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