Page 29 - July-Aug 2021 Vol 39 No 2

Section 4 - PERSONAL INFORMATION (Use additional sheet if necessary.)

List all school-related extracurricular activities and leadership positions held.
Activity: ___________________________________________________________________________________________________

Organization: ______________________________________________________________________________________________
Your Role: _________________________________________________________________________________________________
List all extracurricular activities for charitable, civic and community organizations including leadership positions held.

Activity: ___________________________________________________________________________________________________
Organization: ______________________________________________________________________________________________

Your Role: _________________________________________________________________________________________________
List all honors and awards you have received. Give the name of the award(s) and what your accomplishments were.
Name of the Award: _________________________________________________________________________________________

Your Accomplishment: ______________________________________________________________________________________

Section 5 - WORK EXPERIENCE
List all jobs you have held. (Use additional sheet if necessary.)
Employer: _________________________________________________________________________________________________
Nature of Their Business: ____________________________________________________________________________________

Job Description or Duties: ____________________________________________________________________________________
Period Employed: ___________________________________________________________________________________________

What You Liked Best about the Job: ___________________________________________________________________________
Employer: _________________________________________________________________________________________________
Nature of Their Business: ____________________________________________________________________________________

Job Description or Duties: ____________________________________________________________________________________
Period Employed: ___________________________________________________________________________________________

What You Liked Best about the Job: ___________________________________________________________________________

Section 6 - SCHOLARSHIP PAYMENT INFORMATION
List the Institution that you will be attending for the fall term in 2021 and would choose to receive payment of this scholarship.

School Name: ______________________________________________________________________________________________
Address: __________________________________________________________________________________________________

City, State, Zip Code: ________________________________________________________________________________________
Phone Number: ____________________________________________________________________________________________

Section 7 - SUBMISSION INSTRUCTIONS
1. Every applicant must submit an application form, completed in full.
2. Reference Letters: Applicant must also arrange for two letters of reference to be sent directly to TCAPWA. The letters must
come from two of the following: a) the Public Works Director of your city, b) a teacher, professor, or guidance counselor
from your current school, or c) from a personal acquaintance or clergy who can attest to character.
3. Essay Requirement: Explain what Public Works means to you, or how you will use the scholarship money (200 words or less).
4. Completed essays, applications, and reference letters are to be submitted to: Nicholas Bradshaw, TCAPWA
address: 1400 Loraine Street, Knoxville, TN 37921; phone: (865) 215-6194; email: nbradshaw@knoxvilletn.gov.
5. DEADLINE: Application, Essay and Letters of Reference must be received on or before August 1, 2021.

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