Application for The Rose Marie Pangborn Sensory Science Scholarship for the 2016-2017 Academic Year Please provide the information requested below. You MUST use each of the headings on your application. Return completed application and 3 recommendation letters to: Dr. Richard Mattes, Purdue University Department of Nutrition Science Stone Hall, Room 212 700 W. State St. W. Lafayette, IN 47907-2059, USA. All applications must be postmarked by June 10, 2016 to be considered for the award. 1. List your name, mailing address, campus address (If different from your mailing address), phone and e-mail 2. List all colleges and universities attended. For each indicate: A.) Name of institution B.) Years in attendance C.) Date and degree received D.) Grade point average (GPA) 3. GRE (Grad Record Exam) Scores (Attach photocopy of scores if available). 4. Current institution and program in which you are a PhD candidate? (Provide address). 5. Present GPA and the number of units taken towards this GPA. 6. Include a copy of your undergraduate and graduate transcripts (photocopies acceptable). 7. Date you expect to complete your graduate studies and receive your PhD. 8. Please list the courses and degree requirements that you need to fulfill before graduation. 9. Please list the source and amount of all current scholarship or assistantship support. 10. Please provide your employment record since high school (list most recent first). 11. Please list all teaching assistantships and specify: A.) Company/University B.) Dates C.) Job title, job description 11 List three references qualified to comment on your academic and personal performance. For each, provide their name, title, mailing address, FAX and e-mail. 12 Enclose the three sealed (confidential) completed letters of recommendation with your application. Do not have them mailed separately. 13 Attach a sheet listing your publications. (If you have no publications, but have abstracts for talks presented at meetings, you may list these.) 14 Attach an essay in which you describe the origin of your interest in a career in sensory science. Specifically address your motivation to teach and conduct research in this field at the university level. Indicate your future goals. If you have a research project under way or proposed, please state the objective of your research, and briefly outline the protocol. If you do not yet have a project, please briefly indicate what type of project you would like to conduct for your PhD thesis. 15 Please have your application endorsed by the department chairman of your current major professor. LETTER Of RECOMMENDATION for Applicant_____________________________ From ________________________________. Are you the thesis supervisor? YES NO (Signature) ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ ______________________________________________________________________ (PLEASE PRINT) Name, Title, University or Company, Address The individual listed on the first line has applied for a scholarship from the Sensory Science Scholarship Fund. The award will be made to a student presently enrolled in a PhD program, who intends to teach and conduct research in (Human) Sensory Science at the university level. We would appreciate your candid evaluation of the applicant as a candidate for this Scholarship. Please include specific comments that define the length of time and in what capacity you have known the candidate. Please evaluate the applicant's potential as a teacher and ability to conduct independent original sensory research. Please address the applicant's commitment to an academic career in human sensory science. Include comments that assess the candidate's strengths and weaknesses with respect to an academic career. Please return this letter of recommendation in a sealed envelope to the candidate in time for the applicant may submit the letter with the application no later than June 10, 2016.