The Monty C. Lish & Stanley O. McNaughton Scholarship
2024-2025 Academic Year
Application checklist
The student is responsible for submitting all by the scholarship deadline. Incomplete applications will not be evaluated. This application for scholarship becomes complete and valid only when the ESC Scholarship Committee has received all of the following materials:
The following form will guide you though the scholarship application process. Please ensure you have completed the following by the application deadline
Completed scholarship application (this form)
Sent/uploaded current transcript(s) of grades
Sent/uploaded goals and aspirations essay
Sent/uploaded letters(s) of recommendation
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Applicant Data
Name
*
First Name
Middle Name
Last Name
Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Date of birth
*
-
Month
-
Day
Year
Date
Permanent home mailing address
*
Street Address
Street Address Line 2
City
State
Zip Code
Please Select
Afghanistan
Albania
Algeria
American Samoa
Andorra
Angola
Anguilla
Antigua and Barbuda
Argentina
Armenia
Aruba
Australia
Austria
Azerbaijan
The Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bermuda
Bhutan
Bolivia
Bosnia and Herzegovina
Botswana
Brazil
Brunei
Bulgaria
Burkina Faso
Burundi
Cambodia
Cameroon
Canada
Cape Verde
Cayman Islands
Central African Republic
Chad
Chile
China
Christmas Island
Cocos (Keeling) Islands
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Cote d'Ivoire
Croatia
Cuba
Curaçao
Cyprus
Czech Republic
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Ethiopia
Falkland Islands
Faroe Islands
Fiji
Finland
France
French Polynesia
Gabon
The Gambia
Georgia
Germany
Ghana
Gibraltar
Greece
Greenland
Grenada
Guadeloupe
Guam
Guatemala
Guernsey
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hong Kong
Hungary
Iceland
India
Indonesia
Iran
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jersey
Jordan
Kazakhstan
Kenya
Kiribati
North Korea
South Korea
Kosovo
Kuwait
Kyrgyzstan
Laos
Latvia
Lebanon
Lesotho
Liberia
Libya
Liechtenstein
Lithuania
Luxembourg
Macau
Macedonia
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Martinique
Mauritania
Mauritius
Mayotte
Mexico
Micronesia
Moldova
Monaco
Mongolia
Montenegro
Montserrat
Morocco
Mozambique
Myanmar
Nagorno-Karabakh
Namibia
Nauru
Nepal
Netherlands
Netherlands Antilles
New Caledonia
New Zealand
Nicaragua
Niger
Nigeria
Niue
Norfolk Island
Turkish Republic of Northern Cyprus
Northern Mariana
Norway
Oman
Pakistan
Palau
Palestine
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Pitcairn Islands
Poland
Portugal
Puerto Rico
Qatar
Republic of the Congo
Romania
Russia
Rwanda
Saint Barthelemy
Saint Helena
Saint Kitts and Nevis
Saint Lucia
Saint Martin
Saint Pierre and Miquelon
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
Somaliland
South Africa
South Ossetia
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Svalbard
eSwatini
Sweden
Switzerland
Syria
Taiwan
Tajikistan
Tanzania
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Transnistria Pridnestrovie
Trinidad and Tobago
Tristan da Cunha
Tunisia
Turkey
Turkmenistan
Turks and Caicos Islands
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom
United States
Uruguay
Uzbekistan
Vanuatu
Vatican City
Venezuela
Vietnam
British Virgin Islands
Isle of Man
US Virgin Islands
Wallis and Futuna
Western Sahara
Yemen
Zambia
Zimbabwe
Other
Country
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Employee/Parent or Guardian Information
Employee/Parent/Guardian Name
*
First Name
Last Name
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Company
Employee/Parent/Guardian address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Relationship to applicant
*
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High School information
School name
*
Phone Number
*
Please enter a valid phone number.
Graduation date
*
-
Month
-
Day
Year
Date
City of the school
*
State of the school
*
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Post secondary school information
Name of school you plan to attend next year. (If unknown, please list in order of preference the schools to which you have applied.) Use official school names, do not use abbreviations.
Intended school or school application history
*
Class standing (as of the current academic year):
*
1st year
2nd year
3rd year
4th year
5th year
6th year
Major or course of study:
*
Expected graduation date
*
-
Month
-
Day
Year
Date
Degree sought:
*
Bachelor's
Associate
Certificate
Master's
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Work Experience
Describe your work experience during the past four years. Indicate dates of employment for each job and an approximate number of hours worked each week.
Work history
*
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Activities, Awards & Honors
Describe your work experience during the past four years. Indicate dates of employment for each job and an approximate number of hours worked each week.
Activities list
*
Unusual circumstances
Please describe if, how, and when any unusual family or personal circumstances may have affected your achievement in school, work experience, or your participation in school and community activities. (This field is optional)
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Goals and aspirations essay
Please write an essay describing your education and career plans and how they relate to a safety and health career. This essay can be up to one standard page in length, single spaced with a 12 point font.
Essay upload:
*
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Transcript Information
A transcript of grades must be sent with this application. Unofficial transcripts must display student name, school name, grade and credit hours earned for each course, and term in which each course was taken. Grade reports are not acceptable. Students currently or previously enrolled in college must include all college transcripts of grades from each school attended. High school seniors and students who have completed less than one full quarter or semester of post-secondary education must include a high school transcript of grades. Note that the field below allows multiple files to be added.
Transcript upload:
*
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Letter(s) of Recommendation
Applicants must submit at least one (1) letter of recommendation from: a High School Counselor or College Advisor, a Teacher or Professor, a Leader or Supervisor of a community activity in which you were involved, OR an employer or prior safety supervisor. Note that multiple letters may be uploaded here, if you choose to submit more than one.
Letter upload:
*
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Review and sign
I acknowledge decisions are final. I certify I meet eligibility requirements as described in the brochure and that the information provided is complete and accurate to the best of my knowledge. If requested, I will provide proof of information on this form. Falsification of information may result in termination of any scholarship granted.
Signature
*
Today's date
*
-
Month
-
Day
Year
Date
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