American Society for Industrial Security, Puget Sound Chapter, seeks scholarship applications from students of merit who are interested in the security profession and who have demonstrated a potential to make a contribution to the field of security.

Selection Criteria for Students Applicants: you must be either a full-time or part-time student and have completed one year of study at a recognized college, university, or community college. A minimum grade point average of 3.0 (on a 4.0 scale) will be required for graduate students.  3.0 is the preferred minimum for undergraduate requirements.

Candidates must submit the following:

• A completed application form and an official grade transcript.
• An institutional validation of program enrollment (or acceptance in the case of transfer students) in a fully accredited college, university, or community college.
• A recommendation from a faculty member.

Annual awards are from $500 to $1,500 dollars. Applications must be received by July 31st each year.  Scholarship awards are made at the discretion of Puget Sound Chapter, American Society for Industrial Security.  Recipients will be notified and awards distributed in the fall of each year.

Please mail submissions to:

ASIS Puget Sound Chapter
Scholarship Committee
c/o Don Pilker, CPP
Director, Security & Logistics Services
Virginia Mason Medical Center
Mailstop G3-SE
1100 Ninth Avenue
Seattle, WA  98101

You can obtain the application by contacting Don Pilker, CPP, at (206) 625-7373 ext: 63199, or email Don directly.  The form is also available below to print or save as a PDF.

Eligibility:  Open to ASIS members and other students of merit who are interested in the security profession and who have demonstrated a potential to make a contribution to the field of business security.

A minimum grade point of 3.0 (on a 4.0 scale) is required for graduate students. Undergraduate grade point requirement set by local ASIS chapter.  Applicants may be part-time or full-time students at an accredited college, university, or community college.  Scholarships will be awarded on a calendar year basis, January 1 through December 31.

Student Requirements:

• Complete and submit application to chapter.
• Submit transcript to chapter.
• Submit faculty member letter of recommendation to chapter.

Address of Puget Sound Scholarship Review Committee:

ASIS Puget Sound Chapter Scholarship Committee
c/o Don Pilker, CPP, Director, Security & Logistics Services
Virginia Mason Medical Center, Mailstop G3-SE
1100 Ninth Avenue, Seattle, WA  98133

Student Information:
(Please print clearly)

Name__________________________________________________________________

SSN#____________________________Home Telephone (____) ___________________

eMail Address:_______________________________________________

Home Address___________________________________________________________

_______________________________________________________________________

_______________________________________________________________________

School Address__________________________________________________________

______________________________________________________________________

______________________________________________________________________

School Telephone (____)__________________________________________________

Major _________________________________________________________________

Courses taken relevant to security (if any):__________________________________

______________________________________________________________________

______________________________________________________________________

Name and phone number of faculty member sending recommendation: ___________

______________________________________________________________________

Cumulative grade point average __________________________________________
(must also submit an official copy of your transcript)

Current and/or previous security or related work experience:_____________________

_______________________________________________________________________

Future career plans: ______________________________________________________

_______________________________________________________________________

_______________________________________________________________________

Future academic plans (advanced degrees, courses, etc.):_______________________

_______________________________________________________________________

_______________________________________________________________________

Academic and/or professional memberships: __________________________________

_______________________________________________________________________

_______________________________________________________________________

Briefly explain your interest in the security profession:__________________________

_______________________________________________________________________

_______________________________________________________________________

_______________________________________________________________________


______________________________                               ________________
Applicant's Signature                                                                Date  

FOR CHAPTER USE ONLY
CHAPTER REQUIREMENTS CHECKLIST
_____1.  Ensure student requirements have been met.
_____2.  Select one matching scholarship winner.
_____3.  Ensure all award checks are processed through ASIS Foundation, Inc. Headquarters for IRS compliance purposes.
_____4.  Send copy of application for all award recipients to ASIS Foundation, Inc. Headquarters.
_____5.  Send Regional Vice President a copy of the application for matching scholarship winner.
_____6.  Acknowledge receipt of candidate’s application.


Chapter Statement:
Is this your one chapter matching scholarship selection?  Yes______  No______
Is the matching scholarship winner an ASIS chapter member?  Yes______  No______
In order for you candidate to receive the one matching scholarship and/or be eligible for the Regional Vice President award, the following statement is required:
“I attest to the fact that ______________________________ (name) has met the minimum selection requirements as stated in the ASIS Foundation, Inc. Scholarship Policy for the awarding of the ____________(year) matching scholarship from Chapter____________________________(name and number).

_________________________________________________________________
Signature of Chapter Chairman                                                 Date