APPLICATION FORM MATHEMATICS DEPARTMENT SCHOLARSHIPS Completed application forms should be submitted to the Chair of the Department of Mathematics NO LATER THAN the third Friday in January of the year in which the scholarship is to be awarded. Name: Class Standing (circle one): FRESHMAN Major (circle one): MATHEMATICS Credit Hours Earned: SOPHOMORE MATH TEACHING JUNIOR SENIOR MATH-ACTUARIAL TRACK Cumulative GPA (USI): Math Class(es) in which you are currently enrolled: Please list other scholarships or financial aid received: Please list organizations, clubs, activities, or community service in which you participate. Attach a one-page essay describing why you selected mathematics as a field of study and how you envision using mathematics in your future career. Signature____________________________________________________ Date______________________