Karol L. & Dorothy D. Hujsak Engineering Scholarship
James W. & Glenda C. Kilmer Engineering Scholarship
A scholarship for first year students studying toward a career in engineering
Application
Guidelines
Application Deadline: February 1, 2022
Before completing this application, read the instructions. Complete all items below. If you are
unable to provide the information requested, state the reason in the space provided or attach a
letter of explanation. The applicant assumes responsibility for ensuring that all requested
information is sent as a complete packet and is mailed to the Tulsa Engineering Foundation no
later than February 1, 2022. Faxes will not be accepted. The Foundation assumes no
responsibility for procuring the information. The completed application should be sent to:
Tulsa Engineering Foundation, PO Box 703065, Tulsa, Oklahoma 74170-3065.
Contact Barbara Wollmershauser if questions. 918-906-7929 info@tulsaengineer.org
The following information should be included in order to be considered a complete application packet:
Please send the original and three (3) complete copies. We understand you cannot send copies of the
Letter of Recommendation. Do not staple the application packet.
1.) Application Form
2.) Personal Essay
3.) Activities Form
4.) Financial Need Form
5.) 2 Letters of Recommendation (should be placed
in a sealed and signed envelope)
6.) Grade Certification Form
7.) Official Transcript – you can make copies.
Personal Essay – Take time to prepare a developed, well-written, grammatically correct essay. This is
your opportunity for the Scholarship Committee to know you individually. While GPA, ACT/SAT scores,
financial need, etc., are important selection criteria, a good essay often sets one student apart from
others. The essay is to be limited to one-page in length highlighting areas, such as your motivation for
pursuing a career in engineering, your academic, extra-curricular, and community service
accomplishments, and any part-time jobs, travel or hobbies that may relate to your career goals. Also,
state how a scholarship will aid you with these goals and how it demonstrates your attitude about life. Let
us know something about you that we may not learn from the rest of your application. There is no
“correct” way to respond to this essay. In writing about something that matters to you, you will convey a
sense of yourself. The essay must be computer prepared or hand printed.
Letter of Recommendation – When selecting someone to complete your recommendation, select
someone who will be thorough in the review of your character. Select someone who knows you (and your
family) well and will be able to give a candid and unbiased evaluation. Someone must complete your
recommendation other than your parents or immediate family members. Recommendations may be
written by teachers, counselors, employers, neighbors or a friend of the family. The letter of
recommendation should be completed on the form we have provided in this application and should be
returned to us in a sealed and signed envelope along with your application. Any recommendation
received with a broken seal will be rejected.
Official Transcripts Provide a transcript that includes grades (your GPA and Cumulative GPA) from
August through December (Fall semester). Do not send your application unless you include your Fall
2021 semester transcripts. If your school is reluctant to release transcripts directly to you, they may be
placed in a sealed envelope and then released to you. If you continue to have difficulty receiving
transcripts, please contact the Foundation for assistance. DO NOT SEND TRANSCRIPTS SEPARATELY!
Forms – Word doc versions of the forms are available by contacting [email protected] or calling 918-
906-7929.
ALL APPLICATION MATERIALS MUST BE SENT TOGETHER AS A SINGLE PACKET AND MAILED TO
THE TULSA ENGINEERING FOUNDATION, P.O. BOX 703065, TULSA, OK 74170-3065. THE PACKET
MUST BE POSTMARKED NO LATER THAN FEBRUARY 1, 2022. Regular postage is fine.
Karol L. & Dorothy D. Hujsak Engineering Scholarship
James W. & Glenda C. Kilmer Engineering Scholarship
A scholarship for first year students studying toward a career in engineering
Application
Form
Application Deadline: February 1, 2022
Name: _________________________________________________________________________________________________
Last First Middle
Permanent Address: ___________________________________________________________________________________
Street or PO Box City State Zip Code
Email Address: _____________________________________ Date of Birth: ____/___/____ Sex: Male Female
Home Telephone Number: (_____) _____-________ Alternate Telephone Number: (_____) _______-__________
Name of college in which you plan to enroll:
________________________________________________________________________________________________________
Name of college
________________________________________________________________________________________________________
City/State Dates To Attend
What is your intended major field of study? _______________________
List other colleges you are considering ________________________________________________________________
List any college or advanced placement (AP) courses you have taken ____________________________________
_______________________________________________________________________________________________________
Name of high school currently attending: _________________________________________ Cum GPA __________
Name of high school counselor: ____________________________ High School Phone No: (____) _____-______
If diploma attained via GED, indicate City/State and date obtained: _____________________________________
SAT Scores: Math_________ Verbal____________ Combined_______________
ACT Scores: English_____ Math_____ Reading_____ Science Reasoning_____ Composite_________
What are your financial needs for college, and how do you plan to meet them?___________________________
_______________________________________________________________________________________________________
_______________________________________________________________________________________________________
I have read the “Application Guidelines” page and understand submission procedures and deadline
requirements.
________________________________________________________________________ Today’s Date _____/_____/_____
Signature (Do not print)
Personal
Essay
Application Deadline: February 1, 2022
I declare that this essay is my own work, and that all the information in my application is, to the best of my knowledge,
correct.
________________________________________________ _______________________
Applicant’s Signature Date
Answer this question: How will the scholarship help you achieve your career goals? The essay statement
should describe your discovery of an interest in the engineering profession, your past experiences and
future study plans and reasons for choosing the engineering career path. Highlight areas, such as your
academic, extra-curricular, and community service accomplishments, any part-time jobs, travel or
hobbies that may relate to your career goals, as well as obstacles already overcome in pursuit of your
goals. We ask that your essay be computer prepared or hand printed. If you do not use this page for your
essay, please write and sign a statement exactly like the one below.
Activities
Using only the space provided below, please list all extracurricular,
community, and personal activities in which you have participated or are
planning for the current year. Include clubs, debate, school sports, student
government, fine arts, volunteer work, youth programs, athletic programs,
music, scouting, etc.
Form
High School
Extracurricular Activities
Participation By Year
Positions Held – Identify
Participant or Leadership Level or
Position
Fr
So
Jr
Sr
Volunteer Work/
Community Service
Dates of Service
Responsibilities
Work Experience
Dates of Employment
Title
***Do not attach additional resumes, lists, etc.***
Financial Need
Form
Application Deadline: February 1, 2022
Several of the TEF scholarships are based on financial need. To aid us in the evaluation, please
complete the following section:
STATEMENT OF FINANCIAL NEED
Amount
ESTIMATED COST TO ATTEND YOUR 1
ST
CHOICE SCHOOL FALL SEMESTER:
Tuition
$
Fees
$
Books
$
Room &/or Board
$
TOTAL ESTIMATED COST OF SCHOOL:
$
EXPECTED SOURCES OF INCOME FOR THE FALL SEMESTER:
Yourself – Savings, Job, Work-Study
$
Parents/Guardian
$
Other Scholarship Awards Received
$
Other Financial Assistance Received (Pell Grants, etc.)
$
TOTAL INCOME & FINANCIAL ASSISTANCE EXPECTED:
$
Unmet Financial Need (Difference between Costs & Expected Income)
$
After all scholarship and financial aid, how do you plan to meet your difference between the
estimated expenses and income?____________________________________________________________
____________________________________________________________________________________________
Annual Family Income (Please check one.):
Less than $50,000
$50,000 to $100,000
$100,000 to $150,000
Greater than $150,000
Number of people living in your household:
Number of people living in your household attending college full-
time in the fall:
Which schools are they attending?
If dependent, do both parents work? ❑ Yes ❑ No
Letter of Recommendation
Form – Recommendation #1
Application Deadline: February 1, 2022
I am writing this evaluation on behalf of:
Student’s Name: ____________________________________________________________________________
Evaluator’s Name: ____________________________________ Telephone Number: (_____)_____-______
Address: ____________________________________________________________________________________
(Street or PO Box) City State Zip
Relationship to applicant: _________________ How long have you known applicant? ____________
An evaluation received with a broken seal will be rejected. Please be sure to seal and sign
the envelope and return to applicant in order that it may be included along with the
application packet. Remember - parents, and immediate family members are not eligible
to write the evaluation. We ask this Letter of Recommendation be computer prepared or
hand printed.
To Evaluator: The below named applicant is applying for a scholarship with Tulsa
Engineering Foundation. Your evaluation is needed as part of the application process. The
student has authorized you to release any information you feel would be helpful in reviewing
his/her application. Your cooperation in providing this information is important to the
selection of award recipients. To insure confidentiality, please return this form to the student
in a sealed envelope with your signature across the seal. Please make a statement
describing the applicant’s character, school and community leadership abilities, potential to
succeed, and evidence of the student’s strengths and weaknesses, not to exceed one page in
length. Please include any financial need you are aware of. If you are using your letterhead
be sure to include your relationship to the applicant and the length of time you have been
acquainted.
Letter of Recommendation
Form – Recommendation #2
Application Deadline: February 1, 2022
I am writing this evaluation on behalf of:
Student’s Name: ____________________________________________________________________________
Evaluator’s Name: ____________________________________ Telephone Number: (_____)_____-______
Address: ____________________________________________________________________________________
(Street or PO Box) City State Zip
Relationship to applicant: _________________ How long have you known applicant? ____________
An evaluation received with a broken seal will be rejected. Please be sure to seal and sign
the envelope and return to applicant in order that it may be included along with the
application packet. Remember - parents, and immediate family members are not eligible
to write the evaluation. We ask this Letter of Recommendation be computer prepared or
hand printed.
To Evaluator: The below named applicant is applying for a scholarship with Tulsa
Engineering Foundation. Your evaluation is needed as part of the application process. The
student has authorized you to release any information you feel would be helpful in reviewing
his/her application. Your cooperation in providing this information is important to the
selection of award recipients. To insure confidentiality, please return this form to the student
in a sealed envelope with your signature across the seal. Please make a statement
describing the applicant’s character, school and community leadership abilities, potential to
succeed, and evidence of the student’s strengths and weaknesses, not to exceed one page in
length. Please include any financial need you are aware of. If you are using your letterhead
be sure to include your relationship to the applicant and the length of time you have been
acquainted.
Grade Certification
Form
Application Deadline: February 1, 2022
Student’s Name:
School Name:
At the close of the most recent semester, the applicant ranked ______ in a class of ________
At the close of the most recent semester, the applicant’s cumulative GPA was ______ on a scale
of 4.0
SAT Scores: ACT Scores:
Verbal: ________________ English: ________________
Math: ________________ Math: ________________
Combined: ________________ Reading: ________________
Science Reasoning: ________________
Composite: ________________
Person completing this form: ____________________________ Title: ____________________________
(Please Print)
Signature:_________________________________________________________ Date: _____/___/_____
AN OFFICIAL TRANSCRIPT MUST ACCOMPANY THIS
APPLICATION.
DO NOT SEND THIS INFORMATION SEPARATELY!
This section is to be completed by an advisor/counselor. GPA information should be on a
scale of 4.0 only. Only transcripts with the current semester information will be accepted
and must be included with the application. If transcripts are not available until the end of
January, the student must wait and send them at that time. This certification form is to be
included in the complete scholarship application packet.
