Applicants Under the Age of 18:
Must complete and submit the pdf form instead of the on-line application. Signature of applicant's parent or guardian is required on the completed application, which must be submitted via fax, mail or as an email attachment. On-line applications will not be accepted from anyone under the age of 18.

Click here to open or download application as a PDF form  

PERSONAL DATA
Last Name, First, MI:
Preferred Telephone No.:
E-mail:
Student's Home Address:
City:
State or Province:
Country:
Postal Code:
Student's Campus Address:
City:
State or Province:
Country:
Postal Code:
Birthplace:
Date of Birth:
Citizenship:
Gender: Male Female
Please fill out the following seven fields where appropriate, or indicate if not applicable:
Spouse's Name:
Spouse's Occupation:
Mother's Name:
Mother's Occupation:
Father's Name:
Father's Occupation:
Address of Parent or Guardian:
EDUCATION
High School:
High School Location (City, and State or Province, and Country):
Year of H.S. Graduation
(or GED):
 
Note: Complete at least one
of the following two fields:
College or University Now Attending:
Colleges or Universities Accepted To:
College Location (City, and State or Province, and Country):
College Major Program of Study:
Cumulative Grade Point Average:
What is the Base of the Cumulative GPA at your School? (i.e. What number does "A" represent?):
No. of Terms to Complete College Degree (excluding current term):
Anticipated Month & Year of College Graduation :
PROFESSIONAL GOALS
What is your particular interest in the field covered by ASHRAE? Do you have a special interest in HVAC&R equipment or systems (i.e. installing, designing, testing, servicing, repairing, troubleshooting, teaching, etc)? Please articulate a thorough response in 100-200 words.
HVAC&R INVOLVEMENT
To what extent have you participated in HVAC&R activities to advance your above stated "goals"? Answer 100 words or less.
PROFESSIONAL DATA
Supply a brief resume of your work experience in chronological order starting with the most recent
Job Title Duties Length of Employment Salary
Chapter Contact Information

Applicants are encouraged to contact the Student Activities Chair or an officer of the ASHRAE chapter nearest their home or school for an interview to learn more about the Society & how it can help you achieve your career goals. Visit http://www.ashrae.org/society-groups/chapters for a list of ASHRAE chapters and contacts.

Please provide name of chapter contact & have him/her complete and submit the attached Evaluation Form after your interview and prior to the application deadline to lbenedict@ashrae.org


Chapter Contact Name:
Chapter Contact Phone:
Chapter Contact E-mail:
SCHOOL AND/OR COMMUNITY SERVICE ACTIVITIES
LIST BELOW MEMBERSHIP IN PROFESSIONAL OR HONORARY SOCIETIES/ORGANIZATIONS, INCLUDING OFFICE(S) HELD, IF ANY
Society/Organization Office
REFERENCES
Please list three references A personally signed letter of recommendation is required from each.
1. Instructor or Faculty Advisor E-mail Phone Number
2. Former or Current Employer (if none, list another reference) E-mail Phone Number
3. Other (excluding family member) E-mail Phone Number
FINANCIAL NEED
FINANCIAL NEED
Why should we award this scholarship to you? Please justify financial need.
OTHER ASSISTANCE
*Are you currently receiving financial aid from ASHRAE or any other source?
Yes No
DESCRIBE OTHER ASSISTANCE
If you are currently receiving financial aid from ASHRAE or another source, please list source and amount.

For a list of scholarships and complete eligibility requirements, visit www.ashrae.org/scholarships

Scholarships are awarded based on the following and for the academic year following the application deadline beginning with the fall semester:

  1. Full-time enrollment in an accredited undergraduate engineering or engineering technology program recognized by ASHRAE as listed for each scholarship (Note: enrollment in an undergraduate architecture program accredited by the National Architectural Accrediting Board (NAAB) in North Carolina, South Carolina or Georgia is acceptable for the Region IV/Benny Bootle Scholarship).
  2. A cumulative grade point average (GPA) of at least 3.0 on a scale where 4.0 is the highest and/or a class standing of no less than the top 30% evidenced by an official transcript of grades or statement from a school administrator.
  3. Three letters of recommendation, including one from an instructor or faculty advisor, a current or past employer, and another character reference. In the case of schools with an ASHRAE student branch, a letter from the faculty advisor of that branch may be one of the three letters of recommendation. Visit www.ashrae.org/students for a list of schools with an active ASHRAE student branch.
  4. Evaluation form completed & submitted by the Student Activities Chair or other officer of an ASHRAE chapter nearest the applicant's home or school following an interview with the applicant.
  5. Potential service to the HVAC and/or refrigeration profession
  6. Financial need
  7. Leadership ability (activities, leadership roles, community service, etc.)
  8. Work Ethics (summer jobs, part-time jobs, etc.)

IMPORTANT: Complete and submit one application and the following supporting documentation on or before the application deadline: an official transcript of grades (if college grades are not available by the application deadline, submit high school transcript and verification of enrollment or letter of official acceptance from a post-secondary educational institution) and letters of recommendation (see above). Transcripts must be mailed and received in a separately sealed envelope and post marked on or before the application deadline. Reference letters must be signed. Re-applications accepted from former scholarship recipients and applicants provided they meet current scholarship criteria.

VALIDATION: In submitting this application, I believe all of the above information to be true and complete and I hereby apply to the ASHRAE for a scholarship. I certify that I am at least 18 years of age or older and not receiving full funding for my education from an employer, any branch of the Armed Services or other organization. I authorize ASHRAE to obtain and review my academic records (including but not limited to official transcripts). By submitting this application, I agree to hold ASHRAE harmless from any and all liability for damage, injury, or loss sustained by me in connection with this application, including but not limited to, the acquisition by ASHRAE of my academic records.

ANNUAL APPLICATION DEADLINES:
December 1 for Undergraduate Engineering, Regional & University-specific Scholarships
May 1 for Undergraduate Engineering Technology & High School Senior Scholarships

Submit all supporting application documents and inquiries to:
Lois Benedict/Scholarship Administrator
ASHRAE
1791 Tullie Circle, NE, Atlanta, GA 30329
Phone: 404-636-8400 or 678-539-1120 (direct)
Fax: 678-539-2120 (direct)
lbenedict@ashrae.org