Northern Arizona University Yuma Branch Campus National Science Foundation - SEEDS: Supporting Educational Endeavors for Degrees in Science The Northern Arizona University-Yuma Branch Campus has been awarded $600,000 from the National Science Foundation for Scholarships for Science. This grant will support a cohort of ~15 students for two years. Applications will be reviewed on a case by case until all slots have been filled for each year, which will begin Fall 2016. Scholarships will be awarded (based upon need) for up to $10,000 per year. Students can renew the scholarships for a second year based on satisfactory progress and continued funding. In addition, funding is based on nine months of fulltime academic enrollment and all participants will be strongly encouraged to participate in summer internships or jobs and earn additional valuable experience and resources. Students will be selected for scholarships through a competitive application process. A rigorous plan of study will be developed for all students. Participants will attend cohort classes full-time for two years, receiving extra support through a learning community. Beyond the classroom, cohorts will participate in natural history field trips, scientific meetings, job fairs, internships, and research-related activities. Eligible students will have a declared major in Biological Sciences or Environmental Science, demonstrate academic talent and financial need, and are U.S. citizens or permanent residents. Those underrepresented in science (women, disabled, Latino, African American, Native American, Pacific Islander) are especially encouraged to apply. In addition, students will need to have successfully completed very specific courses described in the application. For additional information, contact Dr. Francisco Villa at Francisco.Villa@nau.edu or (928) 317-7080. Send completed applications by email, mail, or in-person to Dr. Francisco Villa. The address for mail or delivery: Dr. Francisco Villa NAU Science Research Facility Room 113 2020 S. Avenue 8E PO Box 6236 Yuma AZ 85366-6236 1
APPLICATION MATERIALS 1. Complete Personal Information 2. Complete Education Background Information 3. Complete Financial Aid Information and Submit FAFSA 4. Contact Information for References 5. Personal Statement 6. Resume 7. Unofficial Transcripts from all schools attended 8. Be Available for an Interview if a finalist* *If you are selected as a finalist, you will be asked to attend an interview with the selection committee. If you are applying from out of town, this interview may occur via the telephone. 2
Application Form Northern Arizona University Yuma Branch Campus National Science Foundation SEEDS: Supporting Educational Endeavors for Degrees in Science 1. Personal Information: Name: First Last _ MI Address: City State Zip Telephone Number: ( ) Email: Citizenship (to qualify you must be able to answer yes to one of the following): Are you a U.S. Citizen? Yes No If no, check only the following which applies to you: Permanent U.S. Resident? Yes No Refugee under Section 207? Yes No Alien lawfully admitted to the U.S. for permanent residence? Yes No Please mark the answer that best applies to you: The following demographic questions are for reporting purposes to the NSF only to determine if an applicant is from a recognized underrepresented group in science and will not be used as a criteria to evaluate scholarship eligibility. Date of Birth:// Gender: Male Female Ethnicity (choose one): Hispanic or Latino Native Hawaiian or Other Pacific Islander Asian American Indian or Alaska Native Black or African American White Other (specify): 3
2. Educational Background: Intended course of study/major with NAU-Yuma (please circle one): Biological Science or Environmental Science Current College:_ ID#: GPA:_ Current College:_ ID#: GPA:_ If you have attended more than one college, list the name of each college and the GPA for each: College: ID#: GPA:_ College: ID#: GPA:_ College: ID#: GPA:_ Have you completed any of the following courses? Check those completed and indicate grade. If you are currently taking any of these courses merely note the grade as IP for in progress. (Note: Only those courses indicated with * are required for the scholarship.) Grade ------------------------------------------------------------------------------------------------------------------------------------------------------ *General Biology I (BIO 181/BIOL 180) *General Biology II (BIO 182/BIOL 182) *General Chemistry I (CHM 151/CHEM 200) *General Chemistry II (CHM 152/CHEM 202) Pre-Calculus (MAT 187/MATH 190) Calculus I (MAT 220/MATH 192) Applied Statistics (MAT 270/MATH 119) *Freshman Composition (ENG 101/ENGL 110) *Freshman Composition (ENG 102/ENGL 201) College Physics I (PHY 111/PHYS 200) College Physics II (PHY 112/PHYS 202) Please list other relevant science courses you have completed with the grade received: 1. 2. 3. 4. Have you completed the Arizona AGEC or California IGETC? If yes, please check. Arizona AGEC or California IGETC 4
3. Financial Aid Information: Have you completed the 2016-2017 FAFSA? Yes No In addition to completing this application, a completed 2016-2017 Free Application for Federal Student Aid (FAFSA) must be submitted to NAU (School Code- 001082) for consideration of need based aid. The FAFSA is available online at: http://fafsa.ed.gov. Check Yes or No to each of the questions below. These will not qualify or disqualify you from receiving the scholarship, but will be needed to calculate your award. Do you receive any Military education benefits? Yes No Do you receive any Tribal scholarships or funding? Yes No Contact the NAU Financial Aid Coordinator, Mirna Lord at mirna.lord@nau.edu or (520) 879-7910 if you have any questions or for further information. 5
4. Academic References: Please provide the Names, Addresses, Phone Numbers and Email Addresses for two academic references that will be contacted if you are selected as a finalist. First Reference Name: Address: City State Zip Telephone Number: ( ) Email: Second Reference Name: Address: City State Zip Telephone Number: ( ) Email: 5. Personal Statement: Write a 1-2 page personal statement addressing your interest in science. Include in your description how you would benefit academically and professionally from participation in this program. Please include any personal attributes, skills, or scientific strengths you feel will contribute to your success in this program. 6. Resume: In addition to the Personal Statement, please attach a current resume. 7. Unofficial Transcripts: Attach unofficial transcripts from all current and previous colleges or universities. Official transcripts will be required once selected into the program. 6