UNDERGRADUATE SCHOLARSHIP APPLICATION



Undergraduate Scholarship Application Form81915064135THE MILTON E. MOHRSCHOLARSHIP and FELLOWSHIP PROGRAM00THE MILTON E. MOHRSCHOLARSHIP and FELLOWSHIP PROGRAMPlease PrintName FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????FirstM.I.LastUNL ID # FORMTEXT ?????E-Mail FORMTEXT ?????Local Home Address FORMTEXT ?????(where mail can be sent to you)Street Address/Box Number FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????CityStateZip CodeTelephone NumberDepartment FORMTEXT ?????Major (Primary) FORMTEXT ?????Number of Credit Hours Completed Toward Degree* FORMTEXT ?????Number of Credit Hours in Progress* FORMTEXT ?????*Hours completed plus those in progress must be greater than 54Cumulative GPA (must be 3.5 or greater to be eligible) FORMTEXT ?????Expected Date of Graduation FORMTEXT ?????Advisor/Mentor FORMTEXT ?????Signature of StudentDateSignature of Department HeadDateSubmit to your Department Head by Friday, March 13, 2020:Completed application formOne (1) letter of referenceStatement of Career Intentions (200-300 word essay on your career aspirations as they relate to the scientific, technological, and/or business aspects of biotechnology or engineering. Sign and date your essay.)ResumeOfficial Transcripts (obtain transcripts from 107 Canfield)Recipients of the award will be selected based on their academic performance and potential for accomplishments in their specific field. ................
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