Graduate Scholarship Application List of Scholarships (Click here for scholarship descriptions) Check ALL scholarships for which you are applying. You MUST check at least one. Future Leader Future Teacher Diversity Scholar Applicant Information First Name: Middle Name: Last Name: Email (UGA if available): Phone: Permanent Address Street Address: Apt, Suite, Bldg. (optional) City State, Province, Region: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip Country United States Afghanistan Albania Algeria American Samoa Andorra Angola Anguilla Antigua & Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire Bosnia & Herzegovina Botswana Brazil British Indian Ocean Ter Brunei Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Canary Islands Cape Verde Cayman Islands Central African Republic Chad Channel Islands Chile China Christmas Island Cocos Island Colombia Comoros Congo Cook Islands Costa Rica Cote D'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Ter Gabon Gambia Georgia Germany Ghana Gibraltar Great Britain Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guyana Haiti Hawaii Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Korea North Korea South Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malaysia Malawi Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Midway Islands Moldova Monaco Mongolia Montserrat Morocco Mozambique Myanmar Nambia Nauru Nepal Netherland Antilles Netherlands (Holland, Europe) Nevis New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Norway Oman Pakistan Palau Island Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Island Poland Portugal Puerto Rico Qatar Republic of Montenegro Republic of Serbia Reunion Romania Russia Rwanda St Barthelemy St Eustatius St Helena St Kitts-Nevis St Lucia St Maarten St Pierre & Miquelon St Vincent & Grenadines Saipan Samoa Samoa American San Marino Sao Tome & Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Slovakia Slovenia Solomon Islands Somalia South Africa Spain Sri Lanka Sudan Suriname Swaziland Sweden Switzerland Syria Tahiti Taiwan Tajikistan Tanzania Thailand Togo Tokelau Tonga Trinidad & Tobago Tunisia Turkey Turkmenistan Turks & Caicos Is Tuvalu Uganda Ukraine United Arab Emirates United Kingdom Uruguay Uzbekistan Vanuatu Vatican City State Venezuela Vietnam Virgin Islands (Brit) Virgin Islands (USA) Wake Island Wallis & Futana Is Yemen Zaire Zambia Zimbabwe Current Address: Same as Permanent Address Add Current Address Current Address Current Street Address: Apt, Suite, Bldg. (optional) City (Current) State, Province, Region: Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip (Current) Country United States Preferred Communications Address: Please select the address at which you prefer to receive written communications from the University of Georgia College of Engineering. Permanent Address Current Address Both Academic Information Are you currently enrolled in the University of Georgia Graduate School? Yes No Have you been admitted to the University of Georgia Graduate School? Yes No If yes, for entrance when? Winter Fall Spring Summer Engineering Major(s) - Current or Intended These are majors that you will be enrolled in at the start of the Fall semester of the coming academic year. Please check all that apply. MS Engineering MS Biological Engineering PhD Engineering MS Agricultural Engineering MS Environmental Engineering PhD Biological/Agricultural Engineering MS Biochemical Engineering Credit Hours Overall Credit Hours Earned (at any college) UGA Credit Hours Earned Overall GPA UGA GPA SAT Scores I have taken the SAT I have not taken the SAT Reading Writing Quantitative act Scores I have taken the ACT I have not taken the ACT Overall Score High School GPA High School GPA If not applicable, leave blank Weighted GPA SCHOLARSHIP ESSAY Instructions Please write an essay (800 words maximum, one-page maximum) describing your qualifications for the scholarship(s) to which you are applying. Please make sure to include a list of these scholarships within the text of the essay (in addition to at the top of this form). Note, some scholarships specifically request an essay or written statement from the applicant. This essay should include the requested information for those scholarships. Important: please name your file to include your full name. For example: jane_smith_essay.doc Extracurricular Activities and Honors/Awards Instructions Please upload a document listing your extracurricular activities and honors/awards. Important: please name your file to include your full name. For example: jane_smith_honors.doc or joe_smith_resume.doc. Background Information Specifying the following is optional, but some scholarships require this information to determine eligibility. Race: American Indian / Alaskan Native Asian White Native Hawaiian or Other Pacific Islander Black or African American Prefer not to answer Ethnicity Hispanic or Latino Not Hispanic or Latino Prefer not to answer Gender Male Female I prefer not to answer Additional Information The following three persons have been asked to send letters in support of my application. *Note: The application should be supported by letters from individuals qualified to give judgment on your qualifications for the selected scholarship.