ࡱ> %` GbjbjNN [,, Td % % % %dp%d<&'''''4$))\$8h`Q*-''*-*-''h/h/h/*- ''h/*-h/h/' & < %4-CL[$ 0<J-@4**^h/+Lb+4*4*4*^/ 4*4*4*<*-*-*-*-dddhdddhddd CLARE BOOTHE LUCE UNDERGRADUATE SCHOLARSHIPS IN SCIENCE Renewal Application PLEASE READ CAREFULLY! In order for a nominee to be considered, a complete application must be returned to the Advising Resource Center, Hixson-Lied, Suite G06, by March 16, 2009. A complete renewal application includes: Completed Renewal Application form; One supporting letter from your research advisor (sent separately).  Nominees Personal Data (Please print.) Legal name in full FORMTEXT       Legal residence FORMTEXT       Campus address (if different from above) FORMTEXT       Campus phone number( FORMTEXT    )- FORMTEXT    - FORMTEXT     Date of birth (mm/dd/yyyy) FORMTEXT   / FORMTEXT   / FORMTEXT      Eligibility Data Anticipated date of graduation (Semester Year) FORMDROPDOWN   FORMDROPDOWN  Will you be a full-time student pursuing a bachelor s degree during the 2009-10 academic year?  FORMCHECKBOX  Yes   FORMCHECKBOX  No Are you a United States citizen or a United States national?  FORMCHECKBOX  Yes   FORMCHECKBOX  No Are you considering a career in Medicine?  FORMCHECKBOX  Yes   FORMCHECKBOX  No What is your academic major?  FORMTEXT       Do you plan to take the GRE?  FORMCHECKBOX  Yes   FORMCHECKBOX  NoIf so, when? FORMTEXT       Do you plan to take the MCAT?  FORMCHECKBOX  Yes   FORMCHECKBOX  NoIf so, when? 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Where do you see yourself in 10 years in relation to these aspirations? How has your research experience this past year affected your future plans? How has your coursework this past year affected your future plans? Research Statement Please provide a short description of your research project, written for a faculty review panel that will consist of members unfamiliar with the research area. Include the specific contributions which you made to the project and any pertinent results that were obtained. Research Supervisor FORMTEXT      e-mail FORMTEXT      Location FORMTEXT        In completing and submitting this information for renewal of my Clare Boothe Luce Undergraduate Scholarship, I affirm that the information provided in this application is true to the best of my knowledge. 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