School of Technology
Department of Information Technology
Application for the Fritz B. Burns Scholarship
2002-2003 School Year

Name _________________________________________________ Soc. Sec. No. ______________________________
Current Mailing Address ____________________________________________________________________________
______________________________________________________Current Phone _____________________________
Long-term Mailing Address _________________________________________________________________________
______________________________________________________ Long-term Phone___________________________

Semester or Term for which financial aid is requested Fall 2002_____; Winter 2003_____; Sp 2003_____; Su 2003_____
Will you be receiving any other scholarship or financial aid? _________ From what source? _______________________
Will you carry the minimum 14 hrs. of courses each semester that you receive financial aid? ______________________

IF YOU ARE A NEW HIGH SCHOOL GRADUATE:

ACT Scores: Eng_______; Read_______; Math_______; Sci_______; Comp_______ ; Overall GPA :_______
Name of High School_____________________________________________________________________________

IF YOU ARE TRANSFERRING FROM A JR. COLLEGE OR OTHER UNIVERSITY:

Name of college or university________________________________________________________________________

Your field of study ________________________________________________________________________________

No. of credit hours completed: _________semester hrs.: __________quarter hrs. Overall GPA:_______

IF YOU ARE TRANSFERRING FROM A DIFFERENT BYU MAJOR:

Name of major you are coming from: _________________________________________________________________

Total No. of credit hrs. completed at BYU:________; completed at some other school:_______; Overall GPA:________

IF YOU ARE A CONTINUING BYU STUDENT IN EET:

No. of semesters and terms completed in the major: ___________ Current overall GPA :__________

Estimated no. of semesters and terms remaining till graduation in the major: Semesters:___________ Terms:_________

Have you ever received financial help of any kind while at BYU? _________ If so, from what source?________________
Which semesters?_____________________________________

Awards will be based on academic performance, need, and likelihood of success in the major. Please include a letter to the scholarship administrator explaining briefly your reasons for applying for the scholarship. Discuss your preparation for a career in electronics, your interests and accomplishments in this field, and how a degree in EET will help you accomplish your goals. Provide as much information as you can about your background and interests, as well as your financial needs. You may attach a resume, letters of recommendation from previous employers or teachers, and any other information that will aid the administrator in making awards.

Signature __________________________________________________

Mail or FAX this application to: Richard Helps, Scholarship Coordinator, 265 CTB, Brigham Young University, Provo, UT 84602

FAX 801 378-7575 Deadlines: 1 July for Fall; 1 November for Winter