V. M. EHLERS FOUNDATION, INC.

(A Memorial Scholarship Fund)

1106 Clayton Lane, Suite 101 East

Austin, Texas  78723-1093

SCHOLARSHIP ASSISTANCE

ARE YOU ELIGIBLE FOR ASSISTANCE ?

To be eligible for scholarship assistance from the V. M. Ehlers Foundation, Inc. you must:

·         Have been an active individual dues paid member of the Texas Water Utilities Association, or an active dues paid member of a Sponsoring Organization that has a fully vested Endowment within the Foundation for a period of not less than twelve months preceding the date the application is received by the V. M. Ehlers Foundation, Inc.

·         Or be the dependent son or daughter of an active individual dues paid member.

·         Agree to pursue a course of study that is related to the water utilities industry.

·         Submit an application to the V. M. Ehlers Foundation, Inc., which is postmarked not later than July 15th of the current year.

·         Provide a post graduate high school transcript, GED or university grade report which documents your current academic status.

If you meet the eligibility criteria shown above, carefully complete all applicable parts of the following application.

SECTION ONE - The Applicant:  This application is for the Fall                 academic year.

Name of Applicant: ________________________________________

I am an _____ Active Member or ______ the dependent child of an Active Member of ______T.W.U.A. or ______ W.E.A.T.  I prefer that the ________________________________________ Endowment be used for funding my scholarship. (Write NONE if you have no Endowment preference.)

I have (or my parent has) been a member since: _______________________.

Permanent Home Address:_____________________________________________________________________

City: ____________________________________ State: ______________ Zip Code: ______________________

Date of Birth: _________________________ Daytime Telephone Number: ______________________________

SECTION TWO - Complete only if applying as a dependent child of an active member:

Name of Parent who is an Active Member: ________________________________________________________

Qualifying Parent’s Employer: _____________________________________________ How long? ___________

Member of which District:                                                                Parent’s Daytime Telephone: ______________

SECTION THREE - Academic and Professional information

COLLEGIATE AND CAREER PLANS:

What college or university do you plan to attend? (Name/City) ________________________________________

What degree do you plan to pursue? _____________________________________________________________

How many semester hours do you intend to take? _____________ Fall Semester, ____________ Spring Semester

Years planned to accomplish this goal? ___________

Describe how this relates to protecting the public health and our environment or the water utility industry:

___________________________________________________________________________________________

___________________________________________________________________________________________

What is your planned career choice? _____________________________________________________________

EDUCATIONAL HISTORY:

Very Important!!!!!   Attach High School Transcript, GED or University grade report !!!!

High School Attended (Name/City): _______________________________________ Year Graduated: _______

List any special studies: _______________________________________________________________________

List scholastic honors, scholastic clubs/organizations memberships, extra curricular activities, etc.: ___________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

Briefly describe any other formal education, giving names, addresses and dates of various schools you have attended:

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

EMPLOYMENT HISTORY:

Current Employer (if applicable): ______________________________________________________How long?___________

Describe the activities you performed: ________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

MEMBERSHIP HISTORY:

Describe your T.W.U.A. (or other professional organization) leadership and/or other activities:

___________________________________________________________________________________________

___________________________________________________________________________________________

___________________________________________________________________________________________

SECTION FOUR - Need for financial assistance:

Do you have your own household? (Circle one)  yes   no.  If yes, number of persons in household: ____ Annual Household Income: $________________

Do you Live with your parents? (Circle one)  yes   no  Number in parents household: ____ Annual Household Income: $___________________

Does your employer offer a tuition or other education reimbursement program? ___________________________

SECTION FIVE - Relationship to Ehlers Officials (Required for I.R.S. Reporting Purposes):

Note:  A relative of a Trustee or Endowment Representative is not disqualified from eligibility.

Following is a listing of the current Ehlers Foundation Trustees and Endowment Representatives:

Are you related to any of the Trustees or Endowment Representatives listed above? (Circle one)   Yes    No

SECTION SIX -             Applicant’s Administrative Checklist:

____                       Is membership (for you or your parent) in Texas Water Utilities Association, or in the Sponsoring Organization (ie: the Water Environment Association of Texas, etc.) of a fully vested Endowment within the Foundation, clearly stated in the application?

____                       Is the length of membership in the qualifying organization also clearly stated in the application?

____                       Are the academic degree to be pursued by the applicant, the college or university chosen and the applicant’s intended career plans clearly stated in the application?

____                       Is your income level, or the family income level (if applying as the child of a member and still residing with your parents) clearly stated in the application?

____                       Is the past academic record of the applicant, whether in high school or previous college activity, clearly indicated in the application and have you provided a post graduation high school transcript, GED or University Grade Report?  THE APPLICATION IS NOT COMPLETE WITHOUT THIS INFORMATION!!

____                       Are all leadership and/or volunteer activities in the qualifying organization(s) (for the applicant or his/her parents) clearly indicated in the application?

SECTION SEVEN- Applicant's Certification

I hereby certify that the information contained herein is true and complete to the best of my knowledge and belief.  I further certify (1) that if I am selected as the recipient of funds from the V. M. Ehlers Foundation, Inc., or of one of the Endowments thereof, all funds received by me shall be used for the purposes stated and to attend the college or university indicated within one collegiate semester following the date the notification letter is mailed to me by the V. M. Ehlers Foundation, Inc. and (2) that should the funds not be used for the stated purpose and within that time they will be returned to the V. M. Ehlers Foundation, Inc.

Applicant’s Signature: ________________________________________________ Date: ___________________

If you have questions call: (888) 367-8982 or (512) 459-3124

GENERAL INFORMATION

Important - Read This Carefully

The V. M. Ehlers Foundation, Inc. was organized in 1959 to honor and memorialize Mr. Victor M. Ehlers, who passed away on March 29, 1959 after a distinguished career in the water utilities profession.  Mr. Ehlers, or “Vic” as he was known to his friends, was instrumental in the formation of what is now the largest organization of its type in the world - the Texas Water Utilities Association.

            The Foundation operates as a Texas non-profit organization and promotes its founding purposes by offering scholarship assistance which will further the water related education of members - and the dependent sons and daughters of members - of the Texas Water Utilities Association.  Members - and the dependent sons and daughters of members - of the Water Environment Association of Texas and other organizations having fully funded endowments are also eligible for assistance through Endowments organized within the V. M. Ehlers Foundation, Inc.

            Scholarship assistance is paid to recipients in two installments, 50% for the Fall Semester and 50% for the Spring Semester.  All recipients are required to provide the Foundation with a copy of their transcript or grade report for the Fall Semester in order to receive payment for the Spring Semester.

            The Foundation and its Endowments fund scholarship recipients as either Full Time or Part Time Students.  For purposes of this definition a Full Time student is one taking not less than 12 semester hours, and a Part Time student is one taking not less than 6 semester hours.  Scholarship amounts may be reduced on a pro-rata basis for those students completing less than the defined course loads.

            For information regarding the formation of an Endowment within the V. M. Ehlers Foundation, contact the Texas Water Utilities Association, by writing to them at 1106 Clayton Lane, Suite 101 East, Austin, Texas 78723-1093, or contact them by telephone at (888) 367-8982 or (512) 459-3124.

T.W.U.A. MISSION STATEMENT

“This Association is a water utility, member-centered organization which provides training programs, technical publications, and mutual problem solving opportunities for those employed in, or otherwise interested in, the water utilities industry.  Our goal is to assist our members in providing improved service to mankind in the public health and environmental endeavors.”