Scholarship Criteria

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I D Name of Scholarship C Account Number

S c h o l a r s h i p

Brailsford College of Arts & Sciences / Academic Year of Coverage College/Department Department of Chemistry Instructions Please check all criteria applicable for an individual to satisfy requirements for the scholarship listed above. Criteria must be used for academic year. Changes can not be made until the beginning of the next academic year.

Who may apply? Freshman Sophomore Junior Senior All CHEMIS Major TRY Minor

Major Minor GPA GPA

Semester Cumulative GPA GPA 2.0

Semester Cumulative Hours Hours SAT ACT High School Cumulative GPA

County, Texas, U. S., Foreign

Extracurric ular Activities Chemistry Club

Parent(s) are graduates of Prairie View A&M University

First Child to Attend College

Armed Services Army Navy Other Veteran

Participation in Co-op/Intern Placement

Relative Employed by Company (Specify)

Special Talent (e.g. Art, Music, Drama) (Specify)

Ethnicity Male Female

Program/Organizational Participation (e.g. Social/Church/Association)

Need based or lack of financial resources, low income family

Other – Specify all other requiremen ts not covered above

College/Department Scholarship Manager Date

Dean of College Date