Novus Biologicals Scholarship Application Form Fall 2015

Scholarship overview
The Novus Biologicals Scholarship Fund was established to recognize students looking to advance their
knowledge and career in science. One student will be selected to receive $1500 (or international currency equivalent) to use towards their education.
Eligibility:
Applicants must have a major declared in a science related field.
Open worldwide.
Enrolled or accepted for enrollment (baccalaureate, graduate, associate degree, or diploma)
with a declared major in a science related field.
Fall 2015 selection and notification process:
Deadline for this application is July 10, 2015 at 11:59 p.m. MST
One finalist will be notified by July 24, 2015.
Application process checklist:
Fill out the scholarship application form.
Submit a transcript of all college/post-secondary coursework (if high school student submit
high school transcript). This may be an official or unofficial copy.
Submit a written statement addressing the following topics:
o Make a top ten list of your favorite scientists.
o Write a personal statement of 500 words or less on how you plan to use your degree to
further advance science in your field of interest.
Questions
If you have any questions in regards to The Novus Biologicals Scholarship, please contact Lisa Ikariyama,
lisa@novusbio.com.
Application submissions
Please submit all application materials to scholarship@novusbio.com by the application
deadline.

Scholarship Application Form

Student information:
First name:
Last name:
Date of birth:
Phone number:
Email:
Mailing address:
Address:
City:
State:
Zip Code:
Country:
Academic information:
University name:
City/State/Country:
Expected graduation date (month/year):
Signature
I certify that this application and all of the supporting documents is accurate and complete. I understand
that if selected for an award, I may be required to provide proof of the information stated on this form. If
selected to receive an award, I agree that the applicants name, photo, award amount, may be used in
announcements or articles (i.e. social media, newsletter) issued by Novus Biologicals.

Applicant signature

Applicant printed name

Date