NATIVE AMERICAN

SCHOLARSHIP FUND
Available to ALL Native American students enrolled in
a curriculum leading to a profession in civil engineering
and land surveying.
3838 N. Central Avenue, Suite 1250 Phoenix, Arizona p: 602.263.1177 f: 602.277.6286
$1,000 per year and may include a paid internship
opportunity at RITOCH-POWELL & Associates.
Career Dream
Catcher
www.ritochpowell.com
R
IT
O
C
H
-PO
W
ELL &
A
ssociates (R
PA
) Scholarship
Fund is for aspiring Nat ve Am
ericans w
ith a dream
of becom
ing a
civil engineer or land surveyor. RPA is a leading civil engineering and
surveying consultant rm
that w
ants to give back to the Nat ve Am
erican
com
m
unit es in Arizona. This scholarship fund is to help encourage young
Nat ve Am
ericans on a career path that w
ill not only help their com
m
unity,
but Arizona.
Please include w
ith your applicat on:

Personal Statem
ent - typew
rit en (1-2 pages, double-spaced,
single-sided) describing: educat on and career goals; how
this
scholarship w
ill assist you in achieving your career goals; and your
personal history.

Act vit es/Honors - at ach a separate sheet list ng your extracurricular

act vit es, honors, em
ploym
ent, and volunteer/com
m
unity service
(include years of involvem
ent).

Transcripts - at ach a copy of your college transcripts, w

hich include
grades from
the m
ost recently com
pleted sem
ester (uno cial copies
are acceptable).

Let ers of Recom

m
endat on - at ach tw
o let ers of recom
m
endat on
from
your civil engineering and/or land surveying instructor(s).
Tui Uivivsi1v
oi Avizo.
NATIVE AMERICAN
SCHOLARSHIP FUND
3838 N. Central Avenue, Suite 1250 Phoenix, Arizona p: 602.263.1177 f: 602.277.6286
Todays Date: ________________________
Name: ________________________________
Address: _________________________________
___________________________________________
Date of Birth: __________________________________
Gender: Male Female
Natve American Tribe: ______________________ Language(s) ______________
Email: ____________________________ Telephone: _________________________
University: NAU ASU UofA
Academic Level 2013 - 2014: Sophomore Junior Senior Graduate Student
Number of Years ________________ Credit Hours ________________ GPA ________________
CONSENT TO RELEASE RECORDS
Among other rights aorded to me under Federal Legislaton commonly known as
The 1974 Family Educaton Rights and Privacy Act, as amended, I understand that I have the
right to specify the name of each and every individual to whom my records are released.
I further understand that I may waive my right to specify the name of each scholarship
commitee to whom my records are released as long as such records are used only in
connecton with the RITOCH-POWELL & Associates Scholarship Fund.
I certfy that the informaton throughout this applicaton is accurate and that
misrepresentaton of any facts or details could result in ineligibility for a
RITOCH-POWELL & Associates scholarship.
Print Name: _______________________________________
Signature: _________________________________________
Date: _____________________________________________
I further understand that I may waive my right to specify the name of each scholarship
commitee to whom my records are released as long as such records are used only in
connecton with the
I certfy that the informaton throughout this applicaton is accurate and that
misrepresentaton of any facts or details could result in ineligibility for a
right to specify the name of each and every individual to whom my records are released.
I further understand that I may waive my right to specify the name of each scholarship
commitee to whom my records are released as long as such records are used only in
connecton with the
I further understand that I may waive my right to specify the name of each scholarship
APPLICATION
______________
Application and all required attachments are due June 1, 2013.
Please email your applicaton or any questons to
Loreta Roberts at lroberts@ritochpowell.com.
s