IowaStateUniversityGraduate student scholarship application

College of Human SciencesAcademic year 2011-12

Submit your paper application to the department/program in which you will be enrolled or send it as an attachment to the e-mail address included on the application checklist found at

APPLICANT INFORMATION

Full legal name:

FirstMiddleLast

Current address:

StreetCity, State, Zip

ISU ID#: ISU Net-ID*: Alternate e-mail*:

Middle 9 digits on your ISUCard*All correspondence will be sent to your ISU e-mail account (net-id@iastate.edu).

Your alternate e-mail address will only be used if you have not yet been assigned a net-id.

Degree sought (check one): M.S. M.Ed. M.A.T. MFCS Ph.D.

Department/Program

Major/Specialization

I am a new graduate student to this program

I am a continuing student in this program – First semester enrolled

Updated1/2011

Graduate student scholarship application, page 1 of 3

APPLICANT HISTORY

If more space is needed, please include in ADDITIONAL INFORMATION section below

Past and Current Education

Name of University
City, State / Dates Attended
(mm/yy-mm/yy) / Major / Degree / GPA / Credits

Work experience

Job Title / Organization
City, State / Hours per week / Dates of
Employment
(mm/yy-mm/yy)

Professional memberships

Name of Organization / Office(s) Held (if applicable) / Dates of
Membership
(mm/yy-mm/yy)

Presentations at professional meetings

Professional Meeting / Event / Title of Presentation / Date(s) of Presentation
(dd/mm/yy)

Additional Information

PUBLICATIONS, HONORS, AND AWARDS

If more space is needed, please include in ADDITIONAL INFORMATION section below

Publications– use accepted citation format for your discipline

Honors and Awards

Honor / Award

/ Granting Organization / Date (dd/mm/yy)

Additional Information

STATEMENT OF ACCOMPLISHMENTS AND PLANS FOR CONTINUED SUCCESS AT IOWA STATE UNIVERSITY Please keep response to 200 words or less

CREDIT LOAD

For each semester listed, please indicate number of credit hours you will be taking

7 or more / 4 – 6 / Less than 4 / Students will not be considered for a college scholarship during semesters when they are registered for fewer than 4 credits
Summer 2011
Fall 2011
Spring 2012

FOR CONTINUING STUDENTS

Arrange for the submission of a substantive statement by your adviser or major professor regarding your performance in the graduate program, including scholarly accomplishments, progress in research, and other reasons why you are deserving of a CHS scholarship. Have the letter sent directly to your department office.

ADDITIONAL CRITERIA

Most scholarships are based on academic accomplishments; however, some scholarships list other criteria. Please check those areas below that apply to you:

U.S. students only – Financial need

** You must submit a Free Application for Federal Student Aid (FAFSA) to the ISU Office of Student Financial Aid (suggested deadline February 1) in order to prove financial need

U.S. students only – Out-of-state student

Student of color

Graduated from a Missouri high school

Graduated from a Marshalltown or Sioux City high school

Interested in organic farming, food safety or natural fiber

Lived or currently lives in Muscatine County

Held or currently holds leadership position in the College of Human Sciences

(please specify:)

Interested in the home economics profession/field

(please specify:)

Conducting or planning to conduct research to find better ways of disseminating Family and Consumer Science information

(please specify:)

Interested in a career in school food service, health care, or academic teaching in an HDFS area

Study emphasis ofeating or personality disorders

SignatureDate

Name (typed)

If sending application via e-mail attachment, your signature is not necessary, but by sending electronically, you are verifying the information on the application is truthful and accurate.

To ensure your application is complete, consult the application checklist found at

Please direct questions about this application form to Nicci Port at .

Questions about the selection process and your status in the process should be directed to your academic department. Department addresses and phone numbers can be found at

Updated1/2011