Micron Scholar 2005 Application Form I, , wish to be considered for selection as a Micron Scholar for the Class of 2005. Permission is hereby given to officials of Virginia Tech to release transcripts of my academic record and other requested information for consideration as a Micron Scholar. I understand that this application will be available only to the Micron Scholars Selection Committee and other qualified persons in the Chemical Engineering, Electrical and Computer Engineering, and Materials Science and Engineering Departments with “need to know” for the selection process. I further understand that if I am selected as a Micron Scholar, my application will be forwarded to the Micron Technology Foundation for internal use within the Foundation and the parent corporation, Micron Technology, Inc. I affirm that I plan to pursue a career in microelectronics, photonics, or nanotechnology and will register for the Minor in Microelectronics Engineering. I affirm that the information contained herein is true and accurate to the best of my knowledge and belief. Signature __________________________________________________________ Date _________ The selection of scholarship recipients will be influenced by the completeness, neatness, and legibility of replies. This form and the essay should be completed using Microsoft Word. All information must be completed within the indicated margins. The font should be Times New Roman 11 point. If you have more activities, work experience, and/or awards than the space allows, list only those that you consider most significant. Inserts and additional pages will not be accepted. A. Biographical Questionnaire Name: Last First MI State Zip Local Address: Street and Number City E-mail: Are you a U.S. citizen? Local Phone: ( Yes No (Citizenship is not a requirement for selection as a Micron Scholar.) How many credits will you achieve as of May 15, 2005? How many credits do you plan to achieve for graduation? When do you expect to earn your baccalaureate degree(s)? Page 1 of 4 ) B. Your Schooling What is (are) your undergraduate major(s)? What is (are) your undergraduate minor(s)? What is your cumulative GPA? In a few sentences, describe your career goals. C. Honors List any awards, honors, or scholarships you have received while in college. D. Your Programs and Activities List past and present research activities associated with your interest in microelectronics in which you regularly participate. Explain the duration, degree, and significance of your involvement, including what responsibilities you had in the project. In the absence of formal research experience, describe briefly any other skills or accomplishments you consider significant and relevant to this application. List activities in which you have participated (such as clubs, publications, debating, drama, music, art, and student government). Place an “X” in front of those activities you consider most important. College Activity Dates participated Offices held List jobs (including summer and co-op employment) you have had since entering college. Job/kind of work Employer Page 2 of 4 Dates Hours/week E. What are your professional aspirations? Indicate in which area(s) of microelectronics you are considering making your career and specify how your current academic program and your overall educational plans will assist you in achieving this goal. Page 3 of 4 F. Describe an activity or experience that has been important in clarifying your motivation for a career in microelectronics. G. Describe any characteristics or other personal information about yourself or your family that you wish to share with the selection committee. H. Prepare a program of study showing how you intend to meet the requirements of the Minor in Microelectronic Engineering. Your credits must total no less than 21 hours. Your program of study should also be consistent with your program of study for your major(s). Course Title Credits Semester I. Letters of Recommendation will be provided by the following persons who have knowledge of my technical background. Reference 1: Reference 2: J. A completed application consists of: 1. this form 2. a current transcript 3. 2 letters of recommendation in signed, sealed envelopes. Submit your application with your letters of recommendation to: Dr. Leslie Pendleton Electrical & Computer Engineering Department 290 Whittemore Hall Application packets must be received no later than 2:00 p.m. Friday, April 8, 2005. Electronic submissions will NOT be accepted. Page 4 of 4