Application for the Dr. Joe Tucker Scholarship (2009–2010)

Please return completed application to the Mathematics and Computer Science Secretary, located in the Engineering Suite, no later than noon Friday, April 24, 2009.

Full eligibility requirements are posted on departmental bulletin boards and may also be obtained from the department web site.

Name:_______________________________________

Classification as of beginning of Fall 2009 semester: _____ Junior _____ Senior

Mark all that apply: _____ Computer Science major

_____ Mathematics major

_____ Computer Science minor

_____ Mathematics minor

Semester(s) for which scholarship is requested (mark all that apply):

_____ Fall 2009

_____ Winter 2010

_____ Spring 2010

_____ Summer 2010 (specify term(s):__________________)

Note: Your other scholarship and grant funds must not total more than half of tuition and fees during the term(s) for which the scholarship is granted.

If you will not be a junior or senior by Fall 2009 but will be in the semester for which you have applied for the scholarship, check here: ________

List any awards you have received, and state your involvement (if any) in KME or ACM:

Is there anything else you wish for us to be aware of while making the decision for awarding this scholarship?

Sign here:__________________________________ Date:_________________

*********************** For scholarship committee use only *******************

GPA in the major/minor marked above:

Overall GPA:

Last updated: 3/09/09