Lincoln C. Bailey Memorial Scholarship Application - International Safety Equipment Association

Applicants can complete the online form below.

Applications may also download and complete the form here. Please follow instructions on the form to submit your application through the mail or email.

Step 1 of 3

Please fill out all fields and upload materials as requested.

It is your responsibility to be certain that your application package is complete, including transcripts, financial information, and letters of recommendation, and digitally submitted by the deadline. Missing information disqualifies the application. Please note, you will not be contacted if information is missing from your application.

Personal Information

I hereby apply for the Lincoln C. Bailey Memorial scholarship and submit the following information for the consideration of the selection committee.

Name(Required)

First Last

Date of Birth(Required)

Phone

Email(Required)

Permanent Home Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

College or University You Are Attending(Required)

Address at School (if different than permanent address)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Expected Date of Graduation(Required)

Relationship to ISEA Member

Please indicate your relationship to the person employed by an ISEA member company.

Name of ISEA Member(Required)

First Last

ISEA Member Company(Required)

Title/Position(Required)

Relationship to You(Required)

Achievements & Extracurricular Activities

List and describe scholastic and academic honors.(Required)

Upload College Transcript

Max. file size: 2 MB.

Attach a copy of your official college transcript through the end of most recently completed grading period.

List extracurricular and community activities (excluding jobs) while in college.

Examples: Personal interest clubs and groups, athletics, publications, church groups, etc.

What are your hobbies and recreational activities?

List jobs (including summer and other part-time employment) held during the past three years.

If available, include amount earned.

Areas of Interest

What program of study are you pursuing?(Required)

Be specific. (electrical engineering, business administration, history, etc.)

Why have you chosen this course of study?(Required)

Briefly justify your need for this grant in terms of your (A) personal development, (B) family situation, and (C) financial need:

Family:(Required)

Dual-parent

Single-parent

Independent Student

Other

Please note any family situation, such as unemployment, serious illness, or other circumstances you would like to have considered.

Upload Financial Statement

Max. file size: 2 MB.

Please attach a statement on school letterhead from your college financial aid office which includes: the actual student budget, your parents' contribution, your contribution, statement of financial awards actually accepted, and remaining need.

Additional Information

If you could do what you most wanted to do, what kind of life would you be leading 15 to 20 years from now?(Required)

State specifically how you believe your college education will help you reach your life's goals.(Required)

Letters of Recommendation

Drop files here or

Max. file size: 2 MB.

Please attach current letters of recommendation from two sources. Be certain to include addresses and telephone numbers. If possible, these should be from individuals who have known you for several years.

Consent and Signature(Required)

I Agree

By selecting the "I Accept" button, you are signing this scholarship application electronically for submission and review. You agree your electronic signature is the legal equivalent of your manual signature on this scholarship application.

Digital Signature(Required)

Type your name here to sign this scholarship application.

Submission Date