The Science of Success STEM Scholarship Application: First-Time Applicant, 2020-21 Academic Year
Use this form if you have not previously received a Science of Success STEM Scholarship.
Please type the application.
PERSONAL INFORMATION
Name:
Date of Birth:
SSN:
Phone:
Current Address:
City:
State:
ZIP Code:
Permanent Address:
City:
State:
ZIP Code:
Email Address:
Did your mother and/or father attend college? If so, did they graduate? When and with what degree?
ACADEMIC INFORMATION
High school information only needed for incoming students
High School GPA:
ACT Score:
Workkeys Score:
College Major:
College GPA:
REFERENCES
Should be a teacher or work-related professional. (No relatives or friends please.)
Please list two references, with contact information (phone number, email & physical address).
1).
2).
ESSAY QUESTION (
Please use a separate sheet
.)
Desired Length: 250 word minimum, 500 word maximum
Please describe your interest and aptitude in one of the academic programs participating in this program. Be sure to include your career goals and your
plan to accomplish these goals.
For additional information about the Science of Success STEM Scholarship Program, please visit:
www.ndscs.edu/paying-for-college/scholarships/stem-scholars/
My signature is authorization for releasing scholarship information for reporting
purposes, including any photos. NDSCS reserves the right to cancel the
scholarship during the year because of academic and other issues.
Your Signature __________________________________________________
#1565109
Please submit completed applications to
Enrollment Services
Attn: Shelley Blome, Director of Financial Aid
Haverty Hall 101
800 N. 6
th
St.
Wahpeton, ND 58076