MU ALPHA THETA KALIN AWARD APPLICATION

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1 KALIN AWARD APPLICATION The was created by a grant from Dr. Robert Kalin of Florida State University, a former president of. The Educational Foundation continues to support the. This award recognizes graduating high school seniors who have excelled in mathematics and performed notable service to communities. Interviews for the will be conducted in the July meeting of the Governing Council. Members present at the National Convention will be interviewed in person. Members who are not attending the National Convention will be interviewed electronically. The winner of the award receives $4000 and a distinguished plaque. The winner may choose to receive the $4000 as a scholarship to their college or as a cash prize. A winner accepting cash needs to submit a W9 form so that the award can be reported to the IRS. Each chapter is allowed to nominate one member for the per year. Nominees must be a graduating high school senior in the year of the award and must be planning to attend college the next fall. The sponsor of the chapter will determine how the chapter's nominee is selected. If the chapter s nominee is also one of the two students selected to apply for a Mu Alpha Theta Scholarship, DO NOT COMPLETE THIS APPLICATION. Instead, sponsors may check the box on the Sponsor Letter of Recommendation form of the scholarship application. Sponsors will also need to write a separate letter of recommendation on why he or she feels this applicant deserves the. Include this second letter along with your scholarship recommendation letter in a sealed envelope, signed across the back, or mail the letter separately to the National Office. Application must be postmarked by March 1st. If possible, mail all required items in the same 10 x 13 envelope to: 601 Elm AVE, RM 1102 Envelope Should Include: Application Form Student Essay Two Recommendation Letters* o One from nominee s chapter sponsor o One from an individual of the nominee's choice (no relatives, please) Academic Form Official High School Transcript *You will need to make two copies of the Recommendation Form for your two letter writers. 1

2 KALIN AWARD APPLICATION FORM Please type or print in black ink. Name: First M.I. Last Home Address: Street Address / Apartment Number City State Zip Phone Number: Current High School: School Address: City State Zip Sponsor: Local, State, or National Offices Held in : Student Achievements, such as awards from math/science fairs, competitions, achievements in other student organizations, etc. Score AMC 10 Exam: Score AMC 12 Exam: Score Invitational Math Exam: You may attach additional pages if necessary. 2

3 KALIN AWARD STUDENT ESSAY Write a short essay describing your leadership roles and service to. Write a word essay on one of the following topics: 1. What is the role of mathematics in your career choice and how has affected it? 2. What qualities of your mathematics club and influenced you to join the organization, work for it, and stay with it? You may attach additional pages if necessary. 3

4 KALIN AWARD RECOMMENDATION Recommendation letter for. Name of Applicant The recognizes students for outstanding achievement in mathematics and service to. Please describe why you feel this applicant deserves this award. The recommendation should be returned to the applicant in a sealed envelope and signed across the back. Application must be postmarked by March 1st. If you are mailing separately, mail to: 601 Elm Ave, RM 1102 You may attach additional pages if necessary. Thank you. 4

5 KALIN AWARD ACADEMIC FORM This form is to be completed by your high school principal, counselor, or other officer. The form should be returned to the applicant in a sealed envelope and signed across the back. Application must be postmarked by March 1st. If you are mailing separately, mail to: Please type or print in black ink. 601 Elm Ave, RM 1102 Name: First M.I. Last The above student has an overall high school grade point average of through the first semester of their senior academic year. (If other than a 4-point system, please indicate the scale used.) Student is ranked number in a class of students. National test standard scores for ACT and/or SAT: ACT: English Mathematics Reading Science & Reasoning Writing Total SAT: Reading Mathematics Writing Total (Applicant must include an official transcript of grades.) Signature and title of the school official completing this form Date 5

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