Lazarus Family Scholarship Program: Applicant's Information

* GWID
* First Name
Middle Name
* Last Name
* Email Address
Home Phone
Cell Phone
* Graduating Class
* Project Title
* Does your project require IRB, IBC, and/or IACUC approval?
If yes, do you already have the required IRB, IBC, and/or IACUC approval?
* Are you enrolled in a Scholarly Concentration Program?
If yes, indicate Scholarly Concentration Program concentration area:

Mentor's Information

* First Name
* Last Name
* Title
* Organization
* Email Address
* Office Phone
Fax
* Address
Suite/Floor
* City
* State
* Zip Code

Second Mentor's Information
(only required if applicant will have more than one mentor)

First Name
Last Name
Title
Organization
Email Address
Office Phone
Fax
Address
Suite/Floor
City
State
Zip Code

Upload the following documentations

* Project Description: (Read application requirement)
 
* Personal Statement:(not to exceed two pages)
Explain your personal interest in the stated project; Any relevant past experience related to the project.
 
* Proposed Budget:
 
* Letter of Support from Your Project Mentor:
This letter should include his/her intent to provide guidance and support to you throughout the duration of your program.
 
* Letter of recommendation:
This letter should be in addition to the letter of support from you mentor. It should be from someone (internal or external) who can comment on your potential with regards to your submitted program.
 
Other Documentation:
Although not required, this is where you should upload any additional documentation necessary (ensure that you’ve commented on how the proposed project will contribute to your future goals and how you will balance your school work and the demands of your program.)