Name* First Last Athens State Student ID (If Known)Today's Date*Target Start Semester*Anticipated Major*CONTACT INFORMATIONAddress* Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Email* Phone*COLLEGE EXPERIENCEHave you completed a bachelor's degree in the past?* Yes No Number of Credit Hours Completed*Overall GPA*Application QuestionsDescribe your career goals in your STEM field. How did you become interested in this particular path? *(100 – 200 words)Describe a time in your life when you overcame an academic barrier. Describe the situation, what made it difficult, and how you responded. Feel free to describe either a positive or negative outcome, but include what you learned from the experience. Please be specific.*(200 – 400 words)How will this scholarship help you achieve your career goals?*(50 – 100 words)Describe a specific topic or concept in your STEM major that excites you and explain why it interests you. Please keep your answer focused on your STEM content area.*(200 – 400 words)PROGRAM REQUIREMENTS Major in a STEM field (Biology, Chemistry, Computer Science, Cybersecurity, Information Technology, or Mathematics Must have applied to Athens State University Enroll at least half time (6 credit hours or more per semester) Complete the FAFSA (demonstrate financial need) I agree to complete the following Program Requirements*Type your initials to show you agree with the program requirementsHow did you hear about this opportunity?*