Due by Pre-State Leadership Conference Event Mail-in Deadline

Scholarship Policies, Qualifications and Application

Scholarship Policies and Qualifications

 Applicants must have a grade point average of 3.0 or above.
 Applicants must have been a member of TSA.
 Applicants must have applied to and be accepted by or already in attendance at a college or
university in Georgia.
 Recipient must major in Engineering.
 The GA TSA office handles funds in the following manner: $250.00 will be payable to the
registrar of the post -secondary institution upon receipt of an official acceptance letter and prior
to September 1. The remaining $250.00 will be sent upon receipt of documentation of a first
semester/quarter cumulative grade average of 3.0 or above.
 Changes in schools, majors, and entry dates may result in the loss of scholarship funds if not
submitted and approved by the Georgia TSA state office.
 The scholarship application will not be accepted without all requested documents.

The completed scholarship application and all necessary documents should be mailed separately to:
GA TSA Pitchford Scholarship, PO Box 2304, Acworth, GA 30102.

Checklist:
_____ Completed Application Form
_____ Attached answers to questions
_____ Two letters of recommendation
_____ College Acceptance Letter
_____ Copy of your transcript sent from the Counselors/Records Office

Applicants will be interviewed at the Georgia TSA State Conference in Athens, GA.
Name: __________________________________________________________________________

Home Address: ___________________________________________________________________

City, State, Zip: ___________________________________________________________________

School Name: ____________________________________________________________________

School Address: ___________________________________________________________________

City, State, Zip: ____________________________________________________________________

Chapter Advisor’s Name: ____________________________________________________________

College or University in Georgia you are planning to attend: ________________________________

Date you were accepted: ____________________ Date you will enroll: _______________________

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1. Please answer the following questions. Attach a separate sheet for each question and place the
headings at the top of each page.
 Why have you chosen Engineering as your career?
 What area of engineering do you wish to pursue?
2. Attach Recommendations from:
 Your Technology Education Teacher or Engineering College Professor
 A School Official
3. Attach a copy of your college acceptance letter.
4. Have your Guidance Counselor or Office of School Records mail
 A copy of your school record as of the end of the first semester of your senior year of high
school or your current college transcript.

The information on this form is true and accurate. I have read all of the policies and qualifications of this
scholarship and understand that any changes that occur in my plans must be reported to the state
Georgia TSA state office.

NOTE: Changes in schools, majors, and entry dates may result in the loss of scholarship funds if not
submitted and approved by the Georgia TSA state office.

Applicant’s Signature __________________________________________________ Date ____________

Advisor’s Signature Date _______________________________________________ Date ____________

Parent’s Signature Date ________________________________________________ Date ____________