Math, Cmsc, & Natural Science Scholarship Application

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Scholarship Application DUE: March 1st

Complete this form for scholarships awarded by the Department of Natural Science and the Department of Mathematics and Computer Science. Chairs from both departments will receive this form.

Personal Information

First Name *

Last Name *

Address

Mailing Address *

Address Line 2

City *

State *

Zip Code *

Phone *

Email *

Name of Hometown if different from mailing address

County of Current Residence *

County of Hometown *

Northwestern-related Information

Major Advisor *

Major *

Major if "Other"

Minor *

Minor if "other"

Career Goal Plans

University Activities - please include organization, athletic and academic activities

Total Hours Completed - including this semester's hours

Cumulative GPA (based on 4.0 scale) *