John Krajewski Memorial Scholarship APPLICATION FORM The application is due by February 20th. Return this form to the Mathematics Office (HHH 508) when complete. 1. Must have a declared mathematics major or minor. 2. Must be enrolled in UWEC for at least 8 semester credits including one math course. 3. Must be Freshman or Sophomore standing and have completed Mathematics 114 OR a freshman that has completed a mathematics course numbered 215 or above (not Math 245). 4. Must have a cumulative G.P.A. of 3.25 or higher. 5. For a complete listing of the eligibility criteria, refer to http://www.uwec.edu/oakdev/fou800/criteria/5219.htm 1. Name 2. Date of Application: 3. Blugold I.D. Number: 4. Total credits completed as of January 1 of this year: 5. Mathematics courses taken at UW-Eau Claire, including any math courses in which you are currently enrolled. (Please list the course, the semester and year taken, the grade earned, and the instructor.): 6. Math Semester and Year Taken: Grade Earned: Instructor: Math Semester and Year Taken: Grade Earned: Instructor: Math Semester and Year Taken: Grade Earned: Instructor: Math Semester and Year Taken: Grade Earned: Instructor: On a separate page please submit a written statement, one or two paragraphs in length, that outlines your academic intentions and career goals. Submit by February 20 to: Chair, Department of Mathematics Awards Committee