UTAH STATE UNIVERSITY DEPARTMENT OF GEOLOGY Geology Undergraduate Student Scholarship Application

UTAH STATE UNIVERSITY
DEPARTMENT OF GEOLOGY
Geology Undergraduate Student Scholarship Application
The Geology Department offers several scholarships each year to Geology graduate and undergraduate
students. Each scholarship has its own criteria, so it is important that you fully complete this application.
If an item does not apply to you, write N/A. Do not leave it blank. If you have failed to respond to any item,
your application will not be considered for a scholarship. Once you have completed the application online, print it, sign it, and submit a hard copy to the Geology Office, Geology Building Room 205.
Personal Information
Last Name
Banner ID#: A
Middle or Maiden Name
First Name
Current Mailing Address:
Street or PO Box
Phone
City
State
Zip
Alabama
E-mail address
Permanent Mailing Address (if different than above):
Street or PO Box
Phone
City
State
Zip
Alabama
I wish to be considered for the following scholarships:
Check all that apply. A list of available scholarships and their criteria can be found at the end of the application.
John M. Branch
Clyde T. Hardy
David Rider
Beryl & Tura Springer
Graymont Geology Scholarship
Peter T. Kolesar
Thomas A. Riemondy
URS Corporation Scholarship and Internship
Background Information
Are you a resident of Utah?
Yes
No
If no, have you applied for residency?
Yes
No
If you have applied for residency, when will it become effective?
Which degree and emphasis are you pursuing?
BS
BA
General Geology
Hydrogeology-Engineering
Earth Science Teaching
Geoarchaeology
Applied Environmental Geoscience
Are you attending:
full-time or
part-time?
Anticipated Graduation Date:
Have you attended another College or University? Yes
If yes, provide name and dates of attendance:
No
Did you receive college credits in High School?
If yes, list courses:
Yes
No
Do you plan to attend Field Camp?
Yes
No
Current USU GPA:
Overall GPA:
If yes, which year
In which of the following areas do you have an interest or aptitude (please check all that apply):
Mining
Environmental Issues
Petroleum
Other:
Financial Information (Kolesar, Rider and Graymont scholarships only)
Are you listed as a dependent on your parent’s income tax for the previous year?
Yes
No
If listed as a dependent, what is the number of dependents in your family listed on the most recent tax return:
How many of that number attended college in the current academic year, including yourself:
Are you married?
Yes
No
If married, number of dependents supported by you in the previous tax year
attending college in the current academic year, including yourself:
and the number in your family
Your annual earned income for the previous tax year (if married, include spouse’s earned income): $
Are you receiving any scholarships for the current academic year?
If yes, please list:
Name of scholarship:
Award Period:
Is this scholarship renewable?
Name of scholarship:
Award Period:
Name of scholarship:
Award Period:
Yes
No
Yes
Amount: $
No
Is this scholarship renewable?
Amount: $
Yes
No
Is this scholarship renewable?
Amount: $
Yes
No
Are you a dependent of a USU faculty or staff member who is eligible for half-tuition?
Yes
Are you receiving any financial support other than earned income or scholarships listed above?
If yes, explain:
No
Yes
No
Did you file a federal application for financial aid for the current academic year?
Yes
No
Did you/will you file a federal application for financial aid for the next academic year?
Yes
No
Statements and Interests
Please complete each of the following areas. Attach additional pages if more room is needed.
University honors, awards, formal recognition received:
University and civic clubs/organizations you belong to or have belonged to:
Statement of financial need:
Statement of areas of interest related to Geology:
Statement of areas of interest not related to Geology:
Other items you wish the scholarship committee to consider:
CERTIFICATION. I certify that, as of this date, the information provided on this application is correct to the best of
my knowledge, and I authorize the release of this information and/or my transcripts to the Department of Geology
and its faculty members involved in the awarding of this scholarship.
_____________________________________________________________ ___________________
Applicant’s Signature
Date
Print Form
Geology Undergraduate Student Scholarships
All scholarships are awarded during Spring semester and are available every year unless otherwise
indicated. Scholarship payments are administered through the USU Scholarship Office
Criteria
John M. Branch Memorial Scholarship
•
•
•
•
Must be a declared Geoscience major with junior-level standing.
Must be returning the following academic year to complete course work for graduation.
Must have completed at least four major Geology courses at the 3000 level or higher by the spring semester
of the academic year in which you are applying for this scholarship.
Must have an outstanding academic record, as determined by the overall GPA.
Clyde T. Hardy Memorial Scholarship
•
•
•
•
Must be a declared Geoscience major.
Must have completed four of the geology field camp prerequisite courses by the end of the spring semester of
the academic year in which you are applying for this scholarship.
Must intend to take the USU Geology Field Camp the summer immediately following receipt of the
scholarship.
Must have an outstanding academic record, as determined by the overall GPA.
Peter T. Kolesar Scholarship
•
•
Must be a matriculated upper-division Geoscience major in good standing.
Financial need may be considered and should be demonstrated on the application, if applying for this
scholarship.
David Rider Memorial Scholarship
•
•
•
Must be a Geoscience major and have a minimum 3.2 GPA (USU and overall).
Must have a junior-level standing in course work completed at the time of the application deadline (minimum
of 60 credits completed).
Must demonstrate financial need.
Thomas A. Riemondy Scholarship
•
•
•
Must be a non-resident (i.e. not a resident of Utah).
Must be a declared Geoscience major with a minimum GPA of 3.0.
Must be enrolled full time and taking courses appropriate for the major.
Beryl O. And Tura H. Springer Memorial Scholarship
•
•
•
Must be a declared Geoscience major.
Must have at least junior-level standing as an undergraduate or be a graduate student.
Must have demonstrated academic achievement.
Graymont Geology Scholarship
•
•
•
•
Must be a full time Geoscience major with sophomore-level standing and minimum GPA of 2.75.
Must have a minimum GPA of 2.75.
Must demonstrate financial need.
Must have a desire to work in the mining industry.
URS Corporation Scholarship and Internship
•
•
•
Must be a declared Geoscience major with junior-level standing and minimum GPA of 3.0.
Must be willing to accept a summer, full-time, paid internship with URS.
A separate, one page essay describing interest in an environmental science or engineering career and stating
a willingness to participate in the URS internship program must be included with the application to be
considered for this scholarship and internship.