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