PART ONE - General Information - To be completed by ALL applicants.

First Name      
Middle Initial    
Last Name      

Street    
City        
State                   ZIP    

Home Phone Number        
Cell Phone Number            
Work Phone Number         

High School Attended    
Year of High School Graduation   
High School GPA   
High School Class Rank   
ACT Composite Score   
SAT Cumulative Score   

College Attended    
Year/s of College Attendance   
College GPA   

Please indicate the status of this application                First Time Application Renewal Application
Please indicate enrollment plans at APSU                    First Time Student Returning Student Transfer Student
Please indicate College classification in 2006-07        Freshman Sophomore Junior Senior Second Degree

Intended or Current Major   

Please list any extracurricular, volunteer, and community activities in which you have participated in the last four years.

List any honors, awards, etc. that you have earned in the last four years.

List any activities related to university life in which you have participated in the last four years.

If you have applied for and/or received any financial aid or scholarships, please explain.

Please share your career interests and goals.

PART TWO - Scholarship Specific Information - At least one section must be completed by ALL applicants.

Section A - To be completed if you wish to be considered for a Middle Tennessee Science and Engineering Fair (MTSEF) Scholarship.  This scholarship is a non-renewable scholarship of $250 awarded to selected participants in the annual MTSEF which is held on the APSU campus each spring.  Deadline for application is April 15.

Please list all grades in which you entered a project in the MTSEF and indicate which awards were won.

Section B - To be completed if you wish to be considered for a High School Research Day Scholarship.  This scholarship is a non-renewable scholarship of $250 awarded to a high school student who exhibits an outstanding project presentation at the High School Research Day competition held in conjunction with the collegiate division of the TN Academy of Science.  Deadline for application is April 15.

Please list all grades in which you entered a project in the High School Research Day and indicate which awards were won.

Section C - To be completed if you wish to be considered for a Science ExpOlympics Scholarship.  This scholarship is a non-renewable scholarship of $250 awarded for outstanding performance on the written qualifying exam for the Quiz Bowl competition of the semi-annual ExpOlympics which is held on the APSU campus the spring of every even year.  Deadline for application is April 15.

Please list all grades in which you participated in the ExpOlympics and the year/s of your outstanding performance/s on the written exam/s.

Section D - To be completed if you wish to be considered for a John Joseph Flood Memorial Scholarship.  This scholarship will be awarded in the amount of $1000 per year to biology or chemistry majors who are low income and have financial need.  Deadline for application is March 15.

Please describe your financial need for receiving this scholarship.  Please state what these scholarship funds mean to you in terms of financial need, etc. as they relate to completing your education.

Section E - To be completed if you wish to be considered for a Durward Harris Scholarship.  This scholarship of $1000 will be awarded to a student who is pursuing Premedicine, has completed at least 48 hours at APSU, has successfully completed two semesters of organic chemistry with a least a "B" in lectures and laboratories, and has a minimum 3.5 cumulative GPA.  Completed application packet is this application, resume, and two letters of recommendation.  The completed packet will be reviewed by a scholarship committee to include Dr. Phil Roe or his designee.  Deadline for application is April 15.

Number of Semester Hours completed at APSU   
Current Cumulative GPA   

Organic Chemistry Grades
Organic Lecture I   
Organic Laboratory I   
Organic Lecture II   
Organic Laboratory II   

Please share your medical career goals for the future.

Section F - To be completed if you wish to be considered for a Professional Chemist Alumni Scholarship.  The Chemistry Department will award renewable scholarships up to $1000 per year to entering freshmen who have a great interest in conducting scientific research and who choose the ACS Certified Chemistry major.  The recipient of this scholarship must be in the top ten percent of his or her graduating class, have a minimum ACT composite score of 25 or SAT of 1130, and a minimum cumulative high school GPA of 3.0 on a 4.0 scale.  Deadline for application is March 15.

Please describe any scientific research activities that you have performed indicating any awards that you have won as a result of this work.

Section G - To be completed if you wish to be considered for a Chemistry Academic Scholarship.  The Chemistry Department will award renewable scholarships up to $1000 per year to selected entering freshmen who demonstrate an interest in chemistry and who choose Chemistry as a major.  The recipient of this scholarship must be in the top twenty-five percent of his or her graduating class, have a minimum ACT composite score of 24 or SAT of 1100, and a minimum cumulative high school GPA of 3.0 on a 4.0 scale.  Transfer students and current APSU students are also eligible to apply for the Chemistry Academic Scholarship.  Copies of transcripts showing all college work must be sent to the address above by the posted deadline.  Deadline for application is March 15.

Describe activities in which you have participated that demonstrate your interest in chemistry.

Please share your career goals.

Submit completed application now