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Scholarship Application - Anna Wang Roe Women in Science Scholarship
Personal Information
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Last Name
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Background Information
Father's Name
Mother's Name
Education Information
Enrolled at Theodore Roosevelt High School for at least one (1) full academic year
Yes
No
Cumulative GPA
Science and Math GPA
College, University, or Technical School planning to attend
Annual Cost to Attend
$
Financial Aid Information
Have you applied or have been awarded any other grants or scholarships?
Yes
No
How Many? (up to 5)
Name of Grant or Scholarship
Amount
$
Name of Grant or Scholarship
Amount
$
Name of Grant or Scholarship
Amount
$
Name of Grant or Scholarship
Amount
$
Name of Grant or Scholarship
Amount
$
Do you qualify for state or federal aid?
Yes
No
Have you applied for student aid?
Yes
No
How do you plan to pay for the portion of your education not covered by scholarships or grants
Essay
Essay (not to exceed 1,000 words). The applicant should address the following question: “What is the most interesting question in science, math, or engineering today, and how would you go about trying to answer that question?”
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E-Signature
Printed Name
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Date
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By submitting this electronic application, I certify that I reviewed the information and to the best of my knowledge it is accurate. The Committee will use this application to determine scholarship recipients.
Submit
