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ALFRED P. SLOAN FOUNDATION
SLOAN INDIGENOUS GRADUATE PARTNERSHIP
IN MATHEMATICS, SCIENCE AND ENGINEERING
STUDENT APPLICATION FOR SLOAN SCHOLARSHIP
To be eligible for this Sloan Scholarship, students must be American Indian, born in the United
States, and be newly accepted into a masters or doctoral program at one of the participating
university mathematics, science and engineering departments listed on page 3 of the attached
application.
Please submit this application and/or direct questions concerning program disciplines and
procedures to the appropriate participating university contact below.
Dr. Herb Schroeder
Associate Dean of Undergraduate Studies & Professor of Engineering
ANSEP™ Founder and Executive Director
PI NSF Pacific Alliance, Room 204
3211 Providence Drive
Anchorage, AK 99508-4614
University of Alaska, Anchorage and Fairbanks
Phone: (907) 786-1860
Dr. Maria Teresa Velez
Associate Dean of the Graduate College
University of Arizona
Administration 302
Tucson, AZ 85721
Tel 520.621.7814 Fax 520.621.7112
Ms. Mary Kamensky
Administrative Officer, Graduate School
University of Montana
224 Lommasson Center
Missoula, MT 59812
Tel 406.243.4598 Fax 406.243.4593
Ms. Cindy Dunstan
Graduate School Administrator
Montana Tech of The University of Montana
Admissions Office MG 206
Butte, MT 59701
Tel 406.496.4304 Fax 406.496.4334
Please detach this sheet for your reference before submitting the attached application.
Page 1 of 3
ALFRED P. SLOAN FOUNDATION
SLOAN INDIGENOUS GRADUATE PARTNERSHIP
IN MATHEMATICS, NATURAL SCIENCES AND ENGINEERING
STUDENT APPLICATION FOR SLOAN SCHOLARSHIP
APPLICANT INFORMATION
Name ______________________________________________________________________________________
Last Name First Name Middle Name
Social Security Number _____________________________________________________________________
Address _______________________________________________________________________________
Street Address
_______________________________________________________________________________
City State Zip Code
Telephone ______________________________________ ____________________________________
Daytime/Home (Please Circle) Cellular
Email ______________________________________ ____________________________________
Primary Alternate
Gender _____________________
Tribal Affiliation _________________________________
Census/Tribal Registration # _________________________________
MOST RECENT DEGREE
Designation Field Date
College or University
SUPERVISING SLOAN FACULTY/PROGRAM DIRECTOR
University _______________________________________________________________________________
Department _______________________________________________________________________________
Sloan Faculty/Program Director Dr. Maria T. Velez Dr. Alexander Ross Dr. Joe
Figueira Dr. Herb Schroeder
Sloan Faculty/Program Director Signature ____________________________________________________
Degree Program (please check one) : Master’s Ph.D.
Degree Program Entry Date _________________________________________________________
Page 2 of 3
STUDENT APPLICATION FOR SLOAN SCHOLARSHIP (cont.)
FINANCIAL COMMITMENTS AND CONTRIBUTIONS
Please list below any known financial commitments or contributions you have received or will
receive from your supervising department or faculty member (e.g., research assistantship,
teaching assistantship, fellowship, etc.)
Year 1 ____________________ Year 2 _______________________
Year 3 ____________________ Year 3+ _______________________
CONTACT INFORMATION
Expected Fall Semester or Quarter Address and Telephone Number (If different from above):
Street Address
City State/Zip Telephone Number
Please provide, for emergency situations, the names and telephone numbers of two (2) persons
with whom you are in regular contact below.
Name (Relationship) Telephone Number(s)
Name (Relationship) Telephone Number(s)
RESPONSIBILITIES OF SLOAN SCHOLARS
As a Sloan Scholar, you will be expected to provide to NACME:
a report on your academic progress at the end of every quarter/semester;
an annual report every July on the expenditure of funds received from the Sloan
Foundation;
current address and telephone number every time these change while you are enrolled
in the masters or Ph.D. program; and
information about what position you accept upon graduation or departure from the
masters or Ph.D. Program.
Applicant Signature Date
FOR NACME USE ONLY
Status BL SS SPC _______________________________________________________ Date ____________________________
Program Onset ______________ Grant Amount ______________ Dept/Unit ______________________________________________
Page 3 of 3
STUDENT APPLICATION FOR SLOAN SCHOLARSHIP
Name Social Security Number
University of Arizona
Arizona Health Sciences Center
Cell Biology and Anatomy
Biostatistics
Epidemiology
Medical Pharmacology
Medicinal Chemistry
Microbiology and Immunology
Pharmaceutical Sciences
Pharmacy
College of Agriculture and Life Sciences
Animal Sciences
Arid Lands Resource Science
Entomology
Nutritional Sciences
Pathobiology
Plant Sciences
Range Management
Renewable Natural Resource Studies
Soil, Water and Environmental Science
Water Resources Administration
Watershed Management
Wildlife and Fisheries Science
College of Engineering
Aerospace Engineering
Agricultural and Biosystems Engineering
Chemical Engineering
Civil Engineering
Electrical and Computer Engineering
Engineering Mechanics
Environmental Engineering
Geological/Geophysical Engineering
Hydrology
Industrial Engineering
Materials Science Engineering
Mechanical Engineering
Mining and Geological Engineering
Reliability and Quality Engineering
Systems Engineering
Systems and Industrial Engineering
College of Science
Applied and Industrial Physics
Applied Biosciences
Applied Mathematics
Astronomy
Biochemistry
Biological Chemistry
Chemistry
Computer Science
Ecology and Evolutionary Biology
Geosciences
Mathematics
Mathematical Sciences
Molecular and Cellular Biology
Physics
Planetary Sciences
Speech and Hearing Sciences
Interdisciplinary Programs
Arid Lands Resource Sciences
Applied Mathematics
Biomathematics
Biomedical Engineering
Cancer Biology
Insect Science
Neuroscience
Optical Sciences
Pharmacology and Toxicology
Physiological Sciences
University of Montana
Biological Sciences
Ecosystem and Conservation Sciences
Forest Management
Chemistry
Computer Science
Geology
Geography
Mathematical Sciences
Environmental Studies
(Scientific Concentration Only)
Montana Tech of The University of Montana
School of Mines and Engineering
Environmental Engineering
General Engineering
Geological Engineering
Geology
Geophysical Engineering
Hydrogeological Engineering
Hydrogeology
Industrial Hygiene
Industrial Hygiene (Online)
Metallurgical Engineering
Mining Engineering
Petroleum Engineering
Project Engineering and Mgmt (Online)
College of Mathematics and Science
Geochemistry
Interdisciplinary Master of Science
Page 4 of 3
University of Alaska, Anchorage
MS in Artic Engineering
MS in Biology
Ph.D. Biology
MS in Civil Engineering
MS in Computer Science
MS in Engineering Management
MS in Science Management
MS in Project Management
University of Alaska, Fairbanks
College of Engineering
MS and Ph.D. in Biology
MS in Chemistry
MS in Computer Science
MS in Geoscience
MS in Mathematics
MS and Ph.D. in Physics
