Choose Ohio First Scholarship Program
Integrated Science Training for Northeast Ohio's Future Biomedical
and Biotechnology Workforce

Application

Application Deadline:

November 11th, 2011

CAUTION: Pressing "Enter" or "Return" will submit the application.

General Information
Last Name: First Name: Middle Initial:
Email: Phone Number:
Mailing Address
Street:
City: State: Zip Code:
Class Status (Check One):
Incoming Freshman Transfer Student Freshman
Sophomore Junior Senior
(Incoming Freshmen/Transfer Students: be sure to have completed your application for admission to Kent State University)
KSU Degree Program (intended or current)
Statement of Goals:
Please describe in your own words your career plans and how the COFS award will help you reach your goals. Discuss your interest in the sciences, educational plans and aspirations for a biomedical/biotech career. Be sure to describe your academic history, such as which high school(s) and college(s), if any, you have attended (one page).
Checklist:
1. I have completed the online application.
2. I have arranged for the following individuals to send a letter of reference to the address below:
Reference #1 Reference #2
Name:

Name:

Address: Address:
Phone: Phone:
Email:

Email:
3. I have arranged for high school and, if applicable, post-secondary transcripts to be sent to the address below.
I give the Choose Ohio First Scholarship Program Integrated Science Training for Northeast Ohio's Future Biomedical and Biotechnology Workforce Scholarship Committee permission to access my university transcript as part of the application process.

Please check this statement and type your name and today's date in the box to the right:

By submitting this application online, I attest to the fact that all information given on this application is complete and correct.


Name, Date
KSU Banner Number (if applicable)

Please send application materials and direct questions to:

COFS Competition
c/o Prof. Diane Stroup
Department of Chemistry and Biochemistry
214 Williams Hall
Kent State University
P.O. Box 5190
Kent, OH 44242
(330) 672-3352
dstroup1@kent.edu