UFO FELLOWSHIPS INTEREST FORM

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UFO FELLOWSHIPS INTEREST FORM
(If you have a resume, please attach it)
Student Name
Alternate E-mail
MTSU E-mail
Cumulative GPA
Major(s)
Are you a U. S. Citizen?
Hours Earned to Date
Yes
No
ID Number
Cell Phone
Semester of Expected Graduation
Minor(s)
If not, are you a permanent resident?
List areas of community service/leadership:
Yes
No
What are your career goals?
Do you have a specific graduate program/degree that you plan to pursue? If so, please explain:
Check all that apply.
Do you want to conduct research in math, engineering, or science after graduation?
Do you want to work for the federal government and/or some type of non-profit agency?
Do you have a Pell Grant?
Are you interested in helping improve international relations between countries?
Are you interested in studying or serving in Native American Culture?
Are you or your parents first-generation American citizens?
Have you participated in a study abroad program? If yes, where and when?
Do you plan to participate in the Education Abroad program and study overseas? If yes, where and when?
Interested in studying overseas after graduating from MTSU? If yes, where?
Have you done research? If yes, when and what kind?
Do you know languages other than English? If yes, which ones, and years of study?
Advanced
Beginning
Intermediate
What is your level of proficiency?
What languages are you interested in learning?
Fluent
Have you done any type of research?
1.
Yes
No
2.
3.
4.
List Honors, Awards, and/or Recognition that you have received:
(Attach resume if needed)
1.
2.
3.
4.
Potential Letter Writers (for recommendations) - List name and their title/position:
1.
2.
3.
How did you learn about the Undergraduate Fellowships Office?
I give permission for the UFO office to share my name, academic information (including
transcripts) with off-campus personnel at the national scholarship level. I also grant
permission for my name, photo and other information from this application to be shared in
the event that I am awarded a scholarship/fellowship. I certify all information listed and in
my fellowship application is accurate and truthful.
Student Signature
DO NOT WRITE BELOW THIS LINE
For Office Use Only
Today's Date
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