Page 29 - May-June 2023 Vol 41 No 1

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 in the fall of 2023 and 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: Kimberly Strong, TCAPWA
email: kstrong@chattanooga.gov or for additional information call 423-643-7814.
5. DEADLINE: Application, Essay and Letters of Reference must be received on or before August 1, 2023.

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