I. Personal Information
Name: Date of birth:
Address: State:
zip code: County:
Telephone: Email:
II. Educational Information
High School Name:
Address: City:
State: zip code:
Telephone:
Size of Senior Class:
Class Rank: GPA:
ACT Assessment Scores: English
Math Social Science
Natural Science Composite
Special Honors: Valedictorian National Merit National Achievement
Salutatorian Other
Explain:
* Please Make sure your high school transcript is on file at the MSU Registrar's Office.
Anticipated university classification during your first semester on scholarship:
Freshman Sophomore Junior Senior
III. Honors
Please list all awards or achievements in science or mathematics:
IV. References
Names and phone numbers for two high school teachers who have agreed to support this application.
Name: Telephone:
Scholarship recipients must be enrolled at MSU in Physics and Astronomy as full-time students (minimum of 12 credit hours) each semester and must maintain a satisfactory grade point average to continue the scholarship the next semester. This one application enters you in the competition for all departmental scholarships that range from approximately $1,000 to $6,000 per academic year.