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* Indicates required field

Name *

First

Last

Company *

Current Job Title *

Business Address *

Line 1

Line 2

City

State

Zip Code

Country

Cell Phone *

Work Phone *

Email *

Alternate or Assistant's Email *

How did you learn about the IAAP's Emerging Leaders Program? *

Training & Educational Experience

Outline your educational achievements including school, major, degree, or certifications you may hold. *

Industry & Previous Employment Experience

Briefly describe your responsibilities in your current position. *

Previous experience | Position or job responsibilities *

Business and/or Professional Affiliations

Please list separately any business or professional groups you belong to as a member and your title if you hold an office. Include community and school groups as well.

Group name | Dates of participation *

Personal Growth

What about the Emerging Leaders program motivated you to submit this application? *

What specific skills/knowledge do you hope to gain from your participation in the Emerging Leaders program? *

Describe your unique blend of personality, skills, and life experiences and how you would contribute to the diversity of the class. *

Personal Growth Coach

Each participant will designate one person as their personal growth coach whom you will communicate with between meetings of the Emerging Leaders group to discuss what you are learning and how it applies to real-world situations. See ‘What is a personal growth coach?’ section above for more information.

Personal Growth Coach *

First

Last

Email *

Phone Number *

Letter of recommendation

This letter may be written by your personal growth coach or someone else very familiar with you.

Upload one letter as a PDF or clear picture *

Max file size: 20MB

If you cannot provide some information at this time, or need help with this application form, contact IAAP at 217.241.1639.
After submitting your application, the IAAP will send an invoice to pay the program fee by check or credit card.

Submit

Education Foundation Scholarship

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Name *

First

Last

Address *

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City

State

Zip Code

Country

Phone Number *

Email *

Education

Date of high school graduation *

Currently enrolled in college? *

YES NO

If YES, name and address of college. If NO, name of college choice. *

Major course of study *

Work experience

Company | Position or type of work | Employed (from - to) *

Activities and achievements

Activity or achievement | Dates of participation *

Essay

Submit an original essay between 300 and 500 words in length using one of the methods below. Students should not submit the same essay the next year you apply.

Outline your interest in and/or connection to the Illinois aggregates industry;
how your chosen field will apply to work in the Illinois aggregates industry;
your goals;
where you plan to attend college;
why you chose to apply for this scholarship; and
explain your financial need for the scholarship.

Compose essay here *

Upload essay *

Max file size: 20MB

Transcript

See Eligibility Requirements above to determine which transcript(s) to submit.

Upload transcript as a PDF or clear picture *

Max file size: 20MB

If you cannot provide a transcript at this time or need help with this application form, contact Jodi at 217.241.1639.

Optional information you may provide

FAFSA Student Aid Report or other proof of financial need *

Max file size: 20MB

One or two letters of recommendation *

Max file size: 20MB

Submit

Safety Committee
PIE Committee
Environmental Committee
Sustainability Committee
Spec-Tech Committee
Legislative Committee

Primary

Rock Solid Safety award winner (only Rock Solid)
Innovative Safety & Health Leadership award winner (any year)
Employee is active committee member (2+ meetings)
Employee chaired this committee (past 5 years)

Secondary

Submitted a fatality free year hard hat sticker design or safety logo and slogan
Attended IAAP organized meetings with MSHA officials
Attended IAAP sponsored safety education events
Granted a safety or health achievement award by another organization

Primary

Community Relations Award winner
Employee is active committee member (2+ meetings)
Employee chaired this committee (past 5 years)

Secondary

Presenter or volunteer at IAAP Illinois Teachers Workshop or other event
Hosted a fieldtrip visit to pit, quarry, or place of business during IAAP Illinois Teachers Workshop (last 5 years)
Sponsored a teacher attending IAAP Illinois Teachers Workshop
Site granted an award by another organization in the community for community service

Primary

Certificate of Achievement in Environmental Excellence recipient
Employee is active committee member (2+ meetings)
Employee chaired this committee (past 5 years)

Secondary

Presenter during IAAP or IEPA sponsored educational event discussing environmental issues or regulations
Granted an award by another organization for environmental conservation efforts

Primary

Employee is active committee member (2+ meetings)
Employee chaired this committee (past 5 years)

Secondary

Presenter during IAAP sponsored educational event discussing sustainability issues

Primary

Employee is active committee member (2+ meetings)
Employee chaired this committee (past 5 years)

Secondary

Presenter during IAAP sponsored educational event discussing specifications or technical issues
Attended IAAP organized meetings with IDOT or Tollway officials

Primary

Employee is active in contacting a legislator or other official in support of an IAAP position on a legislative or regulatory issue, or hosts a legislator or other official on a tour of an industry facility
Company is an IAAP PAC “Rock Star” contributor

Secondary

Participated in IAAP or TFIC sponsored “Lobby Day” event or other local grassroots event

Award Criteria

Criteria below are satisfied in the past year unless otherwise noted.
Each criterion is worth one point.
Primary criteria will be used to score the winner; secondary criteria will be used to break a tie.