Intent to Apply for a Fellowship/ Scholarship

I plan to apply for the following scholarships/fellowships. Please circle year(s) for which you plan to apply and return this form to Sharon Chambers-Gordon, Fellowships Office, Howarth 114J

____  CAPACI

____  NCAA*

____  Carnegie Junior Fellows

____  Newhouse*

____  Jack Kent Cooke

____  NPSC

____  Davies-Jackson

____  NSEP Graduate

____  Ford Foundation

____  NSEP Undergrad

____  Fulbright

____  NSF

____  Gates Cambridge

____  Political Science*

____  Goldwater

____  Rhodes

____  Hertz Foundation

____  Rotary

____  Howard Hughes

____  Soros*

____  IIE Travel Grant

____  Truman

____  Javits

____  Udall

____  James Madison

____  USA Today

____  Marshall

____  Watson

____  Mellon

____  Judith Weidman*

____  George J Mitchell

____  Wiesel Essays

____  Other  ________________________________

*Minority Scholarships

Name: __________________________________FR  SO  JR  SR (circle one)

Term/Year Graduation Expected: ____________GPA: _________________________

Major(s): _________________Minor(s)_____________Adviser:  _________________

Studying a Foreign Language (What): ______________________________________

Studied Abroad______Where________________When________________________

Local Phone: ____________________Email Address: _________________________

Local Address: __________________________________________________________

Summer Address/Phone (if different): __________________________________________

Permanent Address/Phone: _____________________________________________

_________________________________________________________________________

Names of at least three (3) persons who will write letters of recommendation for you:
These people should be willing to serve as your "advocacy committee." They are usually faculty members.

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