Boise State University
Department of Mathematics
Supplemental Scholarship Form

To be considered for a scholarship through the Department of Mathematics you need to have a cumulative GPA of at least 3.0 and submit this form along with an unofficial transcript to the Department of Mathematics office (MG 235) by March 15.

Name:

Student ID Number:

Class Standing for Fall Semester:
Expected Date of Graduation:

Current Address:

Permanent Address:

Telephone Numbers (home and work):

E-mail address:

Major(s) and/or Minor(s):

For Continuing Students-the name of a Boise State Mathematics professor who can assess your strengths:

For New or Transfer Students-a letter from a previous mathematics teacher who can assess your strengths.

Career Goals:

Scholarships Received:

Organization Memberships:

Internships:

Signature:

Date:

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