FRESHMAN SCHOLARSHIPS

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1 Telephone: , Fax: FRESHMAN SCHOLARSHIPS The awards scholarships to entering freshmen on the basis of academic merit, leadership and participation in high school and community activities, and a promise of future achievement in biochemistry and biophysics. Selection is made by a the BBMB Scholarship committee. To the applicant: 1. Please complete the enclosed scholarship application form and return it to the Department of Biochemistry, Biophysics and Molecular Biology at the address below. The deadline for receipt of all materials is April Please ask your science teacher and one other teacher each to write an evaluation, using the enclosed forms. Evaluators should send the completed evaluations directly to our department. 3. Please ask your high school to forward a copy of your transcript to the Department of Biochemistry, Biophysics and Molecular Biology. A transcript request form is enclosed. Note: To apply for the department scholarships, the student must be in the process of applying for admission to. To be selected for these scholarships, the student must have been admitted to. Application for admission to can be found at Please mail all forms by April 1 to:

2 Roy J. Carver Department of Biochemistry, Biophysics and Molecular Biology Telephone or Fax APPLICATION FOR DEPARTMENT SCHOLARSHIPS Name Street Address City, State and Zip Home telephone address Name of your school School principal Title Name School address School telephone Your expected date of graduation Social Security No. Please list the names of the teachers who will send confidential reports: What subjects have you found most interesting and stimulating in school? Describe your participation and leadership positions in extra-curricular activities. What is your hobby or special interest activity? (over)

3 If you have worked on any special science projects not mentioned above, please describe or send a write-up of your work. Describe your special talents or accomplishments, such as playing a musical instrument, and awards. Are you involved in any community activities? Please also indicate your employment record. Please write a short (200 words or less) statement telling why you have chosen biochemistry, biophysics or agricultural biochemistry as a major at. Please return all materials by April 1 to: 12l0 Molecular Biology Building

4 Telephone or Fax CONFIDENTIAL REPORT ON SCHOLARSHIP APPLICANT Applicant Name Applicant Address! I waive the right given me by the Family Education Rights and Privacy Act of 1974 to view this confidential letter of recommendation in my file at the at Iowa State University.! I do not wish to waive this right. Applicant Signature **************************************************************************************************** The above-named person is under consideration for a scholarship in the Department of Biochemistry, Biophysics and Molecular Biology at. We would appreciate your evaluation of his/her potential for performing well in a major of biochemistry, biophysics, or agricultural biochemistry at. Comments on achievement in science related courses, character, leadership, and activities in high school activities are also helpful. Please use the space below for your comments or send a separate sheet. Name of respondent Telephone School and Department Address Signature of respondent Please return by April 1 to:

5 DEADLINE:April 1 Telephone or Fax REQUEST FOR TRANSCRIPT I am applying for a scholarship in the at. Please mail a complete transcript of my academic record to: Attention: I will graduate or have graduated in the class of NAME ADDRESS ISU ID #, if available of Birth ****************************************************************************** TO THE HIGH SCHOOL: If the transcript does not provide a grade point average and ranking of the student in his/her graduating class, please provide this information. For students whose final semester's work is now in progress, it will be satisfactory to estimate the rank. Name of High School Registrar Official Position/Title

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