NOYCE Scholar Application
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 *
Are you a permanent U.S. resident? *
First Name: *
Your answer
Last Name: *
Your answer
Street Address: *
Your answer
Phone Number *
Your answer
Email Address *
Your answer
Home Mailing Address (if different from current mailing address)
Your answer
Optional Personal Information
What is your gender?
Indicate your ethnicity
Academic Information
Your NU ID # *
Your answer
Your current academic major *
Your answer
Undergraduate status *
Science courses completed or in progress that are required for your major *
Your answer
Cumulative GPA *
Your answer
Major GPA *
Your answer
All Colleges or Universities attended *
Your answer
If selected for this scholarship, what is your expected graduation term from UNO? *
Expected graduation year *
Your answer
Financial Information
Do you have financial need documented by a completed FASFA?
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.
Your answer
Date
MM
/
DD
/
YYYY
References
Name of Reference 1 *
Your answer
Relationship to the applicant *
Your answer
Reference's phone number *
Your answer
Reference's email address *
Your answer
Name of Reference 2 *
Your answer
Relationship to the applicant *
Your answer
Reference's phone number *
Your answer
Reference's email address *
Your answer
Interviews for Noyce Scholar Fellows
Specific dates for interviews are still to be determined, but we’d like to know your availability on Tuesdays, Wednesdays and Fridays in the fall, so we can schedule interviews.
Availability on Tuesdays
Availability on Wednesdays
Availability on Fridays
Personal Statement
Please discuss 1) why you want to be selected to be a NebraskaSCIENCE Noyce scholar. 2) Please also let us know how the aid can financially assist you and let us know if any special need you may have for the funds. 3) please let us know if there is a science (Biology, Chemistry, Geography/Geology, or Physics) 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
Your answer
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