scholarship-form","status":"publish","type":"page","link":"https:\/\/aciontario.com\/index.php\/scholarship-form\/","title":{"rendered":"Scholarship Form"},"content":{"rendered":"    \n    <div class=\"aci-membership-wrap\">\n        <div class=\"aci-card\">\n            <header class=\"aci-form-head\">\n                <div>\n                    <h1>APPLICATION<\/h1>\n                    <p class=\"aci-small\">AMERICAN CONCRETE INSTITUTE ONTARIO CHAPTER SCHOLARSHIP for Graduate Studies in the Field of Concrete Research<\/p>\n                <\/div>\n            <\/header>\n\n            <div class=\"aci-section\">\n               <p class=\"aci-muted\">Anyone who is completing or has completed studies for the bachelor\u2019s 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.<\/p>\n                <h2>The following criteria must be met by the applicant:<\/h2>\n                <ol>\n                    <li class=\"aci-muted\">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).<\/li>\n                    <li class=\"aci-muted\">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.<\/li>\n                    <li class=\"aci-muted\">Must be a full-time graduate student during the entire scholarship year.<\/li>\n                <\/ol>\n                <p class=\"aci-muted\">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).<\/p>\n                <p class=\"aci-muted\">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.<\/p>\n                <p class=\"aci-muted\">ACI will accept applications from anywhere in the world, but study must take place in Ontario, Canada.<\/p>\n            <\/div>\n\n            <form id=\"aciScholarshipForm\" method=\"post\" novalidate>\n                <input type=\"hidden\" id=\"aci_nonce\" name=\"aci_nonce\" value=\"631fe6f899\" \/><input type=\"hidden\" name=\"_wp_http_referer\" value=\"\/index.php\/wp-json\/wp\/v2\/pages\/1340\" \/>\n                <!-- Personal Data -->\n                <div class=\"aci-section\">\n                    <h2>Personal Data<\/h2>\n                    <div class=\"aci-row\">\n                        <div class=\"aci-col\">\n                            <label class=\"aci-field-label\">Name *<\/label>\n                            <input name=\"name\" class=\"aci-input aci-underline\" type=\"text\" required>\n                        <\/div>\n                    <\/div>\n                    <div class=\"aci-row\">\n                        <div class=\"aci-col\">\n                            <label class=\"aci-field-label\">Address during school year<\/label>\n                            <input name=\"address\" class=\"aci-input aci-underline\" type=\"text\">\n                        <\/div>\n                    <\/div>\n                    <div class=\"aci-row\">\n                        <div class=\"aci-col\">\n                            <label class=\"aci-field-label\">City<\/label>\n                            <input name=\"city\" class=\"aci-input aci-underline\" type=\"text\">\n                        <\/div>\n                        <div class=\"aci-col\">\n                            <label class=\"aci-field-label\">Province<\/label>\n                            <input name=\"province\" class=\"aci-input aci-underline\" type=\"text\">\n                        <\/div>\n                        <div class=\"aci-col\">\n                            <label class=\"aci-field-label\">Postal Code<\/label>\n                            <input name=\"postal_code\" class=\"aci-input aci-underline\" type=\"text\">\n                        <\/div>\n                    <\/div>\n                    <div class=\"aci-row\">\n                        <div class=\"aci-col\">\n                            <label class=\"aci-field-label\">Telephone at School<\/label>\n                            <input name=\"tel_school\" class=\"aci-input aci-underline\" type=\"text\">\n                        <\/div>\n                        <div class=\"aci-col\">\n                            <label class=\"aci-field-label\">Home Telephone<\/label>\n                            <input name=\"tel_home\" class=\"aci-input aci-underline\" type=\"text\">\n                        <\/div>\n                    <\/div>\n                <\/div>\n\n\n               <!-- Education -->\n                    <div class=\"aci-section\">\n                        <h2>Education<\/h2>\n                        <table class=\"aci-edu-table\">\n                            <thead>\n                                <tr>\n                                    <th>School \/ College \/ University<\/th>\n                                    <th>Location<\/th>\n                                    <th>Date of Actual or Expected Graduation<\/th>\n                                    <th>Degree<\/th>\n                                <\/tr>\n                            <\/thead>\n                            <tbody>\n                                <tr>\n                                    <td><input type=\"text\" name=\"school\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"school_location\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"school_grad_date\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"school_degree\" class=\"aci-input aci-underline\"><\/td>\n                                <\/tr>\n                                <tr>\n                                    <td><input type=\"text\" name=\"college\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"college_location\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"college_grad_date\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"college_degree\" class=\"aci-input aci-underline\"><\/td>\n                                <\/tr>\n                                <tr>\n                                    <td><input type=\"text\" name=\"university\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"university_location\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"university_grad_date\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"university_degree\" class=\"aci-input aci-underline\"><\/td>\n                                <\/tr>\n                            <\/tbody>\n                        <\/table>\n                    \n                        <div class=\"aci-row\">\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Fields of specialization<\/label>\n                                <input type=\"text\" name=\"specialization\" class=\"aci-input aci-underline\">\n                            <\/div>\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Major<\/label>\n                                <input type=\"text\" name=\"major\" class=\"aci-input aci-underline\">\n                            <\/div>\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Minor<\/label>\n                                <input type=\"text\" name=\"minor\" class=\"aci-input aci-underline\">\n                            <\/div>\n                        <\/div>\n                    <\/div>\n                    \n                    <!-- Essay Questions -->\n                    <div class=\"aci-section\">\n                        <label class=\"aci-field-label\">Why are you applying for this scholarship? (Give reasons which support and justify your application. Financial need is not an important criteria.)<\/label>\n                        <textarea name=\"reasons\" class=\"aci-input\"><\/textarea>\n                    \n                        <label class=\"aci-field-label\">What is the extent of your interest in concrete, such as design, materials, construction, or any combination of these areas?<\/label>\n                        <textarea name=\"interest_concrete\" class=\"aci-input\"><\/textarea>\n                    \n                        <label class=\"aci-field-label\">What is your plan for continuing your education? What educational goals have you established?<\/label>\n                        <textarea name=\"plan_education\" class=\"aci-input\"><\/textarea>\n                    \n                        <label class=\"aci-field-label\">Provide a brief resume of your work experience and accomplishments.<\/label>\n                        <textarea name=\"resume\" class=\"aci-input\"><\/textarea>\n                    \n                        <label class=\"aci-field-label\">Describe your Graduate Study Program for the year to which you will apply this scholarship, if known.<\/label>\n                        <textarea name=\"graduate_program\" class=\"aci-input\"><\/textarea>\n                    \n                        <label class=\"aci-field-label\">What are your longer-term career goals?<\/label>\n                        <textarea name=\"career_goals\" class=\"aci-input\"><\/textarea>\n                    <\/div>\n\n\n                <!-- Graduate Study -->\n                    <div class=\"aci-section\">\n                        <h2>Graduate Study<\/h2>\n                    \n                        <div class=\"aci-row\">\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Name of Institution<\/label>\n                                <input type=\"text\" name=\"grad_institution\" class=\"aci-input aci-underline\">\n                            <\/div>\n                        <\/div>\n                    \n                        <div class=\"aci-row\">\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Location: City<\/label>\n                                <input type=\"text\" name=\"grad_city\" class=\"aci-input aci-underline\">\n                            <\/div>\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Province<\/label>\n                                <input type=\"text\" value=\"ONTARIO\" readonly class=\"aci-input aci-underline\">\n                            <\/div>\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Postal Code<\/label>\n                                <input type=\"text\" name=\"grad_postal\" class=\"aci-input aci-underline\">\n                            <\/div>\n                        <\/div>\n                    \n                        <div class=\"aci-row\">\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Date of Admission<\/label>\n                                <input type=\"text\" name=\"admission_date\" class=\"aci-input aci-underline\">\n                            <\/div>\n                        <\/div>\n                    \n                        <div class=\"aci-row\">\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Period of Study: Beginning Date<\/label>\n                                <input type=\"text\" name=\"study_begin\" class=\"aci-input aci-underline\">\n                            <\/div>\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Ending Date<\/label>\n                                <input type=\"text\" name=\"study_end\" class=\"aci-input aci-underline\">\n                            <\/div>\n                        <\/div>\n                    \n                        <div class=\"aci-row\">\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Advanced Degree Expected<\/label>\n                                <input type=\"text\" name=\"advanced_degree\" class=\"aci-input aci-underline\">\n                            <\/div>\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Date<\/label>\n                                <input type=\"text\" name=\"degree_date\" class=\"aci-input aci-underline\">\n                            <\/div>\n                        <\/div>\n                    \n                        <label class=\"aci-field-label\" style=\"margin-top: 20px;\">Subjects related to concrete which will be included in your program<\/label>\n                        <textarea name=\"grad_subjects\" class=\"aci-input\" rows=\"3\"><\/textarea>\n                    <\/div>\n\n\n               <!-- References -->\n                    <div class=\"aci-section\">\n                        <h2>References<\/h2>\n                        <p class=\"aci-muted\">List the names of two persons from whom you have requested appraisals and recommendations to be mailed to ACI Ontario Chapter:<\/p>\n                    \n                        <table class=\"aci-ref-table\">\n                            <thead>\n                                <tr>\n                                    <th>Name<\/th>\n                                    <th>Title<\/th>\n                                    <th>Employer<\/th>\n                                    <th>Address<\/th>\n                                <\/tr>\n                            <\/thead>\n                            <tbody>\n                                <tr>\n                                    <td><input type=\"text\" name=\"ref1_name\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"ref1_title\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"ref1_employer\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"ref1_address\" class=\"aci-input aci-underline\"><\/td>\n                                <\/tr>\n                                <tr>\n                                    <td><input type=\"text\" name=\"ref2_name\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"ref2_title\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"ref2_employer\" class=\"aci-input aci-underline\"><\/td>\n                                    <td><input type=\"text\" name=\"ref2_address\" class=\"aci-input aci-underline\"><\/td>\n                                <\/tr>\n                            <\/tbody>\n                        <\/table>\n                    \n                        <p class=\"aci-muted\">\n                            I certify that the information contained in this application is true and that I have answered all questions to the best of my ability.\n                        <\/p>\n                        <p class=\"aci-muted\">\n                            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.\n                        <\/p>\n                        <p class=\"aci-muted\">\n                            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.\n                        <\/p>\n                    \n                       <div class=\"aci-row aci-signature-row\">\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Signature<\/label>\n                                <canvas id=\"signature-pad\" class=\"signature-pad\"><\/canvas>\n                                <button type=\"button\" id=\"clear-signature\" class=\"aci-btn-ghost\" style=\"margin-top:8px;\">Clear<\/button>\n                                <input type=\"hidden\" name=\"signature_data\" id=\"signature_data\">\n                            <\/div>\n                            <div class=\"aci-col\">\n                                <label class=\"aci-field-label\">Date<\/label>\n                                <input type=\"text\" name=\"signature_date\" class=\"aci-input aci-underline\" value=\"2026-06-17\">\n                            <\/div>\n                        <\/div>\n\n                        <p class=\"aci-muted\">\n                            Return completed application and required information to:  \n                            <br><strong>PO Box 92046, Woodbridge RPO Plaza Villagio, ON L4H 3J3<\/strong>\n                        <\/p>\n                    <\/div>\n                    \n                <!-- Submit -->\n                <div class=\"aci-actions\">\n                    <button class=\"aci-btn\" type=\"submit\">Submit Application<\/button>\n                    <button class=\"aci-btn aci-btn-ghost\" type=\"reset\">Reset<\/button>\n                <\/div>\n            <\/form>\n        <\/div>\n    <\/div>\n<script>\njQuery(document).ready(function($){\n    $('#aciScholarshipForm').on('submit', function(e){\n        e.preventDefault();\n\n        const $form = $(\"#aciScholarshipForm\");\n        const $submitBtn = $form.find('button[type=\"submit\"]'); \n        const formData = new FormData(this);\n        formData.append('action', 'submit_scholarship');\n\n        $.ajax({\n            url: aciScholarship.ajax_url,\n            type: 'POST',\n            data: formData,\n            processData: false,\n            contentType: false,\n\n            beforeSend: function() {\n                $submitBtn.prop('disabled', true).html('Submitting...');\n                $('.aci-success-message, .aci-error-message').remove();\n            },\n\n            success: function(response) {\n                console.log(\"AJAX Response:\", response); \/\/ 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