Intent to Apply Form

Personal Information

Name

First

Last

Current Address

Permanent Address

MSU Email Address

Are you an Honors College member?

Yes

No

Honors College membership is not required.

Are you a U.S. citizen or permanent resident?

Yes - U.S. citizen

Yes - U.S. permanent resident

No

Some awards require U.S. citizenship.

Major

Major 1

College for Major 1

Major 2 (optional)

College for Major 2 (optional)

Minor

Minor 1 (optional)

College for Minor 1 (optional)

Minor 2 (optional)

College for Minor 2 (optional)

Current Standing

GPA (on a 4.0 Scale)

Current Year in School

Expected Graduation Month

May

August

December

Expected Graduation Year

Faculty Mentor Name (optional)

Awards you intend to apply for

UK Awards (check your eligibility first)

None Selected

Churchill Scholarship

Gates Cambridge Scholarship

Marshall Scholarship

US Rhodes Scholarship

International Rhodes Scholarship (for international students)

Graduate Study Awards (do not select all, check your eligibility first)

None Selected

Beinecke Scholarship

Boren Graduate Fellowship

Critical Language Scholarship

DAAD Scholarship

Department of Energy Computational Science Graduate Fellowship (DOE-CSGF)

Department of Energy Stewardship Science Graduate Fellowship

Department of Homeland Security Fellowship

Endeavor Post-Graduate Awards

Ford Foundation International Fellowships

Fulbright Graduate Student Program

Hertz Foundation Graduate Fellowship Award

James Madison Fellowship

Knight-Hennessy Scholars Program

Lafayette Fellowship

National Defense Science and Engineering Graduate Fellowship (NDSEG)

NSF Graduate Research Fellowship (NSF-GRFP)

Rotary International Centers for Peace and Conflict Resolution

Schwarzman Scholars

Science, Mathematics, and Research for Transforming Defense (SMART) Fellowship

Soros Foundation Fellowship for New Americans

Thomas R. Pickering Graduate Foreign Affairs Fellowship Program

Truman Scholarship

Undergraduate Study Awards (do not select all, check your eligibility first)

None Selected

Boren Undergraduate Scholarship

Critical Language Scholarship

Department of Homeland Security Scholarship

Goldwater Scholarship

Hollings Scholarship

James C. Gaither Junior Fellows Program

Science, Mathematics, and Research for Transforming Defense (SMART) Scholarship

Thomas R. Pickering Foreign Affairs Fellowship Program

Udall Scholarship

Voyager Scholarship for Public Service

Other award not listed (optional)

What are your career goals?

Do you have research experience?

Yes

No

Describe your research experience

Do you have any presentations?

Yes

No

Do you have any publications or publications in process?

Yes

No

Student Authorization

As a candidate, I authorize the Honors College and its representatives to obtain my academic transcript and to discuss my candidacy and academic record with faculty, staff, administration, agents of Michigan State University, and scholarship agencies. I hereby waive any and all rights I may have to view letters of endorsement/recommendation that are written for the purpose of an award competition.

If selected for nomination, I request that the Distinguished Student Awards Office at Michigan State University prepare and submit an evaluation/endorsement to be sent in support of my application for the scholarship program to which I am applying, in accordance with the requirements of the foundation involved.

If successful as a nominee or scholar, I authorize the Honors College and Michigan State University to release news of my nomination or success to local, regional, and national news sources.

I hereby certify that all of the information I include in my scholarship application, including listings of activities and awards, research undertaken or planned, and all statements and essays, are my own work and are accurate and honest to the best of my knowledge.

I acknowledge that both my personal reputation and the reputation of the University can benefit from the manner in which I represent myself and Michigan State University. I will do everything within my control to safeguard my good name and that of Michigan State University throughout this award competition.

Student Signature (First name, Last name)

How did you hear about the Distinguished Student Awards Office?

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