Undergraduate Scholarships / Awards Worksheet

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1 Undergraduate Scholarships / Awards Worksheet This worksheet is provided for you to collect and organize your information in preparation for submission on the official on-line application form for School of Information Technology scholarships and awards to be awarded to current students in April To be considered for a scholarship or award you must complete and submit the official on-line application form. All of the information requested on this form is required in order to assure your full consideration for all eligible scholarships and awards. Applications must be submitted on-line by Friday, February 9, You may apply for an award, a scholarship or both. Eligibility: The School of Information Technology scholarships and awards are limited. Only undergraduate students currently enrolled in an IT major (e.g., Computer Science, Cybersecurity, Information Systems, Network & Telecommunications Management) are eligible to apply. Requirements for Scholarships: You must be enrolled as an undergraduate in an IT major to apply for a scholarship. You must remain an IT major to continue receive the scholarship. Some scholarships will be awarded based on academic merit; others will be awarded based on a combination of academic merit and need. Requirements for Awards: You must be enrolled as an undergraduate in an IT major to apply for or receive an award. Awards are based on academic merit. Scholarships/Awards Reception All School Awards will be presented at the Celebrate IT event, on Friday, April 27, All students enrolled in IT majors are encouraged to attend this event. Award recipients are required to attend this event. Award recipients will be notified in advance of the event. There will be a separate reception for scholarship recipients in the fall. Scholarship donors will be on hand for the scholarship presentations and students selected to receive scholarships are required to attend. Students receiving scholarships will be required to send a formal thank you note to the scholarship donor and to attend any special events hosted by the donor. The school will help facilitate the thank you.

2 Undergraduate Scholarship/Award Application Worksheet Personal Data Last First Middle Initial University ID number - - 8XX-XX-XXXX Local Street Address City State and Zip Code Local phone number Applying for Check only one: Provide the names of up to two people you would like the School of Information Technology to notify if you are selected for an award or scholarship. Scholarship Award Both Address City State Zip Code Address City State Zip Code Academic Information Current Major and Sequence Computer Science (includes General Computer Science and Web Computing) Cybersecurity Information Systems (includes Sys Dev/Analyst, Web Dev.,, and Int of Ent Sys) Network & Telecommunications Management Year in School Select only one Freshman 0-29 hours Sophomore hours This information is available Junior hours on icampus Senior 90+ hours Total ISU Hours Total Transfer Hours Total All Hours Cumulative GPA (Found on icampus) Major GPA (Found on icampus) Are you currently enrolled in classes at ISU for Spring 2018? Yes No Are you planning to enroll in classes at ISU for Fall 2018? Yes No List the semester and year you plan to graduate (Example Spring 2019) Are you enrolled in the Honors program at ISU? Yes No Are you pursuing Departmental Honors in IT? Yes No Are you a student athlete? Yes No

3 References List three references that we may contact to learn more about you. You must contact each of these people to obtain their consent before you list your references. If you have not received permission of the person to use them as a reference, any reply will not be considered. You may NOT use family members or other ISU students as a reference. ISU faculty member in the School of Information Technology Note: If you do not receive prior permission of the faculty member to use him/her as a reference, any reply will not be considered. Another ISU faculty member may or may not be in the School of Information Technology (For students in their first or second semester at ISU, this may be a Community College professor, a professor from a prior University, or a High School Teacher) Note: If you do not receive prior permission of the faculty member to use him/her as a reference, any reply will not be considered. Third reference of your choice Must NOT be a family member or ISU student Note: If you do not receive prior permission of the person to use him/her as a reference, any reply will not be considered.

4 Other Information From an academic perspective, explain what makes you deserving of an award or a meritbased scholarship in Information Technology. In addition to academics, please discuss specific projects you have completed and areas of interest you have.

5 Please list and briefly describe your extra-curricular activities, both at the university and in the community. Is there any other leadership, academic, or personal information you would like the School to consider when reviewing your application? Awards will be presented at Celebrate IT on Friday, April 27, Please mark your calendar. Scholarship will be presented at the School of Information Technology Scholarship Recognition Event to be held in Fall Attendance at the relevant event is mandatory for recipients.

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