Overcoming Challenges Award Application

The Overcoming Challenges Award was established by the Women Chemists Committee of the American Chemical Society to recognize a female undergraduate for her efforts in overcoming hardship to achieve success in chemistry.

APPLICANT INFORMATION

First Name *

MI

Last Name *

Phone Number *

Email Address *

Current Institution

Where did you learn about this program? *

If you are an ACS member, please provide your membership number.

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.

Date of Birth (mm/dd/yyyy)

Applicant must be an individual* undergraduate currently enrolled in a two-year chemistry-related program or pursuing a major or minor in a four-year chemistry program at a school that does not grant doctorates in chemistry. Applicant must have completed one semester of college-level chemistry. US and non-US citizens are welcome to apply.

Citizenship Status *

US Citizen

US Permanent Resident

Non-US Resident

Country of Birth *

Racial-Ethnic Origin

Do you consider yourself to be a person with a disability?

Yes

No

APPLICATION MATERIALS --- In PDF format please and NO embedded documents.

Please provide a description of the hardship(s) that you have overcome and your current success.
(.PDF only) *

Please provide a current copy of your school transcripts.
(.PDF format only)

Are you able to upload your school transcripts? *

Yes, I've uploaded them.

No, they will be sent separately.

Please provide a recommendation letter.
(.PDf format only)

If your reference wishes to submit a letter directly, he/she may do so online at https://fs7.formsite.com/acsdiversity/form530198771/secure_index.html. This form must be submitted by the application deadline.

Are you able to upload your recommendation letter? *

Yes, I've uploaded it.

No, it will be sent separately.

APPLICANT CERTIFICATION

I certify that the information provided in this application is accurate and that I meet the criteria as stated in the award qualifications to the best of my knowledge. *

Confirm

Initials *

Date *

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