APPLICATION FOR A VALPARAISO UNIVERSITY PHYSICS & ASTRONOMY SCHOLARSHIP AND SUMMER INTERNSHIP

INSTRUCTIONS:
(1) Please complete this section to the best of your ability.

Name :
Address :
City :
State :
Zip :
Phone :
Email :

HS grade average out of
Class rank: out of

Standardized test scores:
SAT: (V) (M) (W) Total:
ACT: (E) (M) (R) (S) Average

I plan to enter college in the fall of

I wish to be considered for the:
VU Physics and Astronomy Scholarship
VU Physics and Astronomy Summer Internship

(2) Please write an essay (~250-500 words) telling (a) why you would like to study Physics and/or Astronomy, and (b) how such an opportunity would fit into your present interests and future goals. Also describe (c) your previous experience in laboratory or research work. This should be typed in the box below.

(3) Below, please provide the name and school e-mail address of a high school science or math teacher who is familiar with your abilities and can provide a letter of recommendation. We will contact your teacher and give him or her instructions for submitting this letter.

Under the federal Family Educational Rights and Privacy Act of 1974, students are entitled to review their records, including letters of recommendation. It is your option to waive your right to review these recommendations or to decline to do so.

Please select one of the following options and sign: I hereby my right to review this recommendation.

Teacher's Name :
Teacher's Email Address :
Name of School :
City :
State :
Zip :

The deadline for receiving all application materials is February 11, 2013. You will be apprised of the results of our selection process by early March.

If you have any questions regarding this application, please feel free to contact.

Dr. Stan A. Zygmunt
Chair, Dept. of Physics and Astronomy
Valparaiso University
Valparaiso, IN 46383
Phone: 219-464-5380
Email: stan.zygmunt@valpo.edu