Kent State Robert Noyce Scholarship Program
Application for Admission for Fall 2013
Application Directions
Use this Application for Admission to apply to the KSU Robert Noyce Scholarship Program
if you are:
o Academic performance in the major: overall GPA of 2.75 and 3.00 in the major;
o A written essay showing an interest in teaching mathematics and/or science to
middle or high school students;
o Personal interview;
o Two letters of recommendation, one of which must come from a science,
technology, engineering, and mathematics (STEM) faculty who can comment on
the student’s academic achievement;
o Commitment to four years of teaching in a high needs middle or high school, for
the three years of support as a Noyce scholar;
o A U S citizen or permanent resident;
o Ability to graduate within one academic year including the summer.
Please complete the application form along with two completed recommendation forms,
transcripts, and send to:
Dr. Lisa Borgerding
The Kent State University Noyce Scholarship Program
College of Education, Health, and Human Services
Room 404 White Hall
Kent State University
Kent, Ohio 44242
Section 1: Applicant Information (please print or type)
Name: Last __________________________ First ______________________ MI __________
Address: _____________________________________________________________________
City State Zip Code __________________________________________________
Phone(s):_________
E-Mail Address: _______________________________________________________________
Date of Birth: _____________ Gender: M F
I am a:
□ US Citizen
□ Permanent Resident
Section 2: Please indicate which of the following categories you identify with. You may check more than
one.
□ Alaskan Native (Eskimo or Aleut)
□ Hispanic or Latino
□ American Indian □ Native Pacific Islander
□ Asian
□ White
□ Black or African American
□ Other ______________
□ Decline to State
Section 3: List all colleges and the dates attended (attach transcripts).
Section 4: Number of Credits Completed: _____________ GPA: _____
Date degree expected or attained: _______________
Major (e.g., mathematics, chemistry, etc): ________________
Section 5: List courses you still need to satisfy graduation requirements (attach a separate sheet if
needed).
Section 6: Recommedations
Name of Recommender One: ___________________________________
Name of Recommender Two: ___________________________________
Section 7: Personal Statements The Kent State University Noyce Program seeks STEM majors and
STEM graduates who are interested in teaching mathematics or science as a profession. Help us to
identify your experience and strengths in both teaching and in the subjects of mathematics or science by
answering the questions below on a separate sheet of paper. Attach your typed responses to this
application.
Essay 1. Title: Meaningful Activity
In 250 words, please describe one of your activities (extracurricular, personal, or work-related)
that has been most meaningful to you in terms of your intellectual and leadership development
and why
.
Essay 2. Title: Becoming a Teacher
In 500 words, explain why you would like to be a teacher. Tell us what you would do differently
from teachers you have known. Tell us what you would emulate from teachers who have inspired
you.
Please tell us any additional information about yourself that you believe would help the
Admissions Committee for Kent State Noyce Program in reviewing your application.
The information that I have provided in this application is correct to the best of my knowledge.
_________________________________________
Applicant’s Signature Date
Kent State University does not discriminate on the basis of race, religion, sex, age, creed, color, national origin, physical or mental
disability, sexual orientation, marital status, citizenship status, or veteran status. Please be aware that all documents submitted in
support of an application for admission become the permanent possession of Kent State University and will not be returned.
Please be certain that all of the information requested in the application is answered fully and correctly.