For Office Use: Dow Corning Corporation Midland Site Scholarships Application Name of Applicant: Scholarship (please check one) Mathematics Science Mailing Address City/State/ZIP Telephone Social Security Number High School Year of Graduation SAT County of Residence High School GPA (to date) and/or ACT College where you plan to use this scholarship Indicate your planned major/program of study: Humanities and Social/Behavioral Science Business Administration Education Communication and Fine Arts Science and Technology Vocational Health Professions Other Describe in detail extra-curricular or community service activities in which you have been involved: Describe in detail your employment history: If more space is required, attach a separate sheet in addition to your essay. Please check to make sure all steps are completed before submitting your application: Applicant’s Signature Date WE HELP YOU INVENT THE FUTURE.™ Dow Corning is a registered trademark of Dow Corning Corporation. WE HELP YOU INVENT THE FUTURE is a trademark of Dow Corning Corporation. ©2001 Dow Corning Corporation. All rights reserved. Printed in USA AGP5924 Form No. 01-1931A-01