Department of Chemistry Scholarship Application
Please fill out all information below and return via email to: nhoma@uakron.edu no later
than Friday, February 19, 2016. Scholarship recipients will be notified via email no later
than Monday, March 7, 2016.
Please note: The University of Akron has a cap of $9,500 combined annual maximum in
university scholarships that can be awarded to a student in a single academic year.
The Department of Chemistry is aware that some deserving students would be impacted by
this cap and would like to award the scholarship in name to those that qualify so that you
can add the award to your resume.
TODAY’S DATE: _____________
NAME: ________________________________ UA Email: ________________ ID#:__________
Address: _______________________________ City: _______________ ST:____ Zip: _______
Phone: ___________________
Current Status: (Soph., Jr., Sr., Post-Bacc.): ___________
Cumulative GPA (as of end of Fall 2015): _________
Total # of Completed Credit Hours (as end of Fall 2015): ____
Chemistry Classes taken Fall 2015: 3150:___________________________________________
Have you formally declared Chemistry or Biochemistry as your major and met with your
Chemistry department advisor and signed your contract? ____________
Current funding of studies: (Loans, Scholarships, Jobs)
Anticipated Graduation Date: Semester ______ Year _____