Ronald D. and Kathleen A. Krausse STEM Scholarship

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American Association of University Women Harrisburg Branch Ronald D. and Kathleen A. Krausse STEM Scholarship $1,500 Scholarship 2018-2019 Academic Year The Ronald D. and Kathleen A. Krausse STEM Scholarship was established to support young women enrolled in science, technology, engineering, or mathematics (STEM) academic majors. Mr. Krausse served for many years as a mathematics teacher and recognizes the need to support women pursuing bachelor degrees in these areas. Eligible candidates must meet the following criteria: Ronald D. and Kathleen A. Krausse STEM Scholarship 1. Enrolled as a full-time student in the fall 2018 term 2. Female student having completed at least 30 credits toward an undergraduate degree by the end of spring term 2018 3. Academic major in science, technology, engineering, or mathematics 4. Attend an accredited college or university located in Pennsylvania 5. Permanent resident of Dauphin, Cumberland, or Perry County 6. Demonstrate academic achievement with at least a 3.25 GPA 7. Demonstrate financial need Applicants must submit the following materials to the AAUW Harrisburg Scholarship Chair, P.O. Box 60911, Harrisburg, PA 17106-0911 by October 31, 2018: 1. Completed application 2. Official transcript through spring term 2018 3. Financial aid form 4. Verification of enrollment 5. Essay 6. 2 personal references (1 of which must be academic) Additional information and application materials are available on the AAUW website: http://harrisburg-pa.aauw.net. The Harrisburg Branch of AAUW may be contacted by email at HbgAAUWScholarship@gmail.com. Deadline for Application Packet: October 31, 2018 The AAUW Scholarship Committee may interview finalists as part of the selection process. Awardee will be honored at one of our branch meetings in Spring 2019. The scholarship recipient may also receive Branch support to attend the National Conference for College Women Student Leaders (http://www.nccwsl.org/). URL: http://harrisburg-pa.aauw.net Rev. 06/2018

Include your name at the top of each page. Complete the Application and Essay. Obtain references. Request financial aid information. Be sure to include additional documentation and information as directed. Type or print neatly. Part I. APPLICATION Permanent Address: Contact and Residence Information Street City, State, Zip County: Phone: Email: Current Address (if different from above): Street City, State, Zip County: Phone: Email: High School and College(s) Attended Name City/State Dates Attended Grad. Date or Credits Completed

Major Course of Study: Krausse STEM Scholarship Cumulative GPA as of last semester: (Note: An official college transcript through spring term 2018 must be included with the application) Activity Extracurricular Activities (include employment, if applicable) Involvement Approximate hours per month

Part II. ESSAY QUESTION Please type or print neatly and limit your response to one page and 300 words maximum Essay Question: AAUW s mission is to advance equity for women and girls through advocacy, education, philanthropy, and research. How did you develop an interest in science, technology, engineering, or mathematics and how can other women be encouraged to pursue STEM fields?

Part III. References Using the forms provided with this application, please submit two personal references. At least one of your references must be academic.

REFERENCE FORM #1 This student is applying for a $1,500 scholarship from the AAUW Harrisburg Branch. Please complete this reference and return it to the student for inclusion in her application. Thank you for your cooperation. 1. How long and in what capacity have you known this student? 2. What three adjectives best describe this applicant and why? 3. Give a brief description of the student s academic, job related, or extracurricular achievements you believe are indicative of future success. Signature of Reference Name of Reference Relationship to Applicant Address Phone Email

REFERENCE FORM #2 This student is applying for a $1,500 scholarship from the AAUW Harrisburg Branch. Please complete this reference and return it to the student for inclusion in her application. Thank you for your cooperation. 1. How long and in what capacity have you known this student? 2. What three adjectives best describe this applicant and why? 3. Give a brief description of the student s academic, job related, or extracurricular achievements you believe are indicative of future success. Signature of Reference Name of Reference Relationship to Applicant Address Phone Email

Part IV. DOCUMENTATION: Consent to Release Educational Records Official Transcript Proof of Enrollment Financial Aid Information

CONSENT TO RELEASE EDUCATIONAL RECORDS TO A THIRD PARTY ***NOTE: PRIVACY ACT ENFORCED*** I,, hereby request and give my consent to the release of those educational records specified below to the American Association of University Women, Harrisburg Branch Scholarship Committee, P.O. Box 90611, Harrisburg, PA 17106-0911. It is further understood that the high school, college, or university will inform the above named applicant that any and all information contained in those educational records may not be transferred to another third party without her written consent. Materials to be released: 1. Official Transcript 2. Ronald D. and Kathleen A. Krausse STEM Scholarship Financial Aid Form 3. Verification of Enrollment Reason for this release: Application for American Association of University Women, Harrisburg Branch, Ronald D. and Kathleen A. Krausse STEM Scholarship Student Signature Date Student ID Number

FINANCIAL AID FORM To be completed by the Financial Aid Officer at the Institution the applicant plans to attend during the 2018-2019 academic year. Student Name: Student ID#: Permanent Address: School/College Name: Will this student be enrolled full time for fall term 2018? Yes No Grade Classification for fall term 2018: Freshman Sophomore Junior Senior Student Status: Dependent Independent Has this student filed a FAFSA for the 2018-2019 academic year? Yes No Annual Costs for 2018-2019 Academic Year Tuition Required Fees Room and Board Books and Supplies Other Expenses (explain) Total Cost of Attendance Student 2018-2019 Expected Family Contribution Parent(s) Total

Student Name: Student ID#: Financial Aid: Actual or Estimated 2018-2019 Financial Aid A. Gift Aid College Grants (need based) PELL PHEAA FSEOG Private Scholarships Institutional Scholarships B. Self-Help Federal Direct Loan(s) Federal Work Study C. Other Aid (please identify each) Total This certifies that the information provided reflects data currently on file at this institution and is correct as of this date. It is understood that grants and loans for 2018-2019 may not be firm. This estimate or actual profile of assistance will provide AAUW Scholarship Selection Committee with information to determine the student s financial need. Name of Financial Aid Officer: Phone Number: Email Address: Signature Date