2017-18

F.W. Heyl and Elsie L. Heyl Science Scholarship Fund

Scholarship Application Form

Deadline: December 1, 2017

·  Complete this form, sign it, and return it and official transcript(s) (including SAT and or ACT scores) to the Heyl Academic Advisor at your high school by December 1, 2017.

·  Have sent at least one and not more than two science/math teacher evaluations to the Heyl Academic Advisor at your high school by December 1, 2017. You may also use an instructor from post secondary coursework for this requirement.

·  Submit your Kalamazoo College Early Action (or Early Decision) or Western Michigan University application for admission by November 1, 2017.

·  WMU Bronson School of Nursing applicants, complete and submit the supplemental application.

·  Make an appointment with the Executive Director or Dr. Lagerwey for the required interview. All applicants must be interviewed. Interviews will be held between December 7, 2017 and January 13, 2018. It is your responsibility to contact the Executive Director or Dr Lagerwey.

Kalamazoo College applicants contact: WMU/Bronson applicants contact:

Dr. Mary Lagerwey

337-7103

387-8162

REMEMBER TO ATTACH YOUR TRANSCRIPT(S); DO NOT ATTACH ANY OTHER SUPPLEMENTARY MATERIALS OR ADDITIONAL LETTERS, THEY WILL NOT BE REVIEWED (and we will question your ability to follow directions J).

Heyl Academic Advisors:

Kalamazoo Area Mathematics and Science Center — Mr. Michael Sinclair
Kalamazoo Central High School — Mr. Eric Soulier
Loy Norrix High School — Ms. Claudia Witt

This Scholarship Application is to: Kalamazoo College WMU Bronson School of Nursing

Your Legal Name: Last First Middle

Street Address

City State Zip

Area Code/Phone Number Email address:

Mother’s Full Name

Home address and telephone number, if different from yours

Father’s Full Name

Home address and telephone number, if different from yours

Your High School(s)

Your School Counselor

Teacher writing recommendation for you

Proposed academic field of study

Future career interest

Why do you want to major in the field listed above?
How did you become interested in science/math or in the profession of nursing and how do you plan to pursue this interest beyond college?
Describe a scientific/math (K College applicants) or health-related (WMU applicants) project you developed (or participated in) while in junior or senior high school. (This may also be an activity you participated in outside of school.) You are welcome to attach a separate sheet.
In the project that you described, what in particular captured your interest or imagination?
What factor(s) are important in your decision to apply to Kalamazoo College or the WMU/Bronson School of Nursing?
In what type(s) of mathematics and/or science-related (Kalamazoo College applicants) or health related (WMU applicants) activities have you participated outside of a formalized classroom/laboratory setting? (Independent projects or hobbies, internships, volunteer work, mentorships, etc.)
If you will not complete 4 years each of high school math and science, including biology, chemistry and physics, please explain.
Is there anything else you would like us to know about you that hasn’t been addressed in this application?
I UNDERSTAND THAT AN ENROLLMENT DEPOSIT PLACED AT ANY COLLEGE OR UNIVERSITY OTHER THAN KALAMAZOO COLLEGE OR WESTERN MICHIGAN UNIVERSITY WILL AUTOMATICALLY VOID THIS APPLICATION AND ANY OFFER OF ADMISSION BY KALAMAZOO COLLEGE OR WESTERN MICHIGAN UNIVERSITY.
Signature Date (m/d/yy)