CSMT TALENT AND INCENTIVE SCHOLARSHIP Fall 2012 Spring 2013

Criteria:
CSMT requirements of Talent Scholarship 1. Be registered at UTB/TSC at least half time (6 SCH or more). 2. Cumulative GPA of at least 3.0 3. Major in any CSMT discipline CSMT requirements of Incentive Scholarship 1. Major in a CSMT discipline 2. Cumulative GPA of at least 3.00 3. TX Resident 4. Junior or Senior standing 5. Completed between 60 and 150 SCH, with at least 3 SCH in upper level courses 6. Must not be in default 7. Half time enrollment

Application and Supporting Material:

1. Copy of the UTB/TSC Transcript with GPA up to Summer 2012 2. Type and print Application Form; (Electronic and hardcopy are available under request.) 3. Sign the Nepotism form attached with the application form.

Application Deadline: extended to Oct. 26, 2012, 5:00 pm

Application should be submitted to any of the following contacts: Department of Mathematics Office: SETB 2454 Phone: 956-882-6636 Fax: 956-882-6637 Alexey Glazyrin Department of Mathematics Office: SETB 2538 Phone: 956-882-6610 Email: Alexey.Glazyrin@utb.edu

The University of Texas at Brownsville and Texas Southmost College College of Science, Mathematics & Technology

Scholarship Application Fall 2012 Summer 2013

Please read application thoroughly and answer all applicable fields. For consideration, submit by the deadline this application with a transcript. Submit this application and Nepotism form not later than Oct. 26, 2012. A minimum cumulative GPA of 3.0 and half time registration majoring in a CSMT field is required. NOTE: PLEASE PRINT OR TYPE APPLICATION. To the extent provided by applicable law, no person shall be excluded from participation in, denied the benefits of, or be subject to discrimination under any program of activity sponsored or conducted by Texas Southmost College and The University of Texas System or any of its component institutions on the basis of sex, race, color, national origin, religion, disability, age, or veteran status.

1. PERSONAL PROFILE UTB/TSC Student ID: Title: Last Name: First Name: Middle Initial: Mailing Address: City: Zip Code: Home Phone #: Work Phone #: Email Address: Citizenship: Award Period: Non-citizen Fall 2012 ( ( ) ) Gender: Male Female U.S. Citizen Permanent Resident Spring 2013 May 2013 Sum I 2013 Sum II 2013 Apt. #: State:

NOTE: You must enroll in the award period in order to receive the scholarship 2. SCHOLASTIC PROFILE UTB/TSC Classification: Major Field of Study: Graduate student?: Yes No Freshman Sophomore Junior Minor: Total Credits: 3. SCHOLARSHIPS Incentive* Yes Talent* Yes * See back of the application for scholarships criteria Senior

Cumulative GPA:

4. PERSONAL STATEMENT (highly recommended)

Include an organized brief history of your background, educational and career goals, outstanding achievements, employment history, and any pertinent information that would assist the committee in the selection process 150 to 400 words.

5. CERTIFICATION/AUTHORIZATION
I hereby certify that all of the information on this application is true and complete to the best of my knowledge. I assure you that I meet all eligibility requirements and authorize the College of Science, Mathematics and Technology and the Office of Financial Aid at The University of Texas at Brownsville/Texas Southmost College to release any information about my application to the individual(s) selecting or granting the scholarship, upon their request.

I accept

I do not accept

Initials:

College of Science, Mathematics and Technology Scholarship

Criteria The College of Science, Mathematics and Technology (CSMT) is offering scholarships to students majoring in any CSMT degree from bachelor to graduate level. To apply for a CSMT Scholarship students must satisfy the following criteria:

CSMT requirements of Talent Scholarship 1. Be registered at UTB/TSC at least half time (6 SCH or more). 2. Cumulative GPA of at least 3.0 3. Major in any CSMT discipline CSMT requirements of Incentive Scholarship 1. Major in a CSMT discipline 2. Cumulative GPA of at least 3.00 3. TX Resident 4. Junior or Senior standing 5. Completed between 60 and 150 SCH, with at least 3 SCH in upper level courses 6. Must not be in default 7. Half time enrollment

Application Process Students must submit the scholarship application and a transcript to their corresponding department prior to the deadline. The transcript must reflect the cumulative GPA. CSMT Scholarship recipients will be selected by a committee. Award amount will be determined on a case by case basis at department level. Recipients of the scholarship will be notified by mail.

Note: The attached Nepotism form should be completed, signed, and dated. Submit it with the application.

Nepotism Question for Scholarship Applicants: State law requires that each student identify any relation to a current Board of Regents member or Board of Trustees member. A student who is related to a current member of the University of Texas Regents or the Texas Southmost College Board of Trustees is prohibited from receiving scholarships unless the scholarship is awarded exclusively based on academic merit or is an athletic scholarship. It is a Class B misdemeanor to file a false statement. Please review a list of current members of The University of Texas System Board of Regents at http://pubs.utb.edu/utbtsc/UTsystemLeadership.htm and the a list of current members of The Texas Southmost College Board of Trustees at http://blue.utb.edu/vppa/tsc.html and then select the most appropriate answer below indicating your relation to any of the UT System Board of Regents members or TSC Board of Trustees members. (Check all items that apply, sign and date) Not related to a UT System Board of Regent member Not related to a TSC Board of Trustee member If related to either a member of The University of Texas System Board of Regents and/or The Texas Southmost College Board of Trustees, please check the relationship from the following list: UT System Board of Regents or TSC Board of Trustees mother, father, daughter or son UT System Board of Regents or TSC Board of Trustees brother, sister, grandparent or grandchild UT System Board of Regents or TSC Board of Trustees greatgrandchild, uncle (brother of parent), aunt (sister of parent), nephew (son of brother or sister), or niece (daughter of brother or sister) UT System Board of Regents or TSC Board of Trustees spouse; spouse's child; spouse's mother or father; child's spouse; or parent's spouse UT System Board of Regents or TSC Board of Trustees spouse's brother or sister; spouse's grandparent; spouse's grandchild; brother or sister's spouse; grandparent's spouse; or grandchild's spouse
I hereby certify that I have answered this statement to the best of my knowledge. Signature: _________________________________ Date: __________________________