Portland Water District

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Joseph A. DiPietro Memorial Scholarship Application

(Please answer all questions. Applicants may be disqualified if required fields are not completed.)
* = Required Fields

Name: *
Street Address:*
City:*	State:*	Zip:*
Telephone:*
E-mail:*
How long have you lived at the above address?*

Home Address (If different than address above)
Street Address:
City:	State:	Zip:
How long have you lived at the above address?

Education
College/University:*
Street Address:*
City:*	State:*	Zip:
Major:*
Advisor:
Advisor's Phone:
Advisor's E-mail:

SAT Score:

High School:*
Street Address:*
City:*	State:*	Zip:*
GPA:*
Guidance Councilor: *
Councilor's Phone:*
Councilor's E-mail:*

Community Activities Briefly describe your current and past extra curricular activities and community service(200 words or less).


Work Experience Briefly describe your past and present employment and the length and hours of employment (200 words or less).


Academic Awards Briefly list or describe any academic awards or honors you have received(200 words or less).


Financial Need* Briefly describe your financial situation (job, dependents, etc.) and how you plan to finance your college expenses (200 words or less).


Career Plans* Briefly describe your education and career plans and how they relate to the water and /or wastewater industry (200 words or less).


Essay* Briefly describe why the scholarship committee should choose to award the scholarship to you (300 words or less).
How did you hear about the DiPietro Scholarship?

If you would like to confirm receipt of your application, please contact the public relations office.