Awards, Scholarships and Grants
Foundation for Genetic Technology
Barbara J. Kaplan Scholarship
Application Instructions
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PURPOSE: To acknowledge and honor outstanding undergraduate and certificate students in cytogenetics and molecular genetic technology. This scholarship program contributes to the growth of genetic technology as a profession by recognizing individuals with superior academic capabilities and promise for professional success.
ELIGIBILITY:
1. Nominees must be student members of the Association of Genetic Technologists.
2. Students may be nominated from one of the following categories of educational programs:
a. NAACLS Approved certificate program in cytogenetics (U.S.)
b. NAACLS Approved undergraduate program in cytogenetics (U.S.)
c. Canadian Society of Laboratory Technology Approved Cytogenetics program (Canadian).
d. A formal university/hospital or laboratory based program in molecular technology that includes a minimum of one semester, or the equivalent, of formal didactic coursework and a minimum 6-month clinical experience. This does not include on-the-job training or other paid experiences.
3. The number of nominations will be limited to one for each approved program that an institution offers. (see above)
SELECTION CRITERIA:
1. Outstanding scholastic performance.
2. Evidence of potential contribution to the profession of cytogenetics or diagnostic molecular genetics.
3. Volunteer work.
4. Initiative.
HOW ARE SCHOLARSHIPS AWARDED:
1. The number of awards granted annually will be determined by the Board of Directors of the Foundation for Genetic Technology, and will be based on available funds and the number of nominees who meet the criteria of the award.
2. Selection of scholarship recipients will be made by a Panel of Reviewers who are not affiliated with any of the eligible programs (listed above).
3. Decisions made by the Panel of Reviewers will be final and deliberations or decisions will not be disclosed.
NOMINATION PROCEDURE:
1. Nominees will be selected by the faculty of the program in which the nominee is enrolled.
2. Nominations must be submitted on nomination forms (enclosed).
3. One (1) original and four (4) duplicate sets of all nomination materials for each nomination must be post marked by Feb. 7, 2007. The Foundation for Genetic Technology reserves the right not to process applications found to be late or incomplete as of the application postmark deadlines.
4. The program nominator is responsible for submitting the following documents in a single packet:
a. The completed nomination form.
b. One (1) letter of nomination in support of the nominee from a representative faculty member.
c. No more than three (3) additional letters of support from faculty, students, employers, or others familiar with the nominees academic record, work characteristics and/or potential for success.
d. A current transcript of all formal academic study (through the last completed term).
e. A current curriculum vitae.
f. All materials are to be sent to:
Foundation for Genetic Technology
Barbara J. Kaplan Scholarship
P.O. Box 625
Biloxi, MS 39533-0625
NOTIFICATION:
1. The award recipients and their Program Director will be notified by phone by the Chair of the Awards & Scholarships Committee with a confirmation letter to follow.
2. Nominees not selected will be notified by letter and will be congratulated for having been nominated. Their Program Director will also be notified.
3. The monetary awards will be sent directly to the College or University. Certificates will be presented to the award recipient at the Annual Meeting of the Association of Genetic Technologists. If a student is unable to attend the Annual Meeting a representative from the student’s program may accept the certificate on behalf of the student.
Foundation For Genetic Technology
Barbara J. Kaplan Scholarship
Application
DUE DATE
: Monday, February 5, 2007Deadline: Must be Postmarked by February 5, 2007
Mail To : Foundation for Genetic Technology
Barbara J. Kaplan Scholarship
P.O. Box 625
Biloxi, MS 39533-0625
SECTION I
- Biographical InformationNAME : ______________________________________________________________________________
Last First Middle Initial
ADDRESS:_____________________________________________________________________
Street City State Country Zip Code
E-MAIL ADDRESS:_______________________
PHONE NUMBER:______________ SOCIAL SECURITY#_____________________________
DATE of BIRTH:___________________ AGT MEMBER#:_______________________________
NAME of COLLEGE/UNIVERSITY/PROGRAM:________________________________________
EXPECTED DATE OF GRADUATION:____________ __ DEGREE:_____________________
NAME of PROGRAM DIRECTOR:_________________________________ PHONE #: (___)________________
CATEGORY: (See Application Instructions )
Certificate Program:____________ Undergraduate Program:_________
Canadian Program:_____________ Molecular Diagnostic Program:_______
SECTION II
On an attached sheet please provide information about your activities: work experience, volunteer experience , special talents, future plans, and evidence of potential contribution to the profession of cytogenetics or molecular genetics. Please be specific and provide complete names of organizations.
SECTION III
-Certification StatementI affirm that, to the best of my knowledge, the above statements are correct. I understand that I am responsible for the submission of all required documents within the deadlines. The Foundation for Genetic Technology reserves the right not to process applications found to be late or incomplete.
________________________________________________________________________________
Student Signature Date
I affirm that the above named student is currently enrolled in the Education Program indicated above.
___________________________________ ______________________________________________
Program Director Signature Date