Department of Biological Sciences: Application for Awards for Biology, Microbiology, Biomedical, and Exercise Science Majors Spring 2014

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Department of Biological Sciences: Application for Awards for Biology, Microbiology, Biomedical, and Exercise Science Majors Spring 2014 Applicant's Name Date Applicant's email Applicant's I.D. Number Local Phone # 1 Major 2 1 A local phone number (or cell phone number) is essential. 2 Applicant must be currently enrolled at NAU as a Biology, Microbiology, Biomedical, or Exercise Science Major. To apply, submit a completed application packet (this form, a personal statement, and a current transcript) by 5 PM on March 1, 2014 to the Biological Sciences Advisement Center, Rm. 257, Bldg. 21. Incomplete packets will not be accepted. Credit hours completed (fill in the table below for all institutions attended) Institution Northern Arizona University Other Other Total number of credits Credits Credit hours currently in progress Expected date of graduation Class standing at beginning of next fall semester I will be enrolled in classes at NAU during the next year (check only one) Fall only Both Fall and Spring I will not be enrolled at NAU next year Member of Tri-Beta (β β β)? Yes No Any award that requires demonstration of financial need requires that the FAFSA be filled out. Have you completed this form? http://nau.edu/finaid/how-it-works/fafsa/ Yes No Version 2014

Personal Statement: Please attach a one page (maximum) statement describing your academic and/or research accomplishments, any previous awards or scholarships, extracurricular service, and any contributions you have made to the Department of Biological Sciences; and outline your future career goals. Please note that two scholarships, the Sisley and Shand, have specific additional requirements for written statements. Please include those additional statements with your application, if you are applying for either of those scholarships. Financial Aid Award Letter: If you currently receive financial aid through the NAU Financial Aid Office, please attach a copy of your current award letter. If you are working full- or part-time while attending classes, please describe your employment in your Personal Statement. Transcript: Please attach a current transcript (LOUIE transcripts are fine). Letters of Support: TWO letters of support, including at least one from a Biology department faculty or staff member, must be submitted to the Academic Excellence Committee (NAU Biology, P.O. Box 5640, Flagstaff, AZ, 86011-5640) or delivered to the Biological Sciences Advisement Center, Rm. 257, Bldg. 21 by the closing date. List below the names of individuals who have agreed to write support letters, and ensure that such letters are submitted. Applicants for the Junior and Senior Achievement Awards need only ONE letter of support, which should come from a Biology Department faculty or staff member. 1 st letter of support will be provided by 2 nd letter of support will be provided by Place a check mark in the boxes next to each award for which you wish to be considered (multiple boxes may be checked). Qualifications for each award are attached. Please do not apply for awards for which you are not qualified. Junior Achievement Award Senior Achievement Award Eugene and Margery Bayless Endowed Scholarship Kenneth E. Derifield Memorial Scholarship Vesto Melvin Slipher Scholarship James R. Wick Scholarship James Rominger Scholarship Chester F. "Danny" Deaver Memorial Scholarship Version 2014 Page 2

Richard F. Shand Award for Outstanding Undergraduate Research in Microbiology (this award has additional application requirements) Dr. Richard M. Paicius Endowed Scholarship Jack and Hannah Sisley, M.D., Memorial Scholarship Arizona Flycasters Scholarship Stanley A. Rasmussen Scholarship Exercise Physiology Scholarship Kerry Henrickson Scholarship Jerry O. Wolf Student Enrichment Scholarship If I receive a scholarship or other award, I agree to: (1) write a thank you letter to my scholarship donor(s) (2) attend, if possible, the Department of Biological Sciences award ceremony during Honors Week (April 23-27, 2014) (3) attend, if possible, the College of Engineering, Forestry and Natural Sciences Awards Ceremony (usually every October) By submitting this scholarship application you are giving your consent for NAU to release your personal information to donors who will be considering you for scholarships. This includes, but is not limited to, your application information (resume, letter, etc.) GPA, year in school, financial need, major, etc. Also, should you be selected to receive a scholarship, the donor may request updates of your progress at NAU including GPA, classes taken, financial need, etc. Only donors seriously considering you for scholarships may have access to this information and no information will be provided to any other outside sources. Submission of this scholarship application confirms that you agree to these terms and conditions. I have read and agree to the above terms and conditions. Applicant signature Date Version 2014 Page 3

Descriptions and Qualifications of Awards Junior Achievement Award: Biology, Microbiology or Exercise Science Major 60-89 hours completed GPA of at least 3.2 Strong achievements at NAU Senior Achievement Award: Biology, Microbiology or Exercise Science Major 90+ hours completed GPA of at least 3.2 Strong achievements at NAU Rominger Scholarship (for plant sciences): Undergraduate Biology or Microbiology Majors preferred; graduate students can apply Interest and/or achievements in plant sciences Full time NAU student for semester of award Slipher Award: Financial need Outstanding student in Biology Attending NAU in the fall Bayless Award: GPA of at least 3.5 90 hours or above (with at least 45 hours at NAU) = Senior Completed significant research project that is near publication or presented at scientific meeting Derifield Award: GPA at least 3.4 in Biology Junior with 20+ in Biology and 30+ hours taken at NAU (Senior year to be completed at NAU) Member of TriBeta who has been of service to the Biology department Deaver Award (for plant sciences): (with achievements in applied plant sciences) Permanent Resident of Arizona Undergraduate or graduate student 60+ hours completed (with at least 30 hours taken at NAU) Wick Scholarship (for purchase of textbooks): 30-40 hours applied to degree with at least 15 hours taken at NAU (Sophomore) GPA at least 3.5 Demonstrated financial need Full time NAU student for semester of award Arizona Flycasters Scholarship: Demonstrated interest in fish management, fisheries, or aquatic biology and conservation NAU Junior or Senior (60+ credits) Minimum GPA of 2.5, with a preference for 3.0 Demonstrated competence in the core curriculum of Natural Sciences Dr. Richard M. Paicius Endowed Scholarship NAU Junior or Senior (60+ credits) Must be in good academic standing Student of CENS Intent to pursue a career in bio-medical professions Be currently advised by Bio-medical professions office (Monica Bai) Version 2014 Page 4

Exercise Physiology Scholarship: Exercise Science Major Senior standing (90+ hours completed) Active in exercise physiology research and/or interested in career in exercise physiology Rasmussen Scholarship: Exercise Science Major GPA at least 3.25 Junior, Senior or Graduate student standing (60+ hours completed) Active service in the area of Exercise Science Richard F. Shand Award for Outstanding Undergraduate Research in Microbiology: Doing research in Microbiology Major in the Dept. of Biological Sciences Junior or senior level, in good academic standing *Applications must include the following additional items: (1) Description of research project and how this research will impact your future plans (2 pages, double-spaced, 0.6 inch margins, 12 pt. font) (2) Letter of support from your research mentor. The letter should be attached to the application in a sealed envelope, signed by the mentor across the back flap and with your name and "Shand Microbiology Scholarship" on the front. The Jack & Hanna Sisely, M.D. Pre-medicine Scholarship: Students enrolled full-time, junior or senior, interested in the premedical professions medicine or pharmacy Student in good academic standing with a minimum GPA of 3.5 (4.0 is A). Arizona resident Demonstrates financial need *Applications must include the following additional item: (1) Please attach a one page (maximum) statement describing your aspiration to work in the world of medicine or pharmacy. This is in addition to the required personal statement described on p. 2 of the application form. Jerry O.Wolf Student Enrichment Scholarship Majoring in any one of our majors Preference will be given to students studying organismal biology with an emphasis in animal behavior, ecology, and evolution Maintain a minimum grade point average of 3.0 Kerry Henrickson scholarship: Undergraduate biology students who are holding positions with educational responsibilities are eligible for this award. This includes, but is not limited to, all supplementary instructors and recitation leaders. Applicants should have at least one semester of instructional experience. Applicants must have a minimum GPA of 3.0 (on a 4.0 scale) A recommendation from a faculty mentor describing the candidate s valuable and/or innovative teaching skills. Version 2014 Page 5