West Chester University
Joel M. Ressner Scholarships
Application
INSTRUCTIONS
1. Complete the attached application and the personal statement. Please type all the information requested.
2. Email the completed application form with the personal statement to Dr. Jingqiu Hu at , no later than 5:00 p.m. on February 28, 2017. Incomplete scholarship applications will not be considered. Applications received after 5:00 p.m. on February 28, 2017 will not be considered.
5. Questions pertaining to this scholarship application should be directed to Dr. Hu
6. Please note that your application will not be considered if the information is not completed correctly and accurately on the application.
7. Your application information will be confidential within the three person committee (Dr. Hu, Dr. Moran and Dr. Townsend). Your application is considered to be permission for the committee to review your academic record.
West Chester University Department of Chemistry
Joel M. Ressner Scholarships Application
Full Name _______________________________________________________________________________________
First Middle/Maiden Last
Check One ___Incoming Freshman ___Freshman ___Transfer ___Sophomore ___Junior ___Senior ___Graduate
Please check the scholarship(s) for which you are applying:
___ Joel M. Ressner Scholarship in chemistry
___ Joel M. Ressner Scholarship for minority students in chemistry
Home Address: ____________________________________________________________________________________
City: _________________________________________________State:_________________Zip:___________________
Telephone: ____________________________________ County: ____________________________________________
Campus Address: __________________________________________________________________________________
City: _________________________________________________State:_________________Zip:___________________
Telephone: ________________________________________________________________________________________
West Chester University ______________________________________________________________________________
Declared Major Credit Hours Completed GPA
Number of credits transferred to WCU:
Current Extracurricular/Community Activities Your Participation/Offices Held
_______________________________________________ _____________________________________________
_______________________________________________ _____________________________________________
_______________________________________________ _____________________________________________
If you are applying for Joel M. Ressner scholarship for minority students in chemistry, please select the racial category or categories with which you most closely identify by placing an “X” in the appropriate line.
_____American Indian or Alaska Native
_____Asian
_____Black or African American
_____Native Hawaiian or Other Pacific Islander
_____White
_____Two or more races
Other Sources of Financial Aid/Student Loans that you have been awarded:
_______________________________________________________________________________________________
AN ESSAY IS REQUIRED
Please describe how your education is funded and how this scholarship would help.
Please describe your service to the Chemistry Department or the University.
Please include your essay on the next page and limit your statement to no more than 500 words.
________YES, I agree that should I be the recipient of a scholarship WCU and WCU Foundation have my permission to share and use my name and image in publications.
________NO, I do NOT agree that should I be the recipient of a scholarship WCU and WCU Foundation have my permission to share and use my name and image in publications.
Whether you give your permission or not will have NO bearing on the decision of the committee as to whether you are awarded a scholarship or not.
____________________________________________________
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Signature Date
ESSAY