CONTINUING STUDENT SCHOLARSHIPS 2009-2010 IUPUI CONTINUING STUDENT SCHOLARSHIP APPLICATION Use this application for: Adult Outstanding Scholarship DJ Angus-Scientech Education Foundation Scholarship McCracken Assist Scholarship Jonathan A. Carter Memorial Scholarship Robert E. Cavanaugh Scholarship Commitment to Engineering Excellence Scholarship Dean of Science Scholarship Indiana Geology & Gem Society Scholarship IUPUI Geology Alumni Scholarship Peter J. George Scholarship Health and Life Science Scholarship Zora Neale Hurston – Mari Evans Scholarship IUPUI International Experience Scholarship Indiana Members Credit Union Scholarship Sam H. Jones Community Service Scholarship Irving J. Levy Scholarship Sam Masarachia Scholarship Math and Science Education Scholarship Charles O. McGaughey Scholarship IUPUI Outstanding Transfer Student Scholarship Phi Theta Kappa Scholarship Richard Rapala Scholarship David L. Robbins Scholarship Dr. Arthur Mirsky Senior Academy Academic Scholarship Dr. Arthur Mirsky Senior Academy Returning Student Scholarship Sindoqua Scholarship for Native American Women Teach Science – Noyce Scholarship Welfare Service League Scholarship Scholarships in red are available to transfer students. Scholarship Central Website: www.iupui.edu/~scentral/ IUPUI CONTINUING STUDENT SCHOLARSHIPS IUPUI administers over $200 million in financial aid and scholarships every year to thousands of IUPUI students to aid them in paying for their education. Scholarships, awarded to students through many different programs at IUPUI, are usually awarded based on academic performance and potential for future performance. Some programs also look at leadership, extracurricular involvement and community service. Some also require financial need. See Scholarship Central at www.iupui.edu/~scentral/ for more information on other IUPUI scholarships not listed here. Transfer Students: Scholarships listed in this application in red are available to transfer students. Most of these scholarships are for students who have NOT yet attended IUPUI and plan to do so in the upcoming academic year. If you are a current IUPUI student who previously transferred, you are not eligible for transfer scholarships unless they are also available to continuing IUPUI students. Please thoroughly read the description under the scholarships identified as transfer scholarships for more detailed information and criteria. Essays: It goes without saying that essays should One Application, One Transcript! With this application, you may apply for multiple scholarships at the same time and need to submit only one copy of your most recent IUPUI transcript (downloadable from OneStart) or, if you are a transfer student, you for more details must provide a transcript from the previous institution where you were registered. In some cases, you can even submit one essay for more than one scholarship. Recommendation forms/letters can also be used for multiple scholarships. observe the general rules of English. It is also recommended that you put your name on each page of the essay. Cover pages, plastic report covers, etc., are not necessary and will be removed when we process them. Because faculty read the essays on scholarships to understand you better and gauge your abilities, essays are like interviews, so dress accordingly! Originality is encouraged, but observance of grammar rules is even more important. check out: www.iupui.edu/~scentral/ Scholarships and Tuition at IUPUI Recommendation forms: Forms must be completed Most scholarships at IUPUI are credited to the student account, usually with the award amount being split between fall and spring semesters. They are applied against the balance on the student account after registration and any remaining balance is sent to the student for use for other educational expenses like books, etc. by a faculty member, academic counselor, clergy member or employer, those who can attest to your character and academic performance. Recommenders cannot be family members. If preferred, a recommendation letter can be submitted. These should be on letterhead and sealed with the recommendation form, then sent to our office. Note: Be sure recommendations speak to the type of scholarship for which you are applying. ScholarshipNews is a listserv for IUPUI students who want to stay informed about Scholarship opportunities and information. As a member of ScholarshipNews, you will receive updates on Scholarships and other information that will assist you in your college career. Visit our website at www. iupui.edu/~scentral for details on how to subscribe. Deadlines: Deadlines for each scholarship vary. NOTE: Deadlines mean the date the scholarship application and materials must be received in our office, NOT POSTMARKED BY THAT DATE. Search for private sector scholarships on the Internet at http://www.fastweb.com 2 IUPUI SCHOLARSHIP APPLICATION REQUIREMENTS For questions about the following scholarships, please call 317-274-5516. Below are the descriptions of the scholarships for which you may apply with this application. Be sure to check the Scholarship Central Website for other scholarships at IUPUI and where you can obtain those applications. Please note the deadlines vary. Deadlines indicate when application materials must be received, NOT postmarked. Applications can be dropped off at the Scholarship Office or drop box (CA 103). You may fax this document to 317-278-3292, please call to verify it was received. Multiple Scholarships: Some combinations of scholarship awards may be possible. IUPUI Enrollment Services tends to limit scholarships and awards to not exceed full-time tuition, fees and books. Some students, however, may receive additional awards from their IUPUI academic units (i.e. School of Science, Liberal Arts, Herron, etc.). To be eligible for scholarship consideration, you must be fully registered for classes for the upcoming fall semester by June 1st. Abbreviation Key A = Application E = Essay T = Transcript (most recent) I = Interview R1 = 1 Recommendation Form R2 = 2 Recommendation Forms F = Financial Need considered Need to file the FAFSA (Free Application for Federal Student Aid – IUPUI Code 001813) Specific Scholarship Information Adult Outstanding Scholarship A, E, T Jonathan A. Carter Memorial Scholarship Up to $500 A, E, T, R1 Deadline: May 15th This scholarship is designated for part-time returning and/or nontraditional male students who may not otherwise qualify for financial assistance. Students must exhibit qualities of caring for others, desire to succeed and a strong work ethic. Preference will be given to a student majoring in business. Applicants must have a minimum cumulative GPA of 3.0. Essay question: (1-page) Describe your personal characteristics that qualify you as the best candidate for this scholarship. Up to $1,000 Non-renewable Deadline: May 15th Motivated adult (30+) students returning to school after a minimum of 5 years, with at least 12 credit hours completed at IUPUI and a 3.3 GPA in all courses since returning who are working toward their first baccalaureate degree. Essay Question: What commitments have you made to yourself since your return to make pursuing your college education a success? DJ Angus-Scientech Education Foundation Scholarship A, E, T Robert E. Cavanaugh Scholarship Up to $2,500 Deadline: May 15th The DJ Angus-Scientech Education Foundation Scholarship in the School of Science recognizes science students attending IUPUI who excel academically, show promise of success in their future careers and require financial assistance to attend college. The DJ Angus-Scientech Education Foundation Scholarship recipient will receive a scholarship payable in two installments, one installment per semester. Applicants must 1) be School of Science majors on the IUPUI campus, 2) be graduates of a high school which is located in Boone, Hamilton, Hancock, Hendricks, Johnson, Madison, Marion, Morgan or Shelby county, 3) be working toward completion of a first baccalaureate degree, 4) have completed at least 25 credit hours of course work at IUPUI by the time of application, 5) have an overall minimum grade point average of 2.80 by the time of application, and 6) qualify for financial aid. Application and essay must be received by May 15th. Contact Joseph Thompson at jlthomp@iupui.edu for additional information. Essay Questions (typed, double-spaced, one to two pages): 1. Describe your career goals, as well as your reasons for choosing these goals. 2. Describe how this scholarship will help you achieve your academic and life goals. McCracken Assist Scholarship A, E, T, F, R1 Up to $2,000 Deadline: May 15th Currently enrolled upper-class students of all majors who have graduated from an Indiana High School, who demonstrate leadership abilities and have some demonstrated financial-need are encouraged to apply. Must have at least 26 credits completed at IUPUI and a 3.0 cumulative GPA. Essay question: In using your leadership abilities, how would you justify the importance and value of a college education to current high school students? Commitment to Engineering Excellence Scholarship $2,200 per academic year A, T, I Deadline: February 1st This scholarship from the School of Engineering and Technology is for underrepresented students, specifically women and minority students whose presence will enhance the learning environment through increased diversity at IUPUI. Students must either be currently enrolled as Engineering and Technology students and/or be directly admitted to the School of Engineering and Technology (for transfer students). Preference will be given to students with a cumulative GPA of 3.5 or higher. Students must complete the IUPUI scholarship application and an interview. This scholarship is renewable as long as full-time enrollment and a cumulative GPA of 3.2 is maintained. Students will also have opportunities for paid undergraduate research. This is not automatically renewable for continuing students. A, E, T, F Up to $1,000 Non-renewable Deadline: May 15th, admission and application Single, custodial parents at IUPUI pursuing their first undergraduate degree may apply if they have: completed at least 9 credit hours at IUPUI with a minimum 2.75 GPA within the last year. This scholarship is financial need-based, although academic progress/potential are also considered. Essay Question: As a single parent, what has been the most challenging experience or issue while pursuing your college education and how have you managed to get through it? Dean of Science Scholarship A, E, T, R2 Up to $2,500 Deadline: May 15th The Dean of Science Scholars Program is designed for students majoring in the School of Science. These competitive scholarships provide awards of up to $2,500 per academic year. Continuing science majors with a minimum of 25 credit hours completed at IUPUI by the 3 Please check with your specific school for other scholarship opportunities. at IUPUI by the end of the spring semester during which application is being made and at least a 3.5 GPA may apply for this competitive scholarship. Contingent upon availability of funds, a Health and Life Science Scholar may be supported for additional years provided that the student has eligible unspent funds, continues in a degree program in a health or life science field, and maintains an overall GPA of at least 3.5. An award recipient may hold only one scholarship funded by the School of Science. Application, resume, essay and two letters of recommendation, one of which must be from a full-time faculty member, must be received by May 15th. Contact Marsha Baker, Health and Life Science Advisor, at hlsci@iupui.edu for additional information. Essay Questions (250 words or more each): 1. List and describe any scholarly or substantive extracurricular activities in high school or college, including research, publications, presentations, exhibits, honors projects/courses, or volunteer activities. 2. Describe some aspect of your work experience, community service, or co-curricular/ extra-curricular activities (for example, research or student organization) in which you have participated during the past four years and how it relates to your educational or career goals. 3. Describe your career goals and give your reasons for choosing these goals. end of the spring semester during which application is being made and at least a 3.5 GPA may apply for this competitive scholarship. Contingent upon availability of funds, a Dean of Science Scholar may be supported for additional years provided that the student has eligible unspent funds, continues in a degree program in the School of Science, and maintains an overall GPA of at least 3.5. An award recipient may hold only one scholarship funded by the School of Science. Application, resume, essay and two letters of recommendation, one of which must be from a full-time faculty member, must be received by May 15th. Contact Joseph Thompson at jlthomp@iupui.edu for additional information. Essay Questions (250 words or more each): 1. List and describe any scholarly or substantive extracurricular activities in high school or college, including research, publications, presentations, exhibits, honors projects/courses, or volunteer activities. 2. Describe some aspect of your work experience, community service, or co-curricular/extra-curricular activities (for example, research or student organization) in which you have participated during the past four years and how it relates to your educational or career goals. 3. Describe your career goals and give your reasons for choosing these goals. Indiana Geology & Gem Society Scholarship $1,000 A, E, T, R1 Hurston-Evans Scholarship Deadline: January 15th The Indiana Geology & Gem Society Scholarship is available to a sophomore-level geology major who has an overall minimum 3.25 GPA, has completed the introductory physical and historical geology courses with an average GPA of at least 3.7 (A-), and must be enrolled in at least 9 credit hours in the fall semester the award begins, including mineralogy or a higher-level geology course. Students must submit the Continuing Student Scholarship Application, essay, transcript, and letter of recommendation. For additional information, you may contact Dr. Andrew Barth at (317) 274-7484 or ibsz100@iupui.edu. Essay Question (1 page): Describe your academic plans for the upcoming school year AND your long-term career goals. IUPUI Geology Alumni Scholarship A, E, T, R1 $1,000 Deadline: January 15th The IUPUI Geology Alumni Scholarship is available to a senior-year geology major who expects to graduate within 12 months of receiving the scholarship. Applicants must have a minimum 3.25 GPA overall and plan to be enrolled in at least 18 credit hours of coursework within the 12month period. Students must submit the Continuing Student Scholarship Application, essay, transcript, and letter of recommendation. For additional information, you may contact Dr. Andrew Barth at (317) 274-7484 or ibsz100@iupui.edu. Essay Question (1 page): Describe your long-term career goals. Peter J. George Scholarship IUPUI International Experience Scholarship $750-$3,000 A, E, T, F, R1 Deadline: February 1st for summer, fall and academic year programs, October 15th for spring programs This award is intended to support and encourage IUPUI undergraduate students in an approved study abroad program. The award amount depends on program length. Candidates with financial need will be given priority consideration. Candidates must be IUPUI students studying in Indianapolis and have been admitted to an overseas study program in which they will earn credit towards an IUPUI degree program. Preference will be given to students with a 2.75 cumulative GPA or above. The deadlines are February 1st for summer, fall and academic year programs and October 15th for spring programs. For more information, contact Stephanie Leslie in ES 2129B at (317) 274-2081 or slleslie@iupui.edu. Essay Question: Submit a statement of purpose that addresses your motivation and preparation for the intended study abroad activity. A, E, T $500 Deadline: March 1st Transfer students admitted to the Department of Tourism, Conventions and Event Management with a 3.25 GPA are encouraged to apply. Essay Question: (500 words) What is your personal interest in food service as a career and how do you plan to use your degree? Health and Life Science Scholarship A, E, T, R2 Up to $2,500 Deadline: May 15th The Health & Life Science Scholars Program is designed for students majoring in the health and life sciences. These competitive scholarships provide awards of up to $2,500 per academic year. Continuing health and life science majors with a minimum of 25 credit hours completed PLEASE NOTE: A, E, T, R2, I Up to $1,000, renewable for an additional year Deadline: February 1st Created in honor of Zora Neale Hurston and Mari Evans, this scholarship seeks to encourage the study of subjects that transcend gender, race, age, culture and economic status and are designed to support students whose creativity, academic achievements and goals reflect the issues articulated in the works of these two prominent American literary figures. Students seeking a baccalaureate degree in the creative arts, including composing and music performance, liberal arts and social sciences are encouraged to apply. Recipients participate in educational activities each semester. Up to ten $1,000 scholarships will be awarded to continuing IUPUI students. Two scholarships may be renewed for an additional year with maintenance of a 3.0 GPA, fulltime enrollment, and selection to serve as an upper-class mentor. The final round of applicants will be invited to interview with the committee. Essay Question: (500 words) Write an essay which reflects the issues articulated in the works of these two prominent American literary figures. Explain an obstacle or challenge in your life that you overcame. Scholarships listed in red may be applied for by transferring students. 4 You may also search for more scholarships on the Internet at http://www.iupui.edu/~scentral/ Indiana Members Credit Union Scholarship A, T Math and Science Education Scholarship $2,500 per year, renewable up to 4 years A, E, T, R2 Deadline: March 1st The Math and Science Teaching Scholarship (MSTS) Program offered by the Urban Center for the Advancement of Math/Science Education (UCASE), is designed to encourage and support outstanding students who have had a strong math or science based major and who wish to pursue a career in math or science teaching at the middle and/or high school level. Eligible students must be enrolled in a science or math based program and have completed at least 25 credits towards the degree; have a cumulative GPA of 3.00 (on a 4.00 scale); provide at least two (2) letters of recommendation, one of which should be from a faculty member from the student’s major at IUPUI; and must be a citizen or permanent resident of the U.S. Eligible students from underrepresented minority groups are encouraged to apply. Essay question: (500-800 words) What experience(s) has motivated you to pursue a career teaching science or mathematics? $1,000 Deadline: May 15th Applicants must have an overall high school minimum grade point average of 3.0 on a 4.0 grading scale. Preference will be given to applicants who are a current member or have a parent or guardian that is a current member of Indiana Members Credit Union. The recipients must maintain a minimum 2.5 grade point average based on a 4.0 grading scale throughout the academic year for which the Scholarship is made. Two undergraduate students will be awarded from University College each year. Sam H. Jones Community Service Scholarship $3,500 A, T, E, R2, I Deadline: March 1st (Two letters of recommendation required, with one from a campus representative familiar with your service.) The Sam H. Jones Community Service Scholarship Program recognizes IUPUI students for previous service to their campus or community, and supports their continued involvement in educationally meaningful service, leadership, and social advocacy. The program honors Sam H. Jones’ legacy as a community leader whose vision and dedication improved the quality of life for many in Central Indiana. Community Service Scholars will volunteer 4 hours per week throughout the academic year at a selected service agency or public school. In addition, Community Service Scholars will enroll in and complete a service-learning course (PHST-P330) in the Fall, and work with others to coordinate a campuswide service event. Applicants must have completed 15 IUPUI total credit hours/2.75 GPA by the end of the Spring semester of application and submit two letters of recommendation, with one from a campus representative who is familiar with your service activities. Essay Question: (2-3 pages) Describe the ways that you have been involved in campus or community service activities during the past two years. Discuss the positive impact your service has had on others and the significant lessons that you have learned by participating in voluntary service. Irving J. Levy Scholarship Charles O. McGaughey Scholarship IUPUI Outstanding Transfer Student Scholarship $1,000 in-state A, E, T Deadline: May 15th for Fall semester & November 15th for Spring semester, admission and application Eligible applicants must have a minimum 3.3 GPA with at least 12 transferable credit hours but no more than 60. This scholarship is renewable up to 2 years with the maintenance of full-time enrollment and a 3.0 GPA. Essay Question: What motivated your decision to choose IUPUI as your new college home? A, E, T, F, R2 $500 up to $2,500 Deadline: March 15th During 30 years with IUPUI, Irving J. Levy exemplified his motto of “Students Come First” and showed unwavering dedication to students, particularly adult students. Upon his retirement and in honor of Dr. Levy’s dedication to students, the Irving J. Levy Scholarship was established by the Faculty Advisory Committee of the IUPUI General Studies Degree Program. This scholarship is available to an adult General Studies student who exhibits scholastic achievement and demonstrable financial aid need as defined by the FAFSA. The scholarship is intended to cover the cost of tuition and must be used within the academic school year it is given. Essay Question: (300 words) How would this scholarship enable you to be a successful student? Sam Masarachia Scholarship A, E, T, R1 $2,000 Deadline: May 15th These leadership awards were established to recognize students who have demonstrated leadership abilities and an appreciation of basic American values through a record of achievement in community services or service to IUPUI. Juniors and Seniors with a 3.5 GPA, with a preference to students majoring in Liberal Arts, Science and Business, are encouraged to apply. Essay Question: How might social and health issues, urban growth and changes in the environment affect us locally and nationally during this century? Phi Theta Kappa (PTK) Scholarship A, T, E $1,500 annually, renewable Deadline: May 15th for Fall & November 15th for Spring, admission and application This scholarship is available to PTK members who have completed an associate degree at any two-year college. To be eligible, the applicant must have completed, or be within 6 months of completing an A.A., A.S., or A.A.S. degree with at least a 3.3 cumulative GPA upon graduation. Applications will be accepted 6 months prior to graduation. A final transcript, with degree noted, must be submitted before the scholarship is awarded. The recipient must be admitted and registered for classes at IUPUI within 2 semesters after graduating from any twoyear college. This scholarship can be awarded to both full-time and part-time students and must be used within three years of the initial award. The PTK scholarship will be renewable if the student maintains at least a 3.0 cumulative GPA at IUPUI. Students who receive the Passport Academic Excellence Scholarship will be ineligible to also receive the PTK scholarship at IUPUI. Essay Question: What motivated you to continue your education at IUPUI? A, E, T, F, R2, I Full Tuition (In-state rate) Deadline: February 1st The Masarachia Program is designed for continuing, full-time students in Liberal Arts interested in studies and careers related to active representation, advocacy and policy research involving labor, senior citizens and communities. Continuing students must have at least a 3.0 GPA and financial need. Only incoming sophomores and juniors with at least two full years to complete prior to graduation are eligible to apply. Transfer students will also be considered. Essay Question: How do you view the conditions and interests of workers, seniors, and/or communities in today’s society? How do you see yourself making a difference in the representation of these groups? 5 Search for Private Sector Scholarship Opportunities at www.fastweb.com Richard Rapala Scholarships A, T, F Sindoqua Scholarship for Native American Women Up to $1,000 A, T Up to $1,000 Deadline May 15th For continuing cyto-technology, clinical laboratory science, medical technology, and nursing majors (admitted to the program). Criteria based on academic performance and financial need (FAFSA required). No essay required. David L. Robbins Scholarship Deadline: March 1st Preference for this award will be given to Native American Women. The successful applicants will be enrolled with a tribe native, or once native, to the state of Indiana. Priority will be given to members of the Miami, Potawatomi, Shawnee, Wea, Kickapoo, Ottawa, Chippewa, Delaware or Mohican tribes (tribes do not need to be federally recognized), who can verify the enrollment of the applicant. Other members enrolled with any recognized tribes in the United States or Canada are also welcome to apply. A, T Up to $500 Deadline May 15th The David L. Robbins Scholarship, in honor of former Vice Chancellor for Fiscal and Budgetary Affairs at IUPUI, is available to dependents of IUPUI staff or faculty. Applicants must be an upperclassman at IUPUI with a minimum 3.0 cumulative GPA and full-time enrollment. Dr. Arthur Mirsky Senior Academy Academic Scholarship Teach Science – Noyce Scholarship A, E, T, R2 Up to $2,000. Deadline: March 1st, admission and application The Senior Academy at IUPUI has established a scholarship program designed to partially support tuition and books for students who are graduating seniors who expect to graduate with a baccalaureate degree at the end of the Spring Semester. Applications will be reviewed and the awardee selected by the Senior Academy Scholarship Awards Committee. Applicants must (1) be in good academic standing at IUPUI, (2) have successfully completed at least 90 credit hours, (3) have a cumulative grade point average of at least 3.50 on a 4.00 scale, and (4) agree to enroll during the Fall-Spring Semesters for the number of credit hours required to graduate at the end of the Spring Semester, but for no less than a total of at least 20 credit-hours during the last year. The applicant must also submit two letters of recommendation from current or former instructors, and complete an essay. Essay Question: Write a two-page, double-spaced, typewritten essay on your academic goals, how you are achieving them, and your plans after receiving your baccalaureate degree. Dr. Arthur Mirsky Senior Academy Returning Student Scholarship A, E, T, R1 Up to $2,000 Deadline: March 1st, admission and application The Senior Academy at IUPUI has established a scholarship program designed to partially support tuition and books for students who, for some reason, dropped out of college-level status for at least 5 years, and are now planning to return to school in order to complete their first undergraduate degree. Applications will be reviewed and the awardee selected by the Senior Academy Scholarship Awards Committee. Applicants must (1) meet regular re-admission requirements to IUPUI, (2) have had a grade point average of at least 2.00 on a 4.00 scale for the college-level courses completed before dropping out, and (3) agree to enroll for at least 6 credit hours per semester. The applicant must also submit one letter of recommendation and complete an essay. Essay Question: Write a two-page, double-spaced typewritten essay on your academic goals and why your experience during your absence from school will enhance the successful completion of your academic goals. PLEASE NOTE: A, E, I, R2 $10,200 annually, renewable for up to 2 years, optional $2,000 summer scholarship each year Deadlines: March 15th for FALL semester– student must apply to the Secondary Teacher Education Program by February 7th. October 15th for SPRING semester– student must apply to the Secondary Teacher Education Program by September 7th. This scholarship program is funded by the National Science Foundation (NSF). At IUPUI, it is designed to encourage and support outstanding Biology, Chemistry, Physics, and Earth Science students who have a desire to teach middle school and/or high school science. Noyce Scholars will graduate with a B.A. or B.S. degree from the IUPUI School of Science as well as a secondary science teaching certification from the IU School of Education at IUPUI. Eligible students will (1) enroll as a full-time student in the IUPUI School of Science, with an overall GPA of 2.9 / 4.0, (2) have successfully completed at least 60 credit hours, (3) apply to the School of Education Learning to Teach/Teaching to Learn program, and (4) be a citizen or permanent resident on the U.S. Applicants from under-represented minority groups are encouraged to apply. Scholarship recipients will agree to teach for 2 years in a highneed school district after graduation for every year of scholarship received. Eligible candidates will have formal interviews with the Noyce Scholarship awarding committee. Scholarship interviewing appointments will be scheduled within two weeks after the application deadlines. A signed acceptance of the scholarship is also required. Essay question: (500-800 words) What experience(s) has motivated you to pursue a career teaching science in a high-need school? Welfare Service League Scholarship A, T $500 Deadline: May 15th The Marion County Office of Family and Children awards students who receive services provided by their office. If you currently receive services through the Foster Parent Program or Child Welfare Program you are encouraged to apply. You must be a current IUPUI student pursuing your first undergraduate degree, have a 3.0 GPA and registered for at least 6 credit hours. You also must provide valid proof of your receipt of service, i.e., your EBT card with name, a letter from a caseworker, etc. Scholarships listed in red may be applied for by transferring students. 6 SCHOLARSHIP APPLICATION 2009-2010 IUPUI Office of Student Scholarships Enrollment Services 425 University Boulevard, CA103 Indianapolis, IN 46202-5143 (317) 274-5516 (317) 278-3292 FAX (Call to verify office receipt.) Personal Data Check that all materials required for applying have been included: ■ Application completed ■ Latest transcript (available on OneStart) ■ Recommendation letter(s) (if required) ■ Essay for each scholarship applied for (only one copy of each) ■ Is your name on all materials? ■ Have you registered for classes (by June 1st)? ■ Print with Black Ink or Type – Do Not Use Pencil INCOMPLETE APPLICATIONS WILL NOT BE REVIEWED. Note: Deadlines indicate the date materials must be received by the office, not postmarked. Name:_____________________________________________ Student ID #:____________________________________ LAST FIRST MIDDLE Permanent Street Address:_____________________________________________________________________________________ NUMBER STREET APARTMENT ________________________________________________________________________________________________________________ CITY STATE ZIP CODE COUNTRY Telephone:____________________/______________________ E-mail Address:__________________________________________ HOME NUMBER Gender: ■ ■ MALE FEMALE Marital Status: WORK NUMBER Citizenship: ■ ■ SINGLE ■ ■ U.S. CITIZEN MARRIED ■ DIVORCED ■ PERMANENT RESIDENT ■ FOREIGN Residency Status: WIDOWED ■ IN -STATE ■ DOB:____/____/_____ OUT-OF-STATE Campus: ___________________________________ Academic Information Level of College: ■ ■ FRESHMAN ■ SOPHOMORE Major: _______________________________________ Are you currently enrolled/registered at IUPUI? Are you a transfer student?* Have you submitted the FAFSA? May we access your FAFSA information? ■ JUNIOR YES NO ■ ■ ■ ■ ■ ■ ■ ■ ■ SENIOR GRADUATE School/Program: ___________________________________________ Credit hours currently enrolled: _____________ Credit hours you will enroll in Fall:____________________________ Cumulative GPA: ____________________________________________ Enrollment Level: ■ FULL-TIME ■ PART-TIME (determines eligibility for need-based scholarships) ■ ■ Previous Degree? If yes, please list here:________________________ Anticipated Graduation Date:__________________ Single, Custodial Parents Only: Number of Dependents: _________________ Name Age Gender Please Note: If you are a current student, you must be registered by June 1st to be considered for these scholarships. *Transfer students only: Number of credits transferred:____________________________ Number of credits completed at IUPUI: ___________________ Previous College/University Attended:____________________ __________________________________________________________ Address: ________________________________________________ Major: ____________________ Degree: ______________________ Dates Attended: _________________________________________ Graduation Date: _________________ 7 Other Relevant Data List other forms (if any) of financial aid for which you have applied and the status of your application(s). __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ List any employment experiences you have had. Employer Position Hours per Week Dates of Employment __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ List your most important hobbies and skills and tell why they are important to you. __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ List the activities in which you have been most involved (on or off-campus), in order of importance to you. Activity Years Participated Approx. Time Spent (hrs/wk) Positions Held or Awards __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ List any special honors, awards, or commendations you have received. __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ What are your academic and career goals? __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ PLEASE INDICATE FOR WHICH SCHOLARSHIP(S) YOU WISH TO APPLY: ■ Adult Outstanding Scholarship ■ DJ Angus-Scientech Education Foundation Scholarship ■ McCracken Assist Scholarship ■ Jonathan A. Carter Memorial Scholarship ■ Robert E. Cavanaugh Scholarship ■ Commitment to Engineering Excellence Scholarship ■ Dean of Science Scholarship ■ Indiana Geology & Gem Society Scholarship ■ IUPUI Geology Alumni Scholarship ■ ■ ■ ■ ■ ■ ■ ■ ■ ■ Peter J. George Scholarship (transfer only) Health and Life Science Scholarship Hurston-Evans Scholarship IUPUI International Experience Scholarships Indiana Members Credit Union Scholarship Sam H. Jones Community Service Scholarship Irving J. Levy Scholarship Sam Masarachia Scholarship Math & Science Education Scholarship Charles O. McGaughey Scholarship ■ ■ ■ ■ ■ ■ ■ ■ ■ IUPUI Outstanding Transfer Student Scholarship Phi Theta Kappa Scholarship Richard Rapala Scholarship David L. Robbins Scholarship Dr. Arthur Mirsky Senior Academy Academic Scholarship Dr. Arthur Mirsky Senior Academy Returning Student Scholarship Sindoqua Scholarship for Native American Women Teach Science – Noyce Scholarship Welfare Service League Scholarship I CERTIFY THAT THE INFORMATION SUBMITTED IN THIS APPLICATION IS ACCURATE AND COMPLETE, AND UNDERSTAND THAT MY INFORMATION WILL BE VERIFIED BY MY OFFICIAL RECORDS AT IUPUI. Applicant Signature:________________________________________________________Date:______________________ 8 PLEASE ENSURE THIS FORM IS IN OUR OFFICE BY THE DEADLINE — NOT POSTMARKED. SCHOLARSHIP APPLICATION RECOMMENDATION IUPUI Office of Student Scholarships (317) 274-5516 Enrollment Services (317) 278-3292 FAX (Call to verify office receipt.) 425 University Boulevard, CA 103 Additional copies of this form are available at www.iupui.edu/~scentral. Indianapolis, IN 46202-5143 PRINT WITH BLACK INK OR TYPE - DO NOT USE PENCIL Note: Deadlines indicate the date materials must be received by the office. Student Data (to be filled out by student) Check the box by the scholarship(s) for which you are applying: Applicant: Complete the top section and pass the form on to the individual who will be recommending you. Note: Students who are not applying for one of the scholarships to the right, do not need to have a recommendation. ■ ■ ■ ■ Name: LAST FIRST MIDDLE ■ ■ ■ Permanent Street Address: ■ NUMBER STREET CITY STATE Telephone: E-mail: _______________________________ ( ) ( HOME NUMBER APARTMENT ZIP DUE IN THE OFFICE SCHOLARSHIP ■ COUNTRY ■ ■ ■ ■ ) CELL NUMBER ■ ■ SIGNATURE I understand that by signing the above, I am waiving my right to view my recommendations. ■ NUMBER OF RECOMMENDATION LETTERS Jonathan A. Carter Memorial Scholarship 5/15 Robert E. Cavanaugh Scholarship 5/15 Hurston-Evans Scholarship 2/1 Dean of Science Scholarship 5/15 (Must have attached letter from faculty) Indiana Geology & Gem Society Scholarship 1/15 IUPUI Geology Alumni Scholarship 1/15 Health and Life Science Scholarship 5/15 (Must have attached letter from faculty) IUPUI International Experience Scholarships 2/1 & 10/15 (Must have attached letter from faculty) Sam H. Jones Community Service Scholarships 3/1 (Attach at least one letter verifying service activities) Irving J. Levy Scholarship 3/15 Sam Masarachia Scholarships 2/1 Charles O. McGaughey Scholarships 5/15 Math & Science Education Scholarships 3/1 (One must be from a math or science teacher) Senior Academy Academic Scholarship 3/1 Senior Academy Returning–Student Scholarship 3/1 (Must have attached letter) Teach Science – Noyce Scholarship 3/15 & 10/15 1 1 2 2 1 1 2 1 2 2 2 1 2 2 1 2 Recommendation (to be filled out by recommender) Recommender: Please complete this section and mail the form to the Scholarship Office by the indicated deadline above. Note that the form MUST BE RECEIVED BY THE DATE INDICATED ABOVE. 1. I have known the applicant for ____________________ years in my capacity as ___________________________________________. 2. Please rate the applicant on each characteristic in comparison with others at the same level by circling the appropriate number. NO BASIS FOR JUDGEMENT A. B. C. D. E. Motivation for educational studies Ethical standards & integrity Oral/written English expression skills Ability to analyze ideas Potential for academic success 0 0 0 0 0 WEAK 1 1 1 1 1 2 2 2 2 2 BELOW AVERAGE 3 3 3 3 3 4 4 4 4 4 AVERAGE 5 5 5 5 5 6 6 6 6 6 ABOVE AVERAGE 7 7 7 7 7 8 8 8 8 8 EXCEPTIONAL 9 9 9 9 9 10 10 10 10 10 3. Please provide your candid assessment of why you believe the applicant has demonstrated leadership, character and/or academic excellence in either the university or a professional setting. Cite specific examples to support your recommendation. Please attach additional pages if needed. Thank you for taking the time to help us make a decision regarding this applicant. At this time, please mail the form to the Scholarship Office. If you wish to FAX the document, please contact the office to verify receipt by calling 317-274-5516. Signature of Recommender: _____________________________________________________________________ Date: ___________________________________ Recommender’s phone:___________________________________________ Recommender’s email:_________________________________________________ 9 SCHOLARSHIP APPLICATION & RECOMMENDATION FORM ATTACHED
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