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Scholarship Application

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Instructions: Complete this application and press the submit button after you have attached all the required documents. This form requires JavaScript.

Please include the following:
  1. Unofficial transcript of undergraduate courses and grades;
  2. Statement of no more than 250 words outlining personal and professional goals as they relate to your demonstrated interest in the field of Information Technology;
  3. A resume to include current and past participation in student and professional organizations.

I wish to be considered for the DoIT Scholarship. I have read the scholarship announcement and understand the criteria. All required documentation is attached to this form.

Student Information:
First Name:
Middle:
Last Name:
Stony Brook Student ID#:
Email:
Verify Email:
Phone with area code:

(where a message can be left)
Expected Graduation Date:

(Month/Year)
Current Plan (Major 1):
Current Plan (Major 2):
Current Plan (Minor):
No. of Credits anticipated to be completed by the end of the current (this) Spring Semester:
Are you currently a DoIT Student Assistant?
If yes, which Department?
Mailing Address:
Street:
City:
State:
Zip:
Statement of Goals:
Statement of no more than 250 words outlining personal and professional goals as they relate to your demonstrated interest in the field of Information Technology

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Unofficial Transcript
Save your Unofficial Transcript from the SOLAR site to your computer and upload it here.

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Upload:
Resume
Upload your resume here.

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Upload:



Form Developed by Last Modified 04/21/2015 02:35:00 AM