APPLICATION
FORM
NSF GK-12 Graduate
Fellowship
Science
First!
SUBJECT TO FINAL NSF
FUNDING
Please send this
application form by e-mail to Ms. Julie Blevins, gk12@etsu.edu,
or by regular mail to
College of Arts and Sciences,
Telephone:
(423)-439-5671; FAX: (423)-439-4645
Other materials
required:
(i) A college transcript; an unofficial copy sent via
e-mail is acceptable.
(ii) Two letters of
recommendation to be mailed or e-mailed directly to gk12@etsu.edu These
should address your academic record, breadth of coursework, participation in
undergraduate research (if applicable), communication skills, and suitability
for work in a complex team environment.
(iii) A complete
application submitted to the
All application
materials must be mailed (postmarked) by March 24, 2008, or sent electronically
by March 31, 2008.
YOU MUST BE A U.S.
CITIZEN OR PERMANENT RESIDENT TO QUALIFY FOR THIS
FELLOWSHIP
Name:
Male □ Female □
Ethnicity
(optional):
Mailing Address:
Permanent Address (if different from above):
Telephone Numbers (Home and School):
At which number may we
contact you between March 31 and April 15?
Citizenship
Status:
E-mail address:
Name, address and telephone number of
person to contact in case of emergency:
University/College
currently being attended:
Major and Graduation Date (you must have your
degree in hand by June 2008):
Field of proposed
graduate work at ETSU:
Names and titles of two
people who will be writing letters of recommendation on your behalf: Letters of
recommendation may be sent electronically to gk12@etsu.edu
Describe your previous research experience, if
any.
What are your career
plans?
How do you think participation in this program will
enable you to grow as a mathematician or scientist?
Are there
significant hurdles you have had to overcome to get where you are today?
Why do you believe you are suited for
this Graduate Fellowship?
Would you be willing to
spend a significant amount of time presenting the outcomes of your collaborative
work at