Read instructions at the bottom of the form prior to completing.

Click here to open or download application as a PDF form  

Last Name, First, MI:
Preferred Telephone No.:
Student's Home Address:
State or Province:
Postal Code:
Student's Campus Address:
State or Province:
Postal Code:
Date of Birth:
Gender: Male Female
Spouse's Name:
Spouse's Occupation:
Mother's Name:
Mother's Occupation:
Father's Name:
Father's Occupation:
Address of Parent or Guardian:
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:
Class Rank (_of_):
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 :
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.
To what extent have you participated in HVAC&R activities to advance your above stated "goals"? Answer 100 words or less.
Supply a brief resume of your work experience in chronological order starting with the most recent
Job Title Hours/Week Dates of Employment Wages
Job Title Hours/Week Dates of Employment Wages
Job Title Hours/Week Dates of Employment Wages
Do you work while attending school?
Yes No
If yes, how many hours?
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 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

Chapter Contact Name:
Chapter Contact Phone:
Chapter Contact E-mail:
Society/Organization Office
Please list three references – A personally signed letter of recommendation is required from each excluding family members.
1. Instructor or Faculty Advisor E-mail Phone Number
2. Former or Current Employer/Co-worker E-mail Phone Number
3. Other E-mail Phone Number
Why should we award this scholarship to you? Please justify financial need.
Are you currently receiving any scholarships/grants or have you been awarded any scholarships or grants for the upcoming academic year?
Yes No
If yes, please list source & amount

Scholarships are awarded based on the following and for the academic year following the application deadline beginning with the fall semester. Re-applications will be accepted from former scholarship applicants and recipients provided they meet current scholarship criteria.

Visit for complete eligibility requirements & list of scholarships
  • 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 written statement from a school administrator.
  • 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 for a list of ASHRAE student branches.
  • Potential service to the HVAC and/or refrigeration profession.
  • Financial need
  • Excellence, Character, Leadership (Fully describe academic achievement and other leadership roles)
  • Service to community & others (Detail participation in the arts/music, athletics, volunteerism, environmental/humanitarian groups, or other service organizations)

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.

December 1 for Undergraduate Engrg, Engrg Technology, Regional/Chapter & University-Specific Scholarships
May 1 for Freshman & High School Senior Scholarships

Submit one application and all supporting documents and inquiries to:
Savanna Smith/Scholarship Administrator
180 Technology Pkwy
Peachtree Corners, GA 30092
678-539-1120 (direct)
Fax: 678-539-2120 (direct)

Revised October 2020