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Applicant Information

First Name:

Name you go by:

Last Name:

Date of Birth:

Address:

Address Line 1

Address Line 2

City

State

Zip Code

Email Address:

Home Phone:

Cell Phone:

Nova Parent/Guardian Name:

Name:

Job Title:

Email Address:

Other Parent/Guardian Name:

Name:

Occupation:

Email Address:

For High School Applicants Only:

High School Name:

Address:

Date of Graduation:

Weighted GPA:

Unweighted GPA:

Rank:

Class Size:

List your top 3 college or vocational/technical school choices:

Top School Name 1:

Accepted?

Top School Name 2:

Accepted?

Top School Name 3:

Accepted?

For High School, College and International Students SAT/ACT Tests, National Exams, and International Exams Are Optional

If you’d like to self-report test scores for the committee to review, please complete the following for any scores you’d like to be considered. For the SAT and ACT, report your highest total score from a single test date and separately your highest individual exam section scores and the committee will “superscore” for you.

SAT – Scholastic Assessment Test

SAT Composite Score

(Month/Year)

SAT Evidence-Based Reading & Writing Score

(Month/Year)

SAT Math Score

(Month/Year)

ACT – American College Testing

ACT Composite Score:

(Month/Year)

ACT Math Score:

(Month/Year)

ACT Science Score:

(Month/Year)

ACT English Score

(Month/Year)

ACT Reading Score:

(Month/Year)

International exam results for students applying from outside the US

For Applicants in Undergraduate or Post High School Programs:

Name of Institution:

Address:

Major:

Expected Date of Graduation:

Current GPA on a 4.0 Scale:

Where are you attending school next year?

If presently at a 2 Year College, do you intend to transfer to a four year school?

Extracurricular Activities and Work Experience – For All Applicants

List and briefly describe up to six extracurricular activities, work experiences, hobbies, or significant family responsibilities. Applicants should not list their high school involvement unless they are current high school seniors. You may upload a separate file to complete your list.

1. Description of Activity (Include roles, responsibilities, and accomplishments) Show dates involved and number of hours/week.

File Upload – Extracurricular Resume – Up to 6 Activities

Click or drag a file to this area to upload.

2. Description of Activity (Include roles, responsibilities, and accomplishments) Show dates involved and number of hours/week.

3. Description of Activity (Include roles, responsibilities, and accomplishments) Show dates involved and number of hours/week.

4. Description of Activity (Include roles, responsibilities, and accomplishments) Show dates involved and number of hours/week.

5. Description of Activity (Include roles, responsibilities, and accomplishments) Show dates involved and number of hours/week.

6. Description of Activity (Include roles, responsibilities, and accomplishments) Show dates involved and number of hours/week.

Short Answer (75-150 words)

Select your most meaningful experience from the above list and briefly describe its significance to you. Consider the transformative nature of the experience, the impact you helped make, and your personal growth due to your participation.

Essays

All applicants are required to submit two short essays. All essays are to be submitted on a separate sheet.
First Time Applicants: Please submit essays 1 and 2.
Returning Applicants: Please submit essays 2 and 3. Previously submitted essays will not be accepted.

Your essays can be submitted by typing into the text box provided or uploading a PDF or Word document in the provided space.

Essay 1: Discuss your academic and career goals and your plans to achieve them. Has there been a person or event that has inspired you to pursue these goals? (250-500 words)

Essay 1 Upload:

Click or drag a file to this area to upload.

Essay 2: The Nova Biomedical Scholarship was created when Nova Biomedical employees came together to give back and support those in their own community. Tell us about a way in which you are supporting your community (cultural, extracurricular, religious, academic, local, etc.).

Essay 2 Upload:

Click or drag a file to this area to upload.

Essay 3: How has your education or other experiences during this past year assisted you in preparing you to meet your future career goals and objectives? (250-500 words)

Essay 3 Upload:

Click or drag a file to this area to upload.

Official School Transcript

Current official school transcript must be sent directly from your school. If all grades do not appear on current transcript, send other official school transcripts directly from the school to Nova Biomedical

you. your and

Two Letters of Recommendation

All applicants must submit two letters of recommendation written by a recent/current teacher, professor, coach, employer, advisor, or clergy. Letters written by friends or family will not be accepted. Previously submitted letters will not be accepted. Letters must be sent directly to Nova using letterhead stationary in a signed and sealed envelope or emailed with their professional email address.

Have You Received a Nova Scholarship or Award Previously?

Year:

$ Amount:

First Time Applicants

Please request the following documents be sent directly to Nova:

• Two current letters of recommendation sent directly from the author to Nova Biomedical
• Current official school transcript sent directly from the school to Nova Biomedical
• Other official school transcripts if all grades do not appear on current transcript, send directly from the school to Nova Biomedical

Returning Applicants

Please request the following documents be sent directly to Nova:

Your Signature

Clear Signature

Date Signed

or Click here to "save and resume" your application later. File uploads will have to be re-entered when you resume.

Nova Biomedical Scholarship Program Application

Applicant Information

Nova Parent/Guardian Name:

Other Parent/Guardian Name:

For High School Applicants Only:

List your top 3 college or vocational/technical school choices:

For High School, College and International Students SAT/ACT Tests, National Exams, and International Exams Are Optional

SAT – Scholastic Assessment Test

ACT – American College Testing

International exam results for students applying from outside the US

For Applicants in Undergraduate or Post High School Programs:

Extracurricular Activities and Work Experience – For All Applicants

Short Answer (75-150 words)

Essays

Official School Transcript

Two Letters of Recommendation

First Time Applicants

Please request the following documents be sent directly to Nova:

Returning Applicants

Please request the following documents be sent directly to Nova:

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