Personal information
First and Last Name
ZIP code
Email address
CMU Student ID Number
Are you a U.S. citizen?

List the name, county, city and state of the high school you graduated from and
the date of your graduation.
Names and dates of colleges and/or universities attended:
This application will give you consideration for one of the Department of Mathematics scholarships. To help us give you appropriate consideration for the correct award,
please mark all of the following that apply:

I'm applying to renew a scholarship I have this year*
I have been admitted to Teacher Education
I qualify for financial aid

*If you checked the first box in the question above, please indidate the name of the
scholarship that you currently receive and for what year:
Expected CMU graduation date:
Signed major?

Date of signed major:
Major 2 (if applicable):
Signed major 2 (if applicable)?

Date of signed major 2 (if applicable):
How many completed hours of college credit will you have at the end of the
Fall 2016 semester?
What is your overall CMU grade point average (GPA)?
List the mathematics and statistics (MTH and STA) courses you have taken and
the grades you received in each one. If a course was NOT taken at CMU,
please write the name of the institution where the course was taken.
List all of your mathematics and statistics (MTH and STA) courses for the current
academic year (Fall & Spring).
What is your grade point average (GPA) in mathematics and statistics?
(Calculate from MTH and STA courses ONLY).
Please list the name, department and email addresses of two (2) CMU faculty
references who can speak to your ability and promise in mathematics. Please
ask their permission before listing them on this application.

Please include any or all of the following optional information in a personal

1. Describe any mathematical experiences that should be considered in evaluating
your application.
2. Describe any other factors relevant to your education, career goals or
mathematical ability.
3. One of our scholarships requests that preference be given to part or full-time
single parents or students from a single parent household. If you wish to share this information with us, please include it in your personal statement. This information
is OPTIONAL and not required for consideration.