SCHOLARSHIP APPLICATION

 

       For Mathematics, Mathematics Education, and Computer Science Majors Only

 

 1.  Name:  ______________________________________________________

                       Last                                        First                                        Middle

 

 2.  Social Security Number:  ______________________________________________________

 

 3.  College Address:  ____________________________________________________________

 

 4.  College Phone:  _____________________________________________________________

 

 5.  Home Address:  Street:  _______________________________________________________

 

                    City, State, Zip:  _____________________________________________________

 

                    County:  ­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­­____________________________________________________________

 

                    Phone:  _____________________________________________________________

 

 6.  Class Standing (Freshman, Sophomore,...):  _________________

 

 7.  Anticipated Date of Graduation:  ___________________________

 

 8.  Major(s):  __________________________________________________

__________________________________________________

 

 9.  Minor(s):  _________________________________________________

            _________________________________________________

 

10.  Do you need financial assistance to continue your education?  ________________________

 

       If so, have you filed a statement of financial need with the Financial Aids Office at ISU? 

        _____________________________

 

11.  Are you presently receiving financial aid in the form of scholarships, loans, grants, etc.?

        _______________________

 

If so, please list:

____________________________________________________________

 

____________________________________________________________

 

____________________________________________________________

                                                                             

 

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12.  What is your present GPA in your major?  __________________

 

13.  What is your present overall GPA?  _________________________

 

14.  List the Mathematics and Computer Science courses you have already completed (prior to this semester) and the grade you received for the course.

 

          Course                                   Grade

__________________________  _____

__________________________     _____

__________________________     _____

__________________________     _____

__________________________     _____

__________________________     _____

__________________________     _____

__________________________     _____

__________________________     _____

__________________________     _____

 

15.  What Mathematics and Computer Science courses are you taking this semester?

 

_____________________________

_____________________________

_____________________________

_____________________________

                                                                             

 

 

I certify that the above information is correct.

 

 

Signature  _____________________________

 

 

**Please return this form to RO A-146**