Noyce Scholar Application

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All fields with a * in the "Required Info" section must be filled in for your application to be considered complete for review.

You must be a U.S. citizen or permanent resident to apply for this scholarship.

Personal Information

Are you a U.S. citizen *

Yes

Are you a permanent U.S. resident? *

Yes

Do you have refugee status? *

Yes

Are you currently a dual major (BS in Mathematics & BSED Mathematics)? *

Yes

Not yet, but currently in the process

First Name: *

Last Name: *

Cell Phone Number (or primary phone) *

Secondary Phone Number

Date of Birth *

YYYY

Do you have an identified disability? *

Yes (check yes if any of the following apply: Deaf or serious difficulty hearing, blind or serious difficulty seeing, serious difficulty walking or climbing stairs, other serious disability related to a physical, mental, or emotional condition)

Do not wish to disclose

Email Address *

Secondary Email Address (if applicable)

Home Mailing Address *

What is your gender?

Female

Male

Non-binary

Prefer not to disclose/label

Other:

Clear selection

Indicate your ethnicity

You may select any or all that apply.

African American / Black

Latino / Hispanic

Native American / Alaskan Eskimo

Asian American / Asian

Anglo / White

Prefer not to disclose/label

Other:

Academic Information

High School Attended *

ACT Score (if known)

Your NUID # *

Your current academic major *

Undergraduate status *

Freshman

Sophomore

Junior

Senior

Mathematics courses completed or in progress that are required for your major *

Career Goal

Cumulative GPA *

Major GPA *

All Colleges or Universities attended *

Expected graduation year *

Financial Information

Do you have financial need documented by a completed FAFSA?

Yes

Clear selection

We may need to verify your proof of financial need. To give us access to this information we need your permission. By signing below you are stating the following:

"I authorize the University of Nebraska at Omaha to release any information which may be required by University personnel or scholarship donor(s) to determine my eligibility to receive scholarship assistance” Please type your name as a signature below.

Please describe your living conditions (e.g., live at home with parents with/without rent, live on campus, live off campus, approximate rent costs) *

Date

YYYY

References

These should NOT be relatives or friends.

Name of Reference 1 *

Relationship to the applicant *

Reference's phone number *

Reference's email address *

Name of Reference 2 *

Relationship to the applicant *

Reference's phone number *

Reference's email address *

Interviews for Noyce Scholarship

Specific dates for interviews are still to be determined, but we’d like to know your availability on Wednesdays, Thursdays and Fridays this fall, so we can schedule interviews. Check each slot where you have at least 30 minutes available.

Availability

8-9 am

9-10 am

10-11 am

12-1 pm

1-2 pm

2-3 pm

3-4 pm

Wednesdays

Thursdays

Fridays

Rank what experiences might interest you the most in your participation in Noyce. *

Classroom Teaching/Learning Assistantships

Math Education Research

Mathematics Research

Outreach on campus or in the community

Being a part of a community of peers

Having faculty mentors to lean on

Top Priority

2nd Preference

3rd Preference

4th Preference

Personal Statement

Please discuss each of the following 3 points: 1) Why you want to be selected to be a Noyce scholar? 2) Discuss how the aid can financially assist you and let us know of any special needs you may have for the funds. 3) Is there a mathematics or education faculty member who you would prefer as your mentor and why you think this would be (or is) a good working relationship?

Personal Statement *

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