ACPA Arthur Bollo-Kamara Graduate Scholarship Application

ACPA Arthur Bollo-Kamara Graduate Scholarship Application
Name*

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Address*

Street Address

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Phone Number*
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Email*
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Enrolled Since (Date)*
Institution*
Degree Sought*
Ph.D*

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Institution Address*

Street Address

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Please upload an official transcript that includes the grades of the most recent level chemistry courses completed (a minimum of three courses with a GPA of at least 3.0 on a 4-point scale {or equivalent})*

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A Letter of 100 to 200 words that describes the applicants:
- Contributions to the chemical profession through volunteer activities
- Contributions to the community through volunteer activities, and;
- Participation in the performing arts and/or the visual arts/or creative writing, especially if the activities are related to his or her community or cultural heritage.
Upload letter here.*

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The names and contact information of two individuals who collectively can verify all information provided in the letter.
Reference #1 Name*

First NameLast Name
Reference #1 Email*
example@example.com
Reference #1 Phone Number*
Please enter a valid phone number.
Reference #2 Name*

First NameLast Name
Reference #2 Email*
example@example.com
Reference #2 Phone Number*
Please enter a valid phone number.
Upload copies of certificates, diplomas, awards, reference letters or other documents that substantiate the activities described in the letter (if available).

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I hereby declare that the information provided in this application and its attachments is a true and accurate description of my activities and achievements.*

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