Application for the Lewis and Kennon Scholarships
Name
_____________________________________________________________________________
Permanent Address __________________________________________________________________
City __________________________
Electronic Address ____________________________
State ______
Zip _____________
Home Telephone Number _______________
High School Name and Location __________________________________________________________
Name of High School or University Teacher or Counselor for Recommendation ______________________
Their Telephone Number ______________
Their Email Address _________________________
Please answer all of the following questions.
1. Have you declared your intention to be a physics major at the University of Mississippi? ______
If you are not currently a physics major, you need to contact the University Admissions Office or the
College of Liberal Arts.
2. Which of the two degrees, Bachelor of Science or Bachelor of Arts, due you intend to pursue?
B. S. ______
B. A. _______
3. What physics courses have you completed or are you currently taking in high school or at the
University of Mississippi, if any? Please include the grade that you made in each completed course.
Course Name
Year Taken
Grade
____________________________
___________
______
____________________________
___________
______
____________________________
___________
______
4. What math courses have you completed or are you currently taking in high school or at the University
of Mississippi? Please include the grade that you made in each of the completed courses.
Course Name
Year Taken
Grade
____________________________
___________
______
____________________________
___________
______
____________________________
___________
______
____________________________
___________
______
____________________________
___________
______
5. What is your overall grade point average (with 'A' grades counting 4 points, 'B' grades counting 3
points, etc.) and estimated ranking in your high school graduating class?
High School GPA _______
Class Rank _________
University of Mississippi GPA (if applicable) _______
Number in Class _________
University of Mississippi Undergraduate Physics Scholarship Application p. 2
Your Name ___________________________
5. If you took the ACT, what score did you make?
English: ____
Math: ____
Composite ACT score _____
Reading: ____
Science: ____
6. If you took the SAT, what scores did you make (including any Subject Test results)?
Overall SAT score _______
Verbal score: _______
Subject Test _____________ score _____
Math score: _______
Subject Test _____________ score _____
7. List any awards, honors, and scholarships you have received while attending high school.
Award
Year
____________________________________________
______
____________________________________________
______
____________________________________________
______
____________________________________________
______
____________________________________________
______
____________________________________________
______
8. Describe your current means or plans for financing your studies at the University of Mississippi.
Include whether you have submitted a Free Application for Federal Student Aid to the University.
9. Tell us what you would like to do after completing an undergraduate degree in physics, if you know,
or what your long-term career goal is, if you have one. Brief answers (for example, “go to physics
graduate school,” “get a teaching job,” or “go to medical school”) are acceptable.
10. Do you certify that the above statements are true and correct, to the best of your knowledge? _____
Send your application to:
Undergraduate Scholarship Committee
Department of Physics and Astronomy
University of Mississippi
University, MS 38677-1848
Or via fax to:
662-915-5045 (Attention: Undergraduate Scholarship Committee)
Or via email attachment to:
physics@phy.olemiss.edu