Priscilla Carney Jones Scholarship Application

The Priscilla Carney Jones Scholarship was established to provide scholarships for female undergraduate majors in chemistry or related disciplines who are beginning their junior or senior years of study.

APPLICANT INFORMATION

* Citizenship Status
* Where did you learn about this program?

Demographic Information

We ask you to provide this voluntary information below because the American Chemical Society is eager to support programs that benefit underrepresented groups in the chemical sciences, and your responses are helpful to these efforts and to all facets of our services to all members.  Individual responses are held in strictest confidence and have no bearing on consideration.
Racial-Ethnic Origin
Do you consider yourself to be a person with a disability?

NAME AND ADDRESS OF CLOSEST LIVING RELATIVE


ACADEMIC INFORMATION

* Current Status

APPLICATION MATERIALS


 

 

ADVISOR REFERENCE FORM

Please have your academic/research advisor complete the form at https://fs7.formsite.com/acsdiversity/form559168937/secure_index.html.  In this form the advisor will be required to upload a letter of recommendation.  This form must be submitted by the application deadline.

APPLICANT CERTIFICATION

* I certify that the application information provided is accurate and correct to the best of my knowledge.
* Indicates Response Required