Fill and Sign thesis Statement Practice Worksheet PDF Form

Gale Parsons Memorial Scholarship Application Form - Summer 2011 Applications are Due Friday April 29th by 5:00 PM Applicant Information NAME Last name: First name: Middle name: MAILING ADDRESS Street address: City: State: Zip code: E-mail address: CURRENT ACADEMIC AFFILIATION Name of school currently attending: City: State: Country: ACADEMIC ADVISOR Name: Telephone number: E-mail address: CURRENT ACADEMIC LEVEL __ High School (any level) __ College-level Freshman (first undergraduate year) __ College-level Sophomore (second undergraduate year) __ College-level Junior (third undergraduate year) __ College Senior (fourth undergraduate year) Anticipated month of your graduation: Anticipated year of your undergraduate graduation: __ Other, (please specify) ACADEMIC MAJOR(S) / MINOR(S) Academic major(s): Academic minor(s): CAREER GOALS Briefly state your career goals including education and job/career aspirations. Explain why you would like this scholarship opportunity. ACADEMIC ACHIEVEMENTS List your academic achievements, honors, and awards. EXPERIENCE / BACKGROUND Describe your relevant experience such as previous internships, volunteer appointments, organization memberships, independent research experience(s), etc. ADDITIONAL INFORMATION OPTIONAL: List here specific details not already addressed, relevant to the review of your application. References REFERENCE NAME Last name: First name: Middle name: MAILING ADDRESS Street address: City: State: Zip code: Country: RELATIONSHIP TO APPLICANT __ __ __ __ __ Academic Advisor Teacher Employer Personal Friend Other, please specify Submit Your Application MAIL OR DELIVER TO: Pratt Museum Holly Cusack-McVeigh, Curator 3779 Bartlett Street Homer, Alaska 99603 If you have questions, contact Holly: Phone: 435-3338 | E-mail: hcm@prattmuseum.org