Please describe your plans after graduation.

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BPMACS
Brockport Physics, Mathematics and Computer Science
Scholarships for
Juniors, Seniors and Graduate Students
Spring 2016 Application Form
The College has received a grant of $600,000 from the National Science Foundation to provide 25
scholarships of up to $5,400/year for juniors, seniors and graduate students majoring in physics, mathematics
or computer science. This NSF program provides institutions with funds for student scholarships to encourage
and enable the achievement of higher education degrees in science, technology, engineering and mathematics
by talented but financially disadvantaged students. Scholarship funds can be used for expenses normally
incurred by full-time students - including tuition, fees, books, supplies and equipment. These scholarships are
awarded on a semester-by-semester basis. Students making satisfactory progress in their degree program
during the fall semester (defined as a GPA of 3.0 both overall and in their major for the semester) will have
their scholarships continued during the spring semester.
Eligibility Criteria for Spring 2016 BPMACS Scholarships
1. Students must be matriculated at The College at Brockport as a full-time student (minimum 12 credit
hours for an undergraduate and 9 credit hours for a graduate) majoring in physics, mathematics or
computer science.
2. Students must have completed a total of at least 55 credits by the beginning of the spring 2016
semester if an undergraduate student (no graduate work required for graduate students).
3. Students must have a minimum GPA of 3.00 in both their major and overall college course work, or a
GPA of 3.20 in both their major and overall college course work during their last two semesters.
4. Students must complete a FAFSA form and establish financial need based upon eligibility as defined by
the US Department of Education rules for financial aid.
5. Students must be a U.S. citizen, national, alien admitted as a refugee at time of application, or an alien
admitted for permanent residence.
Additional information can be obtained by contacting the Program Director: Professor Sanford Miller,
201 Brown Building, Department of Mathematics, email: smiller@brockport.edu Phone: 585-395-5178
Deadlines for New Applications: Friday, December 11, 2015.
Directions:
1. Complete and sign the following application and return it to the Program Director at:
Professor Sanford Miller
(BPMACS Scholarship Program)
Department of Mathematics
The College at Brockport
Brockport, NY 14420
2. Transfer students entering The College at Brockport for their first semester need to enclose copies of
their transcripts from all previous colleges.
3. Arrange to have two letters of recommendation sent by US or campus mail to the Program Director.
Use the forms at the end of this application for these recommendation letters. These signed letters
should be from a professor you have taken a course from or some professional in your field.
Review Process
This is a competitive program. A committee comprised of representatives from the Departments of Physics,
Mathematics and Computer Science will review applications.
Spring 2016 BPMACS APPLICATION FORM
Part 1. Personnel Data.
Last Name:
First Name:
MI:
Banner ID Number:
College E-mail:
Other E-mail:
Local Address:
City:
State:
Zip code:
State:
Zip code:
Phone:
Permanent Address:
City:
Phone:
Date of Birth:
Gender:
Demographic Information (requested by NSF):
US Citizenship Status:
Race: Select one or more
American Indian or Alaska Native
Native Hawaiian or
Other Pacific Islander
White
Not Reported
Asian
Black or African American
Ethnicity: Please Complete
Hispanic or Latino
Not Hispanic or Latino
Not Reported
Explanation of any physical or learning disabilities (attach separate sheet if necessary):
Black or African American
Not Reported
Part 2. Academic Data.
Degree Program:
BS
MA
Expected date of completion:
Major:
Credit Hours in Major:
Second Major if any:
Minor if any:
Total Number of Credit Hours:
Credit Hours in Second Major/Minor:
Overall GPA:
GPA in Second Major/Minor:
GPA in Major:
Overall GPA in last two semesters:
GPA in Major in last two semesters:
1
List all institutions of higher education attended, including The College at Brockport.
Name & Location
Dates Attended
Degree Date
1.
2.
3.
Fall 2015 Courses
Proposed Courses for Spring 2016
Please describe your plans after graduation.
Part 3. Financial Data.
Every applicant must fill out a FAFSA form. Contact the Office of Financial Aid for more information.
I do
do not
meet the requirements for financial aid as defined for undergraduate students by the US
Department of Education rules for Federal financial aid, or defined for graduate students as eligibility for
Graduate Assistance in Areas of National Need (GANN). Students who have filled out FAFSA applications and
are eligible for Pell or Stafford loans or work-study would meet this requirement. If you have any questions
about answering this statement contact the Office of Financial Aid.
Part 4. Recommendations.
Two letters of recommendation are required. These letters should be from some professor you have taken a
course from or some professional in your field. Use the forms on the last two pages for these letters of
recommendation. It is your responsibility to see that you sign these letters, and that they are returned promptly.
List the names and addresses of your recommenders.
1. Name:
Position:
Address:
2. Name:
Position:
Address:
2
Part 5. Statement of Objectives. [Use the space below or attach a statement]
Applicants are asked to type a one page essay that addresses the following points:
a. What drew you to your major?
b. What are your career plans upon graduation?
c. Address your ability to manage time and resources.
d. Why is this scholarship important to you for completing your education?
e. Describe any special academic honors or awards you have received.
f. Describe any internship/coop experiences you may have had that directly relate to your discipline.
Part 6. Signature.
I hereby certify that all information provided in this application is accurate and true to the best of my knowledge.
Signature _______________________________________________ Date
3
BROCKPORT PHYSICS, MATHEMATICS AND COMPUTER SCIENCE
(BPMACS) SCHOLARSHIP
RECOMMENDATION FORM, Page 1
To The Applicant: Fill in the first part of this form and be sure to indicate whether you do or do not wish to waive
your "right to access" to this reference before giving it to the person who will be submitting comments to support your
application. Describe the details of the BPMACS program with your recommender or provide them with a copy of the
first page of this application. Be sure to include both pages of this recommendation form.
Name of Applicant:
Degree Program:
I agree
Majors:
BS
MA
Expected date of completion:
I do not agree to waive my right of access to this reference to be completed by
Name of Reference:
Position:
Address:
Signature of Applicant:
Date:
To The Person Completing This Form. The above named person is applying for a BPMACS Scholarship of up to
$5,400 for the academic year at The College at Brockport. The College attaches great importance to the testimony of
faculty members and professionals qualified to make academic judgments concerning the applicant's abilities.
Please complete this recommendation form and return to:
BPMACS SCHOLARSHIPS
Attn: Professor Sanford Miller
Department of Mathematics
The College at Brockport
Brockport, New York 14420
by Friday, December 11, 2015. Do not complete this form if the section above has not been completed and signed.
Signature of Recommender:
Date:
Position:
Address:
4
_____________
(BPMACS) SCHOLARSHIP RECOMMENDATION FORM, Page 2
How long have you known the applicant?
__________
In what capacity have you known the candidate?
____
____
ACADEMIC ASSESSMENT
Please mark the appropriate boxes.
Below
Average
Academic Skills & Abilities
Average
Notable
Exceptional
N/A
Knowledge of subject matter
Quality of written communication
Quality of oral communication
Ability to solve problems
Level of contribution in class
Skill in comprehending sophisticated materials
Capacity for sustained academic work
Potential for becoming a successful professional
Attitude toward learning and academics
Concern for self improvement
OVERALL ASSESSMENT
How would you assess this candidate relative to his or her peers? Circle your selection on the continuum.
0
1
2
3
4
5
6
7
8
9
10
Below Average (lower than 50%)
Above Average
Notable
Exceptional
(above 50%)
(upper 20%) (upper 10%)
ADDITIONAL COMMENTS
Use this space or an attachment to include any additional comments that may help in determining the applicant’s
qualifications.
5
BROCKPORT PHYSICS, MATHEMATICS AND COMPUTER SCIENCE
(BPMACS) SCHOLARSHIP
RECOMMENDATION FORM, Page 1
To The Applicant: Fill in the first part of this form and be sure to indicate whether you do or do not wish to waive
your "right to access" to this reference before giving it to the person who will be submitting comments to support your
application. Describe the details of the BPMACS program with your recommender or provide them with a copy of the
first page of this application. Be sure to include both pages of this recommendation form.
Name of Applicant:
Degree Program:
I agree
Majors:
BS
MA
Expected date of completion:
I do not agree to waive my right of access to this reference to be completed by
Name of Reference:
Position:
Address:
Signature of Applicant:
Date:
To The Person Completing This Form. The above named person is applying for a BPMACS Scholarship of up to
$5,400 for the academic year at The College at Brockport. The College attaches great importance to the testimony of
faculty members and professionals qualified to make academic judgments concerning the applicant's abilities.
Please complete this recommendation form and return to:
BPMACS SCHOLARSHIPS
Attn: Professor Sanford Miller
Department of Mathematics
The College at Brockport
Brockport, New York 14420
by Friday, December 11, 2015. Do not complete this form if the section above has not been completed and signed.
Signature of Recommender:
Date:
Position:
Address:
6
_____________
(BPMACS) SCHOLARSHIP RECOMMENDATION FORM, Page 2
How long have you known the applicant?
_________
In what capacity have you known the candidate?
___
___
ACADEMIC ASSESSMENT
Please mark the appropriate boxes.
Below
Average
Academic Skills & Abilities
Average
Notable
Exceptional
N/A
Knowledge of subject matter
Quality of written communication
Quality of oral communication
Ability to solve problems
Level of contribution in class
Skill in comprehending sophisticated materials
Capacity for sustained academic work
Potential for becoming a successful professional
Attitude toward learning and academics
Concern for self improvement
OVERALL ASSESSMENT
How would you assess this candidate relative to his or her peers? Circle your selection on the continuum.
0
1
2
3
4
5
6
7
8
9
10
Below Average (lower than 50%)
Above Average
Notable
Exceptional
(above 50%)
(upper 20%) (upper 10%)
ADDITIONAL COMMENTS
Use this space or an attachment to include any additional comments that may help in determining the applicant’s
qualifications.
7
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