Deadline for intention documents: march 30, 2017

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1370 Washington Pike, Suite 404

Bridgeville, PA 15017


2017 Scholarship Application for New Career Practicum Applicants

Scholarship Funds May Be Applied to Tuition, Books and Fees ONLY!
(Please Print)

Full Name: __________________________________________________________________________________________________________________________________

(first) (middle) (last)

Home Address: ____________________________________________________________________________________________________________________________

Preferred Phone/Email: ___________________________________________________ /____________________________________________________________
Name and Phone Number of Individual Who Referred You to the Program:
__________________________________________________________________________________ /_____________________________________________________________
School Name: __________________________________________________________ Major: _________________________________________________________

Year (NOT NOW, in 2017-2018): (Circle One) Freshman Sophomore Junior
Anticipated Graduation Date: __________________________________________________________________

(No earlier than Spring 2019. You must have four full semesters of classroom instruction remaining to apply.)
Are you a US Citizen? Yes No
Place of Employment: _____________________________________________________________________________________________________________________
Circle One: Internship Co-op
Supervisor Name/Phone Number: ________________________________________________________ /____________________________________________
On a separate sheet of paper, write two essays, not to exceed one single-spaced page each, explaining the following:

I. Why you have chosen an engineering, science, or mathematics field of study?

II. What you have learned from your hands-on work experience in an industrial environment?
______________________ I confirm I have not plagiarized any portion of my essays. (Please initial.)

The II-VI Foundation Scholarship program was established “to encourage and enable student scholars to pursue an engineering-, science-, or mathematics-related degree” at a post-secondary educational institution. In accordance with IRS guidelines, the scholarship award can only be used for the following: (1) tuition and fees required for the enrollment or attendance of the student at a qualifying institution; and (2) books, supplies and equipment required for the course of instruction.

Freshmen scholarship applicants have the possibility of receiving a $5,000 scholarship. The program provides for each of the three years following the receipt of the initial scholarship the possibility to receive an additional scholarship in an amount not to exceed $10,000 per academic year. To be eligible for future scholarships students must: complete the required work experience hours with verification from their supervisor, all scholarship requirements must be met and students must go through the application process again as defined on the website.
The following information must be submitted along with your essays and this completed, signed application:

  • Proof that you have completed or are committed to complete at least nine (9) weeks or the equivalent of 360 hours of practical, hands-on work experience in an industrial environment during the period from October 1 of the previous year to August 31 of the current year.

  • Three (3) signed letters of recommendation: one from your immediate supervisor describing your practical work experience and your performance during this experience, and two additional letters of character reference.

  • Proof that you are enrolled in a major in an engineering-, science-, or mathematics-related course of study for the upcoming academic year (medical sciences, civil engineers, architectural engineering and petroleum engineers excluded). A copy of pre-registration for the fall semester will be accepted.

  • Complete the statement of anticipated cost of tuition, books and fees associated with your specific institution for the entire year. If this is not available at the time of your application, it must be provided by June 30, 2017.

  • List any scholarships or aid to which you have applied or are currently receiving on the required form.

  • Certified sealed copy of either your complete High School or University/College transcripts, whichever is most current. A minimum Cumulative GPA of 3.2 is required. For High School students: (1) The un-weighted GPA is used. (2) Official SAT scores must be provided. A minimum SAT score of 1700 is required for tests taken before March 2016; a minimum score of 1120 is required for tests taken in March 2016 and later. (3) If your SAT scores do not appear on your transcript, then they must be sent directly from the College Board by the deadline.

  • An interview with the Executive Director or his designate is required. Please call or email the II-VI Foundation office by March 30, 2017 to schedule an interview. A job description provided by your employer must be submitted prior to the interview.

Please Note: An employer-signed statement detailing that you completed a full nine weeks or 360 hours of employment as promised must be provided in order to be considered for a future scholarship.

I hereby attest that the information provided in this application and the accompanying attachments is truthful and, to the best of my ability, I have met the requirements of the II-VI Foundation Scholarship Application as set forth above. I give the II-VI Foundation permission to contact my course instructors, guidance counselors, school administrators and work supervisors to discuss this application and the accompanying attachments.
I hereby attest that during the past twelve (12) months I have no record of disciplinary or criminal actions taken against me, either at school or in the community.
I hereby attest that I am lawfully present in the United States and that I am legally authorized to work in the United States.  Upon request, I will provide appropriate documentation of my legal status to the II-VI Foundation.
The Selection Committee reserves the right to reject any application for any reason. I understand that the decision of the Selection Committee of the II-VI Foundation is final and cannot be appealed or changed.
I understand that any scholarship awarded by the II-VI Foundation can be used for tuition, books and fees only.
I understand that if I miss a renewal year for any reason I am no longer eligible to participate in the II-VI Foundation Scholarship program and therefore will not receive any further funding.
The II-VI Foundation may utilize an applicant’s name, address, name of the high school attended, and the name of the post-secondary educational institution that the applicant currently attends. I understand that by signing this Scholarship Application, I give the II-VI Foundation permission to use and disclose this information for promotional purposes.
Signature: ____________________________________________________________________________ Date: ____________________________________

Parent/Guardian Signature*: _____________________________________________________ Date: _____________________________________

(*required for applicants under 18 years of age)

Scholarship New Practicum Rev. L/January 2017

Guidelines for Completing the II-VI Foundation Scholarship Application




Please follow these instructions carefully. Failure to comply may result in rejection of your application:

  • The June 1, 2016 Intention Deadline and July 1, 2016 Documentation Deadline are absolute. The earlier you submit your information the better. ONLY THE FIRST 60 COMPLETE, QUALIFIED APPLICATIONS WILL BE ACCEPTED! This includes applicants applying for the first time and renewal applicants. You do not have to submit the entire application all at once. Please send us pieces as you receive them or complete them. All documents must be physically received in the office by 1:00 pm EDT on Friday, July 1, 2016. Copies of official documents (i.e. transcripts) will not be accepted as substitutes. Make sure you contact your schools in plenty of time. They often need several weeks to get a transcript out. And, remember – we will only accept the first 60 qualified, complete applications!

  • We recognize that many parts of your application cannot be completed until May or June, such as your transcript, supervisor’s recommendation and essay on your work experience.


    • Signed application form, available on the website

    • Job description from your planned industrial work experience HR department or supervisor

    • Interview scheduled (read the interview guidelines below and contact Sue at or call 412-206-0580 with your best dates and times)

  • June 1, 2016 is the Intention Deadline - the deadline to submit your intention documents and the deadline to schedule an interview. The only way to declare your intention to apply is to submit the three pieces of the application listed above. An interview with the Executive Director or his designee must be scheduled by June 1, 2016 by calling the II-VI Foundation office or emailing or . Interviews will be done during the weeks of June 6 – June 10, June 13 – June 17 and June 20 – June 24, 2016. For anyone in Pittsburgh and the surrounding area, interviews will be conducted in our office at 1370 Washington Pike, Bridgeville, PA between the hours of 9 am and 4 pm. We understand this is during work time. Talk with your supervisor. Most are willing to let you leave to attend an interview of this importance. Interviews can also be scheduled during your lunch break, if necessary. If you are outside of the Pittsburgh area, Skype interviews will be conducted during those same hours. Skype interviews are preferred, but if not possible, phone interviews will be conducted.

  • Proof of employment must be presented to the II-VI Foundation office in the form of a job description provided by your employer and supervisor/mentor contact information prior to your interview. However, it is recommended that you get this approval before beginning your job. Please note that work experience must be gained in an “industrial” setting. This does not include labs, research, academic settings or most government and military jobs.

  • II-VI Foundation scholarship opportunities are not directed toward pre-med candidates, civil engineers, architectural engineers or petroleum engineers. However, scholarship opportunities are directed toward students pursuing degrees in electrical, industrial, chemical, nuclear, mechanical, material science engineering and related engineering and science disciplines. Mathematics majors are welcome to apply.

  • The scholarship opportunity is not available to college seniors who are applying for the first time. It is felt we cannot have as great an impact on these students. You must have four (4) full semesters of class time remaining to apply for the FIRST time. (Class time meaning instruction, not internship/co-op work time.) As a first time applicant, to apply for the 2016-2017 cycle your graduation date cannot be earlier than Spring, 2018.

  • July 1, 2016 is the Documentation Deadline. Everything must be physically received in the office by 1:00 p.m. EDT. Read the application carefully to make sure you submit everything required:

  • Official transcript. Contact the school early to make sure your transcript gets to us in time.

  • Official copy of SAT/ACT test scores if applying in high school and they are not listed on your transcript. These take several weeks to get to us – do not wait to request that your scores be sent to us.

  • Proof of college/university enrollment for upcoming year. This is usually available on your school’s website. It could be specifically a proof of enrollment form or a copy of your class schedule for the fall. It is not necessary to have this signed.

  • 3 Recommendations, including one from your work supervisor. RENEWAL APPLICANTS - Recommendations must be new each year. You may ask the same person for a recommendation, but they must write a new one. You learn, change and grow each year. We need to have current recommendations.

  • Proof of 360 hours of work experience already completed or a statement signed by you of your commitment to complete it by August 31st *****A lot of applicants forget this one. If you've already completed 360 hours it should be a signed letter from the company telling us how many hours you completed. If you have not yet completed your hours it should be a signed letter from YOU stating you are committed to completing 360 hours/9 weeks by August 31st. If you are awarded a scholarship, after you complete your required hours, you will need to submit a signed letter via PDF scanned email, fax or regular mail, from a company representative stating how many hours you worked.

  • Essay (s) as required. Essay topics are on the application. A new essay is required each year that you apply for the scholarship.

  • Statement of anticipated cost of tuition, books and fees for the entire year. Be sure you give us the total for an entire year – not just one semester. Your potential scholarship amount will be based on the information YOU give us.

  • List of any other scholarships or aid you have been awarded or for which you have applied and what they can be used for if you receive them. Because our scholarship can be used ONLY for tuition, books and fees, we reserve the right to choose a funding level based on other scholarships.

  • Signed and completed application (parents’ signature required if you are under 18)

  • ONLINE TRACKING OF RECEIPT OF APPLICATIONS MATERIALS. At your interview you will be given an applicant number. Save this number! Beginning the week of June 13th you will be able to monitor on our website what parts of your application we have received. A database of application materials will be found under the “Scholarship Application Tracking” tab. An X or a date indicates our receipt of that application requirement. You will be identified only by number, no names will be used. Remember your number! The database will be updated by 2:00 pm Monday through Thursday. Please check the website before calling the office to check on our receipt of a part of your application.

  • It is your responsibility to meet all deadlines and make sure all pieces of the application are submitted!

Application Critical Dates Follow…

2016 Student Scholarship Program Critical Dates


This is the deadline to declare your intention to apply by submitting the application form and job description and scheduling an interview. Call the II-VI Foundation office, 412-206-0580, or email to schedule an interview. Interviews will be held during the weeks of June 6th through June 24th. Proof of employment must be presented to the II-VI Foundation office in the form of a job description provided by your employer and supervisor/mentor contact information prior to your interview.


New and renewal student scholarship applications are due. All application requirements must be received in the office by 1:00 pm EDT on the date due. HOWEVER, DO NOT WAIT UNTIL THE DEADLINE. WE WILL ONLY ACCEPT THE FIRST 60 COMPLETE, QUALIFIED APPLICATIONS!


The Selection Committee meets to decide student scholarship awards and funding levels.


Students are notified of awards. Scholarship recipients must complete DATA SHEET located on website. Failure to complete and return data form will result in delay of funding.

AUGUST 1st – 15th: FUNDING

Once we receive your data sheet:

  1. We will fax to the school contact person that you give us an agreement stating your scholarship may be used for tuition, books and fees only. According to IRS laws, this agreement must be signed by the school before we can send them your scholarship award.

  2. Once we receive a signed agreement, your scholarship award will be mailed directly to the school. Scholarship awards can be applied to one semester or divided equally between two semesters, whatever you and your school prefer. As long as the award is used within the 2016-2017 school year and is applied only to tuition, books and fees, this is your choice

  3. We will notify you when we mail it so you can watch your student account for credit.

If we do not receive a signed agreement from your school, it is your responsibility to contact them and insure this is done so you can receive your award. Checks CANNOT be sent until this signed agreement is received.


Work experience qualification period concludes. A minimum of 360 hours must be completed to qualify for the current scholarship funding cycle. If you had not completed your hours before filing your application, you will need to submit a signed letter via PDF scanned email, fax or regular mail, from a company representative stating how many hours you worked.


Between October 1 and August 31st, 360 hours/9 weeks must be completed to qualify for the next scholarship funding cycle.

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