Application for Schultz-Werth Award ELECTRONIC SUBMISSIONS DUE TO sandra.newman@sdstate.

edu 5:00 PM MARCH 28, 2014

Name: Last Local Address: First Middle

Phone Number: Student ID Number: Award Division [A or B]

Email Address:

A. Social Sciences, Arts and Humanities B. Physical and Biological Sciences, Mathematics and Engineering Academic Major: Academic Advisor: Credits earned:________ Semester intending to graduate with bachelors degree:____________________ Person advising me in preparation of the research paper/scholarly or creative project: Title of Research Paper/Scholarly or Creative Project:

Project Objectives:

Statement of how this research/scholarly or creative project will contribute to knowledge or the understanding of present knowledge and literature of the field. (Please make sure your statement can be understood by people outside your own discipline).

I testify that the paper submitted for the award is a result of original, independent scholarly and creative activity on my part. Electronic Signature: Date:

Candidate ATTEST: The paper submitted for the award is the result of the students original and independent work. It is not a collaborative effort. Electronic Signature: Advisor/Research Sponsor Date:

Abstract
Abstract of Schultz-Werth Research/Scholarly or Creative Project: (Your 300-word abstract must include brief statements on your research objectives, rationale, methods, important results or findings, and the overall significance of your work to society at large.)

Schultz-Werth Award Applicants Biographical Data

Name: Local Address: Permanent Address: Parent Name: Parent Address: Major: Major Advisor: College Honors and Activities: College: GPA:

High School from which you graduated and year of graduation:

Colleges Attended and Dates:

Future Educational Goals:

Future Professional and Career Goals:

Hometown or Local Media (newspaper, radio, television stations, etc.):

Revised Spring 2014