Energy Program Scholarship Application BSC Foundation, P.O. Box 5587, 1255 Schafer Street, Bismarck, ND 58506    701-224-5700 :: 800-272-2586 Bismarck State College Foundation provides scholarships for students enrolled in the BSC Energy on-campus or online programs. These awards range from $500 to $2,000 each and are based upon academic achievement and credits enrolled in, with consideration given to financial need and the potential to succeed in the program. Students must earn at least a 2.5-3.0 grade point average during fall semester to be eligible/continue these scholarships (see scholarship listing for exact criteria of each scholarship). A current unofficial transcript must be included with this application. (Can be printed from CampusConnection). Submission of this application will be considered for the following scholarships: Allen Energy Scholarship Energy Generation Conference Scholarship DarbyTech Training Equipment Scholarship Frank Bavendick Scholarship Great River Energy Scholarships Jack Schuchart Memorial Scholarship MidAmerican Energy Scholarships Otter Tail Power Company Scholarships Red Trail Energy Utility Workers Union of America Scholarship Xcel Energy Scholarships NOTE: Only students who are degree seeking and who have been accepted into an Energy program (listed below) are eligible to apply for these scholarships. One energy program scholarship award per student per academic year. Any student wishing to be considered for these scholarships should complete this application and submit an unofficial transcript to: Bismarck State College Foundation 1255 Schafer St PO Box 5587 Bismarck ND 58506-5587 DEADLINE: September 1st PERSONAL INFORMATION   * Indicates required fields * First Name: * Middle Name: * Last Name: * Date of Birth (00/00/0000): * Permanent Mailing Address: * City: * State: * Zip Code: * Telephone: * Email Address:   Student ID #: WO-   Name of Local/Hometown   Newspaper:   Street/PO Box:   City:   State:   Zip Code: ACADEMIC INFORMATION * I am enrolled in: Power Plant Process Plant Nuclear Power Electric Power Electrical Transmission Systems Tech Renewable Energy BAS in Energy Management Instrumentation & Control Lineworker Mechanical Maintenance Petroleum Production Water & Wastewater Technology * Number of credits enrolled in   * I plan to graduate (month/year)   * Are you an:   On-Campus Student On-Line Student ADDITIONAL INFORMATION List any honors or awards you have received: List your community involvement: * Number of hours you are working per week? * Is your employer paying for any part of the cost   of your education? Yes No If yes, what percentage is being paid for each semester? % Employer Name: * Do you qualify for financial need based assistance? Yes No * How will this scholarship benefit you? * Describe your academic accomplishments - what do you consider your most important contribution or achievement in the Energy Program or other industry activities you have been involved in (besides your GPA): * Describe how continued study will contribute to your personal and professional goals: * Do you have a relative(s) who is (are) a BSC alumnus? Yes No  (If yes, check all that apply.) Spouse Grandparent Parent Sibling  Please name alumnus: I hereby certify that to the best of my knowledge the information on this application is true. My signature is authorization for releasing scholarship award information to the news media and authorization for the Foundation to access my transcript to determine eligibility. * By checking this box you have created an electronic signature as legal as your handwritten signature.