S-STEMS

S-STEMS Program Application Form

* indicates a required field.

Personal Information
First Name: *
Middle Name: *
Last Name: *
Preferred Email: *

Current Address

Address: *
City: *
State: *
Zip Code: *
Telephone (xxx-xxx-xxx): *

Permanent Address

Address: *
City: *
State: *
Zip Code: *
Telephone (xxx-xxx-xxx): *
GVSU Information
G-number

Are you currently, or have you previously, enrolled at Grand Valley State University? If yes check here:

Is Grand Valley the only higher education institution you have attended? If yes check here:

Please list all other higher education institutions that your have attended:

Have you completed the FAFSA form for the academic year 2013-2014? If yes check here:

Are you a current S-STEM Scholarship recipient? If yes check here:

Recommendation
A letter of recommendation must come from a GVSU instructor familiar with your academic abilities; someone who teaches in one of the targeted discipline areas or a closely related discipline. Please download the Letter of Recommendation Form and give to your referee. They will need to return the letter to Courtney Sherwood (sherwoco@gvsu.edu or B-4-232 MAK) no later than January 31, 2014.
First Name: *
Last Name: *
Email: *
Telephone (xxx-xxx-xxxx): *
Under the Family Education Rights and Privacy Act of 1974, you have the right to access the letter of recommendation unless you waive this right. Please enter your initials here if you choose to waive your right to review the letter.
Major

Expected Graduation:
Interview

Once all applications are received they will be reviewed by the MAS4 Advisory Board. Selected applicants will be contacted to schedule an interview on either March 12 or March 13. Interviews will take place on the GVSU Allendale campus .

By checking the box I agree that, to the best of my knowledge, the information given on this application is true, complete, and accurate. Further, my agreement certifies that the personal statement I am submitting is my work alone. In submitting this application, I am giving the scholarship program administrators permission to obtain information from the Financial Aid Office and the Records Office in order to verify my eligibility for this program. I am aware that this information will be shared with the S-STEMS Program Advisory Board members who will be involved in the selection of scholarship recipients.