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Louisiana State University Department of Geology & Geophysics Departmental Scholarship Application Eligibility: The LSU Department of Geology & Geophysics a number of scholarships has available to award to undergraduate students. Most scholarships use academic merit as a primary criterion, but other factors such as financial need, area of study, and year (e.g., freshman) may serve as additional criteria for selection. Please see the list of scholarships on the departmental webpage for more information. Biographical Information: Your Name: Email Address:


Current Mailing Address:

Permanent Address (if different than above):

Name, e-mail address, and telephone number of Parent or Legal Guardian if you are younger than 18 years:

LSU ID #: Personal Information: Citizenship (check which applies): ___ United States Citizen

___ Permanent Resident of US

___ Other _________________

Gender: Ethnic Heritage (check those that apply): ___ American Indian or Native American ___ Asian ___ Black or African American ___ Hispanic or Latino/Latina

___ White, Non-Hispanic ___ Native Hawaiian or Other Pacific Islander ___ Other

Academic Information: High School Information (fill out only if you have not previously attended college) Name, City, & State of High School: Cumulative Grade Point Average:

Date of Graduation:

College/University Information Please provide information for all higher educational institutions attended (if applicable), including LSU. Name


Dates of Attendance

Credits Earned

Cumulative GPA

Academic, Professional and Service Experiences and Achievements: 1.

Describe your academic achievements, awards, etc. (other than scholarships)


Describe service activities that you participate in.


What leadership roles and experiences have you had?


Describe your non-academic achievements, awards, etc.


What research experiences have you had?


What other scholarships have been awarded to you?

Degree Attained

7. Describe any other factors that you think the scholarship committee should take into consideration in evaluating your application?

Additional Requirements: Please provide the names and contact information (telephone or e-mail) for two persons who have agreed to serve as references for you.

I have read and understand this application form. All of the information provided on this form is complete and correct to the best of my knowledge. Applicant Signature _______________________________________________, Date _________________ This information provided by the applicant is used only as a basis for awarding scholarships in the LSU Department of Geology and Geophysics, and is otherwise held in confidence. Please send application, transcripts, and letters of recommendation to: Heather Lee Department of Geology & Geophysics Louisiana State University Baton Rouge, LA 70803