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STEM Scholarship Application

Name*
First Last
Athens State Student ID (If Known)
Today's Date*
Month
Day
Year
Target Start Semester*
Anticipated Major*
Secondary Education (desiring to be certified to teach high school or middle school)*
- Yes
- No
CONTACT INFORMATION
Address*
Street Address Address Line 2 City State ZIP Code
Email*
Phone*
COLLEGE EXPERIENCE
Have you completed a bachelor's degree in the past?*
- Yes
- No
Number of Credit Hours Completed*
Overall GPA*
ESSAY
Describe your career goals and explain the ways that the ASSIST program can help you achieve those goals.*
Minimum 500 words that can be typed in the box or uploaded below.
Essay Upload
Drop files here or

Accepted file types: doc, docx, pdf, rtf, Max. file size: 5 MB, Max. files: 5.
If you prefer to upload your essay for the application
PROGRAM REQUIREMENTS
- Major in a STEM field (Biology, Chemistry, Computer Science, Information Technology, or Mathematics, including Secondary Education)
- 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)
- Must provide two letters of recommendation from academic or work personnel (One letter must be submitted by a teacher or professor; these must be submitted directly by the reference to [email protected])
I agree to complete the following Program Requirements*
Type your initials to show you agree with the program requirements
How did you hear about this opportunity?*