UNIVERSITY OF NEBRASKA AT OMAHA

NELL WARD MEMORIAL SCHOLARSHIP

2007-2008 APPLICATION FORM

NAME: UNO ID or SS#

Last First MI

Mailing Address __________________________________________________________________

Street/P.O. Box City State Zip

Permanent Address_________________________________________________________________

Street/P.O. Box City State Zip

** Fund Requirement ** Have you declared a chemistry major or concentration? _____

______________________________________________ ___________________

Student's Signature Date

Addressing the Criteria. Fill in the top of this page completely. Academic proficiency is rated from transcripts and, if pertinent, letters from faculty. If you are currently in your second chemistry class & lab at UNO, ask your instructors to submit your current standing in the class. To make comparison of chemistry grades easier for the committee, please enter these below. Financial need is assessed by the UNO Office of Financial Aid. If you wish financial need to be considered, file the 2005-2006 Free Application for Federal Student Aid (FAFSA), indicating UNO in the Release section. (Priority deadline is March 1.) See the UNO Office of Financial Aid (EAB103) for the necessary form and for information regarding filing options. Blanks on the next page correspond to the other criteria for the award. Respond in the blanks or, if you wish, on other sheets. Head each additional sheet with "Ward Scholarship" and your name, and attach to this page.

Submission. This application is due by noon Wednesday, March 21, 2007. Submit to the Chemistry Department office, DSC 337, to the attention of the Student Awards Committee. The postal address is University of Nebraska at Omaha, 6001 Dodge St., Omaha, NE 68182. FAX (402)554-3888.

Preferred Submission Attachments. Include transcripts to document chemistry grades. (Unofficial copy okay.) Arrange to have letters of recommendation (none required) sent to the same address.

Current GPA. _____

Chemistry Grades. 1140 ___ 1144 ___ 1180 ___ 1184 ___ 1190 ___ 1194 ___

2250 ___ 2260 ___ 2274 ___ 2400 ___ 2404 ___ 2500 ___

3350 ___ 3354 ___ 3360 ___ 3364 ___ 3414 ___ 3424 ___ 3514 ___ 3710 ___ 4230 ___

4240 ___ 4400 ___ 4404 ___ 4500 ___ 4510 ___ 4650 ___ 4654 ___ 4660 ___ 4664 ___

4810 ___ 4930 (topic) ___ ( ) 4950 (research advisor) ______ ( )

4960 (research advisor) ___ ( ) Other ___

Chemistry grades from other schools:

2007-2008Nell Ward Memorial Scholarship Application Name

Describe your active, constructive participation in Chemistry Department activities: (Emphasize research; include attendance at department seminars, Omaha Section ACS meetings, Chem Club meetings and activities; tutoring and study groups; employment.)

__________________________________________________________________________________

Describe evidence of career goals in chemistry, chemical research, or teaching:

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