APPLICATION
St. Louis STEM Scholars (S3) Academy Scholarship
STEM: Science, Technology, Engineering and Mathematics
Please type or print legibly.
Name:
Date of birth:
St. Louis Community College (STLCC) Student I.D. number:
Address:
City:
Phone number:
(
)
State:
Zip:
E-mail address:
Cumulative GPA:
Number of hours employed per week: ________
If you currently attend STLCC, check the location(s): FV
MC
FP
W
Number of STLCC credit hours you are currently enrolled in:
Successfully completed credit hours at STLCC to date:
Number of credit hours you plan to enroll in next semester:
Select the STEM program that you have or will declare as your major:
Biotechnology
Computer Integrated Manufacturing
Engineering Science
Computer Science
Engineering Technology
Application Procedure
1. Read the requirements for the scholarship (Application Information and Guidelines).
2. File a current Free Application for Federal Student Aid (FAFSA), preferably online.
3. Complete the application above and the items on page 2 of this document.
4. Enclose the following documents with this completed application:
a. If you are not a current STLCC student:
i. Official high school transcript(s) or any college transcript(s) or verification that student has requested
documentation from issuing institution.
ii. ACT scores or other comparable placement scores.
b. Two (2) letters of recommendation: one from a mathematics or science teacher and one from another teacher or
counselor.
c. Proof of current STLCC student status or a completed STLCC student application.
d. A doubled-spaced, typed, two-page essay written by the student describing the motivation for applying for
this scholarship. The student should cite additional indicators of academic merit and professional success
such as class rank, motivation skills, ability to manage time and resources, communication skills, and
leadership skills. Include any Project Lead The Way (PLTW) courses taken in high school, as well as
engineering or science-related competitions (such as U.S. FIRST Robotics Competition) participated in
during high school.
e. All required documents above must be submitted with this application in a single 9”x12” envelope to:
S3 Academy Scholarship
STLCC-FV MSET Division Office, Room 204
Science/Math Building
St. Louis Community College at Florissant Valley
3400 Pershall Road, St. Louis, MO 63135
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Applications will be reviewed on a continual basis as received.
A personal interview with the S3 Academy Student Selection Committee will be conducted for all eligible applicants.
The STLCC-FV Financial Aid Office will determine your financial need based on your designated Cost of
Attendance and expected family contribution (as determined by the FAFSA report). The total amount of
financial aid you receive cannot exceed this determined financial need.
Use the space below to list all of your current sources of financial aid, including all grants, loans and
awards. Attach an extra sheet, if needed.
Source
Dates Received
Amount
By signing this application, I certify that the information above is correct and complete to the best of my knowledge. Pursuant to
the Family Educational Rights and Privacy Act of 1974, as amended (FERPA), I hereby authorize St. Louis Community College
(STLCC) to release the scholarship application information provided by me, in addition to STLCC information regarding my
academic progress and status, to the scholarship committee and/or donors for the purpose of providing information concerning
my eligibility as a scholarship recipient and publicizing my receipt of a scholarship.
I understand that only completed applications will be considered.
______________________________________________________________________
_____________________________
Student Signature
Date
If you need further information:
Contact Patricia Suess, Ph.D., S3 Academy Project Investigator at 314/513-4852 or psuess@stlcc.edu.
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