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					  Applications are now being accepted for the 2010-2011 school year. The deadline is May 15, 2010 or sooner.




                                    National Science Foundation
                Mathematics And Science Transfer Excellence and Retention (MASTER)
                                       Scholarship Program
                              GLENDALE COMMUNITY COLLEGE
                            “Be the MASTER of your educational future”

                  APPLICATION FORM (also on line at www.glendale.edu/MASTER)

STUDENT DATA

Name:

Check one:           High School Senior      or Current GCC Student
GCC Student ID #                                          ( apply online or in person to get a GCC ID #)
or Social Security #
Address
City                              State                             Zip Code
Cell Phone                                          Home Phone
Email (please write clearly)
High School attended                           Graduation Date                 High school GPA
Check one:     Citizenship status: US citizen       or Permanent resident
PROGRAM REQUIREMENTS-- Please answer the following:
I will be a full time student          Current GPA
I have applied for      or plan to apply for      financial aid (online at www.fafsa.ed.gov).
My intended or current major is                                  (Must be Science, Engineering, or Math)
My ultimate career goal is to:




My Math Level is: Elementary Alg.         Intermediate Alg.    Adv. Algebra        Calculus

I am also interested in applying for GCC’s Science Academy




                                (Please complete both sides of this application)
ADMISSIONS ESSAY
On an additional sheet of paper, please word process (500 words or less) your answer to the following: Tell
us about yourself, how you became interested in math, engineering or the sciences, and why you feel you
would benefit from the MASTER scholarship.

LETTER OF RECOMMENDATION
Please obtain a letter of recommendation from a science or math instructor or a counselor who is familiar
with your work. Use the provided Recommendation Form.

TRANSCRIPTS: If you are a high school senior, submit your current high school transcripts. If you
are a college student, submit your current college transcripts. (Unofficial are acceptable)

Your application will not be processed until the letter of recommendation and essay are received by the
MASTER office at Glendale Community College.

I agree that all of the above answers are, to the best of my knowledge, correct.

Student signature:
Date:


RETURN COMPLETED APPLICATION FORMS TO:
DR. SID KOLPAS, MASTER OFFICE
GLENDALE COMMUNITY COLLEGE SG 321
1500 N. Verdugo Rd., Glendale, CA 91208

APPLICATION DEADLINE IS May 15, 2009

For further information, call: MASTER Scholarship Office, (818) 240-1000 ext. 5378


Check List: Have you done the following?
        I am a current GCC student or I have applied to GCC and have a student ID #
        I have filled out this application completely
        I have word processed my essay and have attached it to this application
        I have attached my high school transcripts or current college transcripts
        I have given the recommendation form to a science/math teacher or counselor
        I have signed the waiver of my right to see the recommendation



FAO Office Only:
Financial Aid: completed      in process     has not applied     unmet financial need
                                     National Science Foundation
                 Mathematics And Science Transfer Excellence and Retention (MASTER)
                                         Scholarship Program
                               GLENDALE COMMUNITY COLLEGE
                                   RECOMMENDATION FORM
                        (to be completed by a science/math teacher or counselor)

 Applicant’s Name (Last, First):

 Phone Number with area code:
  Teacher’s/Counselor’s Name:                                        Position:
                          Phone:
School:                                       Subjects taught:


I waive my right to see this recommendation                                             (student signature)
To the Teacher or Counselor Completing This Form:
The person whose name appears above has applied for admission to the National Science Foundation:
Mathematics And Science Transfer Excellence and Retention (MASTER) scholarship program. The
selection committee would appreciate your answering the following questions.
How long have you known the applicant?
Under what circumstances?

Based on your knowledge of the applicant, check how you rate his/her academic skills and potential to
succeed in college.
Check how you rate the applicant’s characteristics and motivation.
                                                                                         Needs
                           Outstanding            Above Average       Average
                                                                                        Improvement
1) Academic achievement
2) Writing skills
3) Reading skills
4) Math skills


                                                    Strongly Agree    Agree      Somewhat Agree Disagree

5) Has intellectual curiosity
6) Is highly motivated
7. What other qualities come to mind that best describe the applicant?




8. Do you think the applicant will benefit from the MASTER Scholarship? How?




9. What is your assessment of the student’s maturity and motivation to succeed in college?




10 What is your evaluation of the applicant’s capability for undertaking academic college work?




Date:


Signature:


RETURN COMPLETED RECOMMENDATION FORM TO:

DR. SID KOLPAS, MASTER OFFICE
GLENDALE COMMUNITY COLLEGE SG 321
1500 N. Verdugo Rd., Glendale, CA 91208

APPLICATION DEADLINE: May 15, 2009

For further information, call:
MASTER Office, (818) 240-1000 ext. 5378

				
DOCUMENT INFO
Jun Wang Jun Wang Dr
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