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2011-2012 GMS Renewal Packet Priority Deadline: Friday, July 22, 2011 "#$%& '())%**(+, -./0)#1& UNCF—the United Negro College Fund 2345 6())07 8#9& :01;01#$% <1(=% >?8? @0A B5C55 D#(1E#AF GH 335IB D#AJ K5IL35CL35KM N OL,#()J 1%*%7#)PQ,&;?01Q "#$%& '())%**(+, -./0)#1& American Indian Graduate Center Scholars RC35 '0*$Q0,%1S @)=T?F UOF -$%? BL@ H)V+W+%1W+%F U' 2KB5MLB3MB D#AJ C5CL22RL242I N OL,#()J Q,&P#(Q.&?01Q "#$%& '())%**(+, -./0)#1& Asian & Pacific Islander American Scholarship Fund BM55 X -$1%%$F U6F -+($% 3B5 6#&/(*Q$0*F <: 355I4 D#AJ 353LCI5L54RI N OL,#()J Q,&P#;(#&E?01Q "#$%& '())%**(+, -./0)#1& Hispanic Scholarship Fund CC -%.0*T -$1%%$F -+($% BC55 -#* D1#*.(&.0F :H MRB5C D#AJ RBCL252L3RBB N OL,#()J Q,&(*E0P/&E?*%$ 1

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Page 1: 2011-2012 GMS Renewal Packet Priority Deadline: Friday ... GMS Renewal Packet Priority Deadline: Friday, July 22 ... and are important resources for Gates Millennium Scholars

!

2011-2012 GMS Renewal Packet

Priority Deadline: Friday, July 22, 2011

"#$%&!'())%**(+,!-./0)#1&!UNCF—the United Negro College Fund!2345!6())07!8#9&!:01;01#$%!<1(=%!>?8?!@0A!B5C55!D#(1E#AF!GH!335IB!!D#AJ!K5IL35CL35KM!N!OL,#()J!1%*%7#)PQ,&;?01Q! !

"#$%&!'())%**(+,!-./0)#1&!American Indian Graduate Center Scholars!!RC35!'0*$Q0,%1S!@)=T?F!UOF!-$%?!BL@!!H)V+W+%1W+%F!U'!2KB5MLB3MB!!D#AJ!C5CL22RL242I!N!OL,#()J!Q,&P#(Q.&?01Q! !

"#$%&!'())%**(+,!-./0)#1&!Asian & Pacific Islander American Scholarship Fund!BM55!X!-$1%%$F!U6F!-+($%!3B5!!6#&/(*Q$0*F!<:!355I4!!D#AJ!353LCI5L54RI!N!OL,#()J!Q,&P#;(#&E?01Q! !

"#$%&!'())%**(+,!-./0)#1&!Hispanic Scholarship Fund!!CC!-%.0*T!-$1%%$F!-+($%!BC55!!-#*!D1#*.(&.0F!:H!MRB5C!!D#AJ!RBCL252L3RBB!N!OL,#()J!Q,&(*E0P/&E?*%$! !

1

Page 2: 2011-2012 GMS Renewal Packet Priority Deadline: Friday ... GMS Renewal Packet Priority Deadline: Friday, July 22 ... and are important resources for Gates Millennium Scholars

!Submit your 2011-2012 renewal documents to GMS by Friday, July 22, 2011. See page 1 of the renewal packet for GMS contact information.

"#$%&!'(!)'*+&*+,!

!!-./!)'*+#0+!1*('23#+4'*!

You must submit your required documents to the appropriate GMS Administrative Office55555!! 6!!!

!"#$%&!'(!)'*+&*+,555555555555555555555555555555! 7!!!!8&$9$#,&:!;&,'<20&,!('2!+=&!7>6697>67!-./!;&*&?#%!@2'0&,,A!/0='%#2!8&$,4+&!#*:!/0='%#2!)'**&0+4'*!!

www.gmsp.org and www.gmsconnection.org are important resources for Gates Millennium Scholars5! B!!!!"=4*C,!D'<!E&&:!+'!F*'?!G$'<+!;&*&?#%55555555555555555555! H!!!!!-./!-2#:<#+&!I<*:4*C!-<4:&%4*&,!

Important information for current and/or prospective graduate Scholars5555555555J! K!!

!!!L'0<3&*+!;&M<42&3&*+,!! Checklist5555555555555555555555555555555! N !!!-./!;&*&?#%!I'2355555555555555555555555555555! O!!!!-./!1*('23#+4'*!/=&&+555555555555555555555555555! P9Q!!!!I2&M<&*+%R!G,S&:!T<&,+4'*,5555555555555555555555555! 6>!

!

!!

2

Page 3: 2011-2012 GMS Renewal Packet Priority Deadline: Friday ... GMS Renewal Packet Priority Deadline: Friday, July 22 ... and are important resources for Gates Millennium Scholars

!Submit your 2011-2012 renewal documents to GMS by Friday, July 22, 2011. See page 1 of the renewal packet for GMS contact information.

"#$!%&'(!)%(!&*+,+)-!)#!.%&/0(!-#$1!2.%#,&1!3(*4+)(!,#0+/!+/5#16&)+#/!+5!-#$!%&'(!/#)!7#/(!4#!&,1(&7-8!9#0!#/!)#! !:::8064;8#10!:+)%!)%(!$4(1/&6(!&/7!;&44:#17!;1#'+7(7!)#!-#$!*-!)%(!<&)(4!=+,,(//+$6!2.%#,&14!>1#01&6!&/7!5#,,#:!)%(!4.1((/!;1#6;)4!)#!.%&/0(!-#$1!,#0+/!+/5#16&)+#/8!!

!Web-based Resources for 2011-2012 GMS Renewal Process:!Scholar Website ?:::8064;8#10@!! !!Scholar Connection ?:::8064.#//(.)+#/8#10@

!The Scholar Website and Scholar Connection are important resources for Gates Millennium Scholars.

SCHOLAR WEBSITE SCHOLAR CONNECTION

SCHOLAR WEBSITE ?:::8064;8#10@: !

!!!!! !!

!!

! Please do not share your Scholar Website username and password with anyone else. !!

!!!!!!!!

SCHOLAR CONNECTION ?:::8064.#//(.)+#/8#10@: 2.%#,&1!A#//(.)+#/!+4!)%(!<=2!.#66$/+)-B4!'(1-!#:/!4#.+&,!/():#1C+/0!4+)(8!! D4(!2.%#,&1!A#//(.)+#/!)#!/():#1C!:+)%!5(,,#:!<&)(4!2.%#,&148!!

E(1(!+4!&/!#'(1'+(:!#5!:%&)!2.%#,&1!A#//(.)+#/!%&4!)#!#55(1F!

A1(&)(!"#$1!>1#5+,(!! D;,#&7!>+.)$1(4!!

G..(44!H(&)$1(!G1)+.,(4!! I#:/,#&7!<=2!H#164!!

>&1)+.+;&)(!+/!I+4.$44+#/4!! A1(&)(!9&4)+/0!H1+(/74%+;4

UPDATE! J/!&77+)+#/!)#!J/)(1/()!KL;,#1(1M!#)%(1!:(*!*1#:4(14!4$.%!&4!FirefoxM!Chrome &/7!Safari :+,,!&,,#:!5$,,!&..(44!)#!-#$1!<=2!;1#5+,(!+/5#16&)+#/!:%(/!'+4+)+/0!)%(!2.%#,&1!3(*4+)(8!!

Click onF!!

My Profile )#!$;7&)(!-#$1!.#/)&.)!+/5#16&)+#/8!<=2!:+,,!4(/7!&,,!.#11(4;#/7(/.(!)#!-#$1!;1(5(11(7!6&+,+/0!&771(448!IMPORTANT: IT IS YOUR RESPONSIBILITY TO NOTIFY GMS OF CHANGES TO YOUR CONTACT INFORMATION.!

My Status )#!5+/7!#$)!+5!<=2!1(.(+'(7!)%(!7#.$6(/)4!-#$!4(/)!GNI!)#!.%(.C!)%(!&6#$/)!&/7!4)&)$4!#5!-#$1!<=2!&:&178!

My Documents!)#!4$*6+)!7#.$6(/)4!)#!<=2!(,(.)1#/+.&,,-8!!

3

Page 4: 2011-2012 GMS Renewal Packet Priority Deadline: Friday ... GMS Renewal Packet Priority Deadline: Friday, July 22 ... and are important resources for Gates Millennium Scholars

Things You Need To Know About Renewal

Before you renew your scholarship, consider the following: !! "#$!%&'(&')*!+$,+-'.$!/(&!0123'00'(.!(/!,--!&$41'&$+!&$.$5,-!+(613$.)0!)(!)#$!,%%&(%&',)$!7,)$0!8'--$..'13!96#(-,&0!:789;!<+3'.'0)&,)'=$!>//'6$!'0!FRIDAY?!JULY 22, 2011@!!A,'-1&$!)(!3$$)!)#'0!+$,+-'.$!5'--!+$-,*!789!/1.+'.B@!!

! 96#(-,&0!5#(!6#((0$!)(!,))$.+!'.0)')1)'(.0!)#,)!+(!.()!%,&)'6'%,)$!'.!federal financial aid programs!,&$!.()!$-'B'2-$!/(&!789!/1.+'.B@!

!

"(!2$!$-'B'2-$!/(&!789!/1.+'.B?!96#(-,&0!310)!/'-$!)#$!Free Application for Federal Student Aid (FAFSA)!$,6#!,6,+$3'6!*$,&!,.+!2$!+$$3$+!$-'B'2-$!)(!&$6$'=$!/$+$&,-!/'.,.6',-!,'+!2*!)#$'&!'.0)')1)'(.0C!A'.,.6',-!<'+!>//'6$0@!<--!96#(-,&0!,&$!1&B$+!)(!/'-$!)#$'&!FAFSA!2*!)#$'&!'.0)')1)'(.C0!%&'(&')*!+$,+-'.$@!!D-$,0$!='0')!555@/,/0,@$+@B(=!/(&!3(&$!'./(&3,)'(.@!!!

! Read the GMS Administrative Guidelines,!-(6,)$+!(.!)#$!96#(-,&!E$20')$!,)!555@B30%@(&B!,.+!96#(-,&!F(..$6)'(.!,)!555@B306(..$6)'(.@(&B?!)(!-$,&.!3(&$!,2(1)!)#$!&$41'&$3$.)0!(/!)#$!06#(-,&0#'%@!

!G$-%/1-!'./(&3,)'(.!*(1!5'--!.$$+!,0!,!7,)$0!8'--$..'13!96#(-,&!'0!(1)-'.$+!'.!)#$!B1'+$-'.$0?!'.6-1+'.B!'./(&3,)'(.!(.!789!/1.+'.B!-'3')0?!)#$!789!,5,&+!,--(6,)'(.!%&(6$00?!)#$!,..1,-!H$.$5,-!%&(6$00!,.+!/1.+'.B!(%)'(.0!,=,'-,2-$!)(!*(1!,0!,!7,)$0!96#(-,&@!!

!! "#$!GMS e-mail!'6(.!(.!)#$!#(3$%,B$!(/!)#$!96#(-,&!E$20')$!%&(='+$0!,66$00!)(!*(1&!789!$I3,'-!,66(1.)!:gatesscholars.org;@!

! You may use your GMS e-mail to exchange messages with the GMS staff and other Gates Millennium Scholars at their GMS e-mail addresses until September 30, 2011. Effective October 1, 2011 your GMS e-mail account (gatesscholars.org) will be deactivated. Future correspondence will be sent to your personal e-mail address that you have on file with GMS.!

! NOTEJ!K(1&!789!$I3,'-!:gatesscholars.org;!5'--!(.-*!0$.+!(&!&$6$'=$!3$00,B$0!/&(3!()#$&!789!,.+!789!<+3'.'0)&,)'=$!>//'6$!$I3,'-!,++&$00$0!:$@B@?!B30L,'B60@(&B?!B30L,%',0/@(&B?!B30'./(L#0/@.$);@!M(!.()!0$.+!$I3,'-0!/&(3!*(1&!789!,66(1.)!)(!$N)$&.,-!,66(1.)0!-'O$!73,'-?!G()3,'-?!*(1&!06#((-!$I3,'-!(&!()#$&!.(.I789!,66(1.)0@

Submit your 2011-2012 renewal documents to GMS by Friday, July 22, 2011. See page 1 of the renewal packet for GMS contact information.

4

Page 5: 2011-2012 GMS Renewal Packet Priority Deadline: Friday ... GMS Renewal Packet Priority Deadline: Friday, July 22 ... and are important resources for Gates Millennium Scholars

!Submit your 2011-2012 renewal documents to GMS by Friday, July 22, 2011. See page 1 of the renewal packet for GMS contact information.

!GMS Graduate Funding Guidelines!

Special information for current and prospective graduate Scholars

Capped Awards!"!#$%!&'()*+,!-$.-,/$0!+$!-*/0/1*-!23&!45$6-6!7+8.-,98!),!6)'.),+*!0,+65+.-!:,)0,+7!;/$'*56/$0!.-+'(-,!'-,./4/'+.-!+$6!<6=&=!:,)0,+78>?!@/**!1-!')$8/6-,-6!4),!+!0,+65+.-!4-**)@8(/:!+@+,6=!!A(-!'+::-6!0,+65+.-!4-**)@8(/:8!4),!#'+6-7/'!B-+,!CDEE"CDEC!+,-!$).!.)!-F'--6!$36,122!4),!:,/G+.-!/$8./.5./)$8!+$6!$24,892!4),!:51*/'!/$8./.5./)$8=!

Graduate Program of Study Eligibility -!A)!1-!-*/0/1*-!4),!23&!45$6/$0!')$8/6-,+./)$?!0,+65+.-!&'()*+,8!758.!1-!6-0,--"8--H/$0!8.56-$.8!/$!)$-!)4!8-G-$!23&"45$6-6!6/8'/:*/$-8I!')7:5.-,!8'/-$'-?!-65'+./)$?!-$0/$--,/$0?!*/1,+,%!8'/-$'-?!7+.(-7+./'8?!:51*/'!(-+*.(!+$6!8'/-$'-=!

! GMS Graduate fellowships will NOT be awarded in the following graduate areas of study: business, humanities, medicine, law, social sciences and theology. !

! Graduate Program Inquiry J!&/$'-!K+$5+,%!CDED?!+**!2+.-8!3/**-$$/57!&'()*+,8!-$.-,/$0!0,+65+.-!8'())*!/$!)$-!)4!.(-!8-G-$!45$6-6!+,-+8!)4!0,+65+.-!8.56%!;*/8.-6!+1)G->!+,-!,-L5/,-6!.)!8517/.!+!2,+65+.-!M,)0,+7!N$L5/,%!@/.(!85::),./$0!6)'57-$.+./)$!1-4),-!8.+,./$0!.(-/,!6-8/,-6!6-0,--!:,)0,+7=!!

N4!%)5!(+G-!not!+*,-+6%!,-'-/G-6!:,/),!23&!+::,)G+*!,-0+,6/$0!.(-!-*/0/1/*/.%!)4!%)5,!0,+65+.-!:,)0,+7!4),!45$6/$0!')$8/6-,+./)$?!8517/.!.(-!2,+65+.-!M,)0,+7!N$L5/,%!O),7!;2MNO>!+$6!85::),./$0!6)'57-$.+./)$!immediately!!A(-!2MNO!/8!'5,,-$.*%!+G+/*+1*-!4),!6)@$*)+6!4,)7!.(-!Forms!8-'./)$!)4!.(-!&'()*+,!P-18/.-!;@@@=078:=),0>!+$6!/8!+*8)!:)8.-6!)$!.(-!&'()*+,!! ! ! ! !!Q)$$-'./)$98!()7-:+0-!;@@@=078')$$-'./)$=),0>=!

Education Specialist Degree (Ed.S.) - 23&!@/**!')$8/6-,!45$6/$0!4),!+$!<6=&=?!@(/'(!23&!')5$.8!.)@+,6!.(-!7+F/757!ED!+'+6-7/'!%-+,8!)4!45$6/$0!+**)@-6=!

Teacher Certificate Programs!"!23&!@/**!')$8/6-,!45$6/$0!4),!A-+'(-,!Q-,./4/'+.-!M,)0,+78!4),!+!7+F/757!)4!)$-!+'+6-7/'!%-+,=!23&!')5$.8!A-+'(-,!Q-,./4/'+.-!45$6/$0!.)@+,6!.(-!7+F/757!ED!+'+6-7/'!%-+,8!)4!45$6/$0!+**)@-6=!

Summer Funding for Graduate Scholars" 2,+65+.-!&'()*+,8!758.!7--.!ALL!)4!.(-!4)**)@/$0!',/.-,/+!/$!),6-,!.)!1-!')$8/6-,-6!4),!8577-,!45$6/$0I!

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

C= A(-!23&!'+::-6!+7)5$.!@+8!$).!6-:*-.-6!65,/$0!.(-!:,-'-6/$0!+'+6-7/'!%-+,=!A(-!'+::-6!0,+65+.-!4-**)@8(/:!+**)@+$'-!@/**!8-,G-!+8!.(-!7+F/757!+**)@+$'-!4),!+$!-$./,-!.@-*G-"7)$.(!:-,/)6=!2,+65+.-!&'()*+,8!@()!-F(+58.!.(-!7+F/757!'+::-6!+7)5$.!65,/$0!.(-!+'+6-7/'!%-+,!),!:,-'-6/$0!.-,7!)4!-$,)**7-$.!@/**!$).!1-!-*/0/1*-!4),!8577-,!45$6/$0=!

S= &577-,!')5,8-8!+,-!/$!.(-!8+7-!6-0,--!:,)0,+7!.(+.!@+8!:5,85-6!/$!.(-!:,-'-6/$0!+'+6-7/'!%-+,!;/=-=?!&'()*+,!/8!$).!-$,)**/$0!/$.)!+!$-@!:,)0,+7>=!

!IMPORTANTI!T$58-6!23&!45$6/$0!6)-8!$).!'+,,%!)G-,!.)!45.5,-!%-+,8=!

5

Page 6: 2011-2012 GMS Renewal Packet Priority Deadline: Friday ... GMS Renewal Packet Priority Deadline: Friday, July 22 ... and are important resources for Gates Millennium Scholars

!Submit your 2011-2012 renewal documents to GMS by Friday, July 22, 2011. See page 1 of the renewal packet for GMS contact information.

Renewal Document Requirements

FRIDAY, JULY 22, 2011 - SCHOLARSHIP RENEWAL PRIORITY DEADLINE

All required renewal documents must be submitted to the appropriate GMS Administrative Office by the deadline. Failure to meet this deadline will delay GMS funding.

Use this page as a checklist for documents that must be submitted"!!

GMS Renewal Form - #$%!&'(()&'(&!*+,!-%.%/01!2345!60.!7%!839.:!3.!;0<%!=!38!>$?@!4%.%/01!;06A%>"!

!

Transcript - B39!59@>!@975?>!C394!&'(')&'((!D60:%5?6!#40.@64?;>"!!E1%0@%!7%!@94%!>$0>!C394!@;4?.<!&'((!<40:%@!0;;%04!3.!C394!>40.@64?;>"!F8!C39!/%4%!3.!*+,!G%8%45%.>!:94?.<!>$%!&'(')&'((!060:%5?6!C%04H!@975?>!C394!>40.@64?;>!>$0>!?.619:%@!<40:%@!%04.%:!:94?.<!>$%!10@>!060:%5?6!>%45!C39!4%6%?I%:!*+,!89.:?.<"!

!

Financial Aid Award Letter - #3!37>0?.!C394!&'(()&'(&!8?.0.6?01!0?:!0/04:!1%>>%4H!63.>06>!C394!?.@>?>9>?3.J@!8?.0.6?01!0?:!388?6%"!

!

GMS Information Sheet!)!#$%!&'(()&'(&!*+,!F.83450>?3.!,$%%>!60.!7%!839.:!3.!;0<%@!!!!!K)L!38!>$?@!4%.%/01!;06A%>"!!E04>!F!59@>!7%!635;1%>%:!7C!>$%!*0>%@!,6$3104!0.:!E04>!FF!59@>!7%!635;1%>%:!7C!0!8?.0.6?01!0?:!388?6%!4%;4%@%.>0>?I%"!!

If entering a new institution or program, you must also submit:

Admissions Letter!)!Only 9.:%4<40:90>%!,6$3104@!/$3!04%!>40.@8%44?.<!>3!0.3>$%4!?.@>?>9>?3. 59@>!@975?>!0.!060:%5?6!C%04!&'(()&'(&!D:5?@@?3.@!M%>>%4!>3!*+,"!!!

OR

Program Acceptance Letter - Only!<40:90>%!,6$3104@!/$3!04%!>40.@?>?3.?.<!?.>3!0!<40:90>%!:%<4%%!;43<405!34!>40.@8%44?.<!7%>/%%.!?.@>?>9>?3.@N;43<405@!AND!$0I%!014%0:C!4%6%?I%:!;4?34!<40:90>%!;43<405!0;;43I01!8435!>$%?4!*+,!D:5?.?@>40>?I%!O88?6%H!79>!$0I%!.3>!;4%I?39@1C!;43I?:%:!>$%!<40:90>%!;43<405!066%;>0.6%!1%>>%4!59@>!@975?>!>$?@!:3695%.>"! !

IF HOWEVER, C39!/391:!1?A%!>3!>0A%!>?5%!388!OR!6$33@%!>3!%?>$%4!%.>%4!>$%!/34A8346%!34!;94@9%!0!<40:90>%!;43<405!?.!0.!04%0!38!@>9:C!>$0>!?@!.3>!%1?<?71%!834!*+,!89.:?.<H!C39!@$391:!@975?>!3.%!38!>$%!83113/?.<!635;1%>%:!8345@!0.:!>$%!@9;;34>?.<!:3695%.>0>?3.!>3!C394!*+,!D:5?.?@>40>?I%!O88?6%P

!(" Deferment Request Form!Q!:3/.130:!>$%!*+,!G%8%45%.>!E06A%>!8435!>$%!,6$3104!R%7@?>%!

S///"<5@;"34<T!34!,6$3104!U3..%6>?3.!S///"<5@63..%6>?3."34<T"! !

&" NOF - NO longer Funded Status Form!S2345%41C!A.3/.!0@!>$%!D195.?!,>0>9@!2345T!Q!:3/.130:!>$%!VO2!Q!VO!13.<%4!29.:%:!,>0>9@!2345!0.:!?.619:%!C394!8?.01!060:%5?6!>40.@64?;>"! !

6

Page 7: 2011-2012 GMS Renewal Packet Priority Deadline: Friday ... GMS Renewal Packet Priority Deadline: Friday, July 22 ... and are important resources for Gates Millennium Scholars

2011-2012 GMS RENEWAL FORM

Please type or legibly print your responses in blue or black ink for the following: PERSONAL INFORMATION: GMS ID (5 digits): ___________________ Last 4 Digits of Social Security Number: __________________ ________________________________________________________________________________________________________________________ First Name Middle Name Last Name (include former last name, if applicable) CONTACT INFORMATION: My information is the same as in 2010-2011 My information has changed. Updates are provided below: __________________________________________________________________________________________________________ Street Address Apt City State Zip

_________________________________________ ___________________________________________________ Preferred Phone – is this a cell phone number? Yes No Personal E-mail Address

Is there a secondary phone number? Yes No If yes, please provide: (______)_____________________________

LAST SCHOOL YEAR (2010-2011 INFORMATION): 1. Were you on GMS Deferment during 2010-2011? Yes No – If you answered “No” skip to number 2

1a. If you were on GMS Deferment in 2010-2011, were you enrolled at an institution? Yes No

1b. If you were on GMS Deferment in 2010-2011 AND also enrolled at an institution, indicate in number 2 the College/University you attended.

2. College/University attended in 2010-2011: _______________________________________________________________ State: ___________

3. Specify your degree program(s) during 2010-2011:

Associate Bachelor’s Master’s Doctoral Teacher Cert. Ed. Specialist 4. Did you graduate during the 2010-2011 academic year? Yes - Graduation Date: ______/______/______ No

If you answered “Yes,” specify the degree obtained:

Associate Bachelor’s Master’s Teacher Cert. Doctoral Ed. Specialist THIS SCHOOL YEAR (2011-2012 INFORMATION): 2011-2012 Enrollment Plans: Full-time Part-time Projected Graduation Date: _____/______/______ College/University: State:

Specify Your 2011-2012 Degree Program(s): Associate Bachelor’s Master’s Doctoral Teacher Cert. Ed. Specialist

Major/ Program of Study: _______________________________________________________________________________________ Education Status: (Please see the GMS funding term limit guidelines)

Freshman Sophomore Junior Senior 5th Year Undergraduate

Master’s

Doctoral Education Specialist Teacher Certificate

GRADUATE SCHOLARS – If applicable, list the dollar amount of your:

Graduate Assistantships__________ Fellowships__________ Stipends_________ Scholarships (excluding GMS)__________ Grants__________ SIGNATURE AND AUTHORIZATION: YOUR SIGNATURE IS REQUIRED. Without it, your renewal request cannot be processed.

I hereby certify that the information provided on this 2011-2012 Gates Millennium Scholars Renewal Form is, to the best of my knowledge, true and correct. I have not knowingly withheld any facts or circumstances that could jeopardize consideration of my renewal. If I am eligible to receive a 2011-2012 GMS award, I understand that the check will be mailed to my institution for disbursement consistent with GMS guidelines and institutional policy. I authorize the institution(s) I attend(ed) to release and/or disclose to representatives of the Gates Millennium Scholars (GMS) program all required and any requested information. This may include, but is not limited to, copies of or information from my official educational records, my enrollment status and history, letters of recommendation, financial aid information, and disciplinary records. In addition, I authorize GMS to release my name in connection with any public announcement of Gates Scholars, with associated research and with the administration and promotion of the scholarship program.

Signature: Date: / /

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!"##$!"#!%&'(%)*+,-'./),*%(011/%Scholars, please complete and sign Part 1 of this form. Ask your Financial Aid Office to complete Part 2, and submit it with your financial aid award letter by the priority deadline: %%%%%%%%%%%%% % %% !"#$%&#' () *+'# ,- "#'#./0 $1%20/"$ () *+0) ,,%

%+23435246%.27%89:3;<69=>%?=95<<7%@9%@A<%3<B@%?4C<% %

(TO BE COMPLETED BY THE SCHOLAR) PLEASE COMPLETE PART 1 OF THIS FORM AND FORWARD TO YOUR COLLEGE OR UNIVERSITY FINANCIAL AID OFFICE.

GMS ID __________ Last 4 Digits of Social Security #: __________ Phone #: ( )

Student’s Name: _______________________________________________________________ Institution Student ID:

College/University: !"#$%&!'($)!

!*+,-./$01%2(!3(412(!*024526$!"$(6$0!,%#'7208!!! ! ! 92:)!;<;=>>?=>@>A!

!*+,-.812(!B!C2%1D1%!3872(4$0!./$01%2(!,%#'7208#1E!95(4!!!!!!!! ! 92:)!F<F=;A<=<@?A!

!*+,-G18E2(1%!,%#'7208#1E!95(4!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! ! 92:)!?H;=><>=F?HH!

!*+,-IJ"9!!! ! ! ! ! ! ! 92:)!K<A=F<;=F<KL!!3!5(4$0862(4!6#26)!

! 3!2/!0$8E'(81M7$!D'0!$(8501(N!6#26!/O!D1(2(%127!214!'DD1%$!0$650(8!6#18!%'/E7$6$4!D'0/!410$%67O!6'!*+,P!! 3!2/!0$8E'(81M7$!D'0!('61DO1(N!/O!*+,!.4/1(1860261Q$!RDD1%$!'D!2(O!%#2(N$8!6'!/O!D1(2(%127!214!E2%&2N$P!! 3D!3!2/!$71N1M7$!6'!0$%$1Q$!2!F<HH=F<HF!*+,!2S204T!6#$!2S204!%#$%&!'0!U7$%60'(1%!95(48!V02(8D$0!WU9VX!S177!M$!8$(6!6'!/O!1(8616561'(!D'0!

418M508$/$(6!%'(8186$(6!S16#!*+,!N514$71($8!2(4!1(8616561'(27!E'71%OP!! 3D!3!2/!'Q$0=2S204$4!4501(N!6#$!F<HH=F<HF!8%#'7208#1E!2S204!E$01'4T!3!5(4$0862(4!6#26!/O!1(8616561'(!#28!M$$(!24Q18$4!6'!0$D5(4!6#$!5(58$4!

E'061'(!6'!/O!*+,!.4/1(1860261Q$!RDD1%$P!! 3!5(4$0862(4!6#26!3!2/!('6!$71N1M7$!D'0!*+,!D5(41(N!1D!3!40'E!M$7'S!D577!61/$!'0!418%'(61(5$!/2601%57261'(P!!

3!256#'01Y$!/O!%500$(6!1(8616561'(!6'!8#20$!277!0$Z510$4!2(4!0$Z5$86$4!1(D'0/261'(!S16#!6#$!*26$8!+177$((15/!,%#'7208!C0'N02/P!!!

Student’s Signature: Date: !

(TO BE COMPLETED BY THE FINANCIAL AID OFFICE) PLEASE COMPLETE FOR THE ACADEMIC YEAR 2011-2012. RETURN THE COMPLETED FORM TO GMS IMMEDIATELY. IN ADDITION, PLEASE SEND THE MOST RECENT FINANCIAL AID AWARD LETTER. !

2011-2012 EDUCATION LEVEL Please check ( ) the appropriate box to indicate Scholar’s education level. Undergraduate student Graduate student

STATUS OF 2011-2012 FAFSA AND THE FINANCIAL AID PACKAGE !HP!G28!6#18!8654$(6!D17$4!2!F<HH=F<HF!9.9,.[! ! ! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! !!!!!!!!!!!!!!!!!!! !\!!!!!! !J!!FP!38!6#18!8654$(6!$71N1M7$!D'0!D$4$027!D1(2(%127!214[!(3D!8'T!/586!M$!0$D7$%6$4!'(!2!F<HH=F<HF!91(2(%127!.14!.S204!]$66$0)!!!!!!!!!!!!!!!!!!!!!!!!!! !\!!!!!!! !J!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! ! !AP!^'$8!6#18!8654$(6!#2Q$!2!F<HH=F<HF!D1(2(%127!214!E2%&2N$[!(3D!8'T!16!/586!M$!0$D7$%6$4!'(!2!F<HH=F<HF!91(2(%127!.14!.S204!]$66$0)!! !\!!!!!!! !J !!!!!!!!!!!!!!!!!!!!!!!!!!ATTENTION:!3D!O'5!%#$%&$4!_J`!'0!O'5!20$!5(2M7$!6'!0$8E'(4!6'!16$/8!F!'0!A!2M'Q$T!E7$28$!6$77!58!S#$6#$0!6#18!8654$(6a8!!!!!!!!!!!!!!!!!!!!! !\!!!!!! !J !!!!!!!!!!!!!!

!!!!!!!!!!!!!!!!D17$!18!5(4$0N'1(N!Q$01D1%261'(P!!!!!!!!!!!!!!!!!! !!!

! 3D!8'T!18!6#$!9.9,.!Q$01D1%261'(!%'/E7$6$[! ! ! !!!!! ! ! !!!! !!! !\!!!!!! !J!!!!!!!!!!!!!!!!!! ! 3D!9.9,.!Q$01D1%261'(!#28!('6!M$$(!%'/E7$6$4T!S#26!18!6#$!$861/26$4!426$!'D!%'/E7$61'([!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!bbbbb-bbbb-bbbb!!?P!38!6#18!8654$(6!/$$61(N!Satisfactory Academic Progress-,.C!0$Z510$/$(68[!! ! ! ! !!!!!!!!!!!!!!!!!!! !\!!!!!! !J!

!3D!('T!E0'Q14$!M01$D!$:E72(261'()!bbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbbb!!!3D!O'5!%#$%&$4!_('`!6'!16$/8!HT!FT!A!'0!?!2M'Q$T!6#$!,%#'720!18!('6!$71N1M7$!D'0!*+,!D5(41(N!%'(814$0261'(P!Ask the Scholar to contact GMS at 1-877-690-GMSP (4677) immediately!

%D.-/%#E

%D.-/%!E

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Student’s Name!""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""""GMS ID: ##############

See Part 1 of this form for deadline dates and fax numbers or call 1-877-690-GMSP (4677).

!

2011-2012 COST OF ATTENDANCE IMPORTANT: DO NOT INCLUDE EXPENSES FOR THE SUMMER TERM ON THIS WORKSHEET. PROVIDE A DOLLAR VALUE FOR EACH LINE ITEM EVEN IF IT IS ZERO (0). !

"#$%&$!'()#*+$!,-$!./##/0'(1!',$2&!'(!,-'&!3%,$&!4)-/#%56&!7/&,!/.!8,,$(+%()$!97:8;<!!7:8!2*&,!=$!2%+$!'(!%))/5+%()$!0',-!.$+$5%#!5$1*#%,'/(&>!%(+!

2*&,!=$!)/(&'&,$(,!0',-!,-$!)/&,!/.!%,,$(+%()$!./5!?/*5!'(&,',*,'/(6&!$(,'5$!&,*+$(,!=/+?<!!@%&$+!*A/(!.$+$5%#!5$1*#%,'/(&!%(+!'(&,',*,'/(%#!A/#')'$&>!A#$%&$!

%+B*&,!./5!',$2&!&*)-!%&!)-'#+)%5$>!%AA5/C$+!&,*+?!%=5/%+>!#$%5('(1!+'&%='#','$&>!5$&$%5)->!$,)<>!'.!($)$&&%5?<!!!

!

"lace a in the box to indicate the term(s) included in the reported COA: Fall Winter Spring!!

! D*','/(!%(+!.$$&!!!!!! ! ! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!E_______________!! F/*&'(1!%(+!2$%#&!9/(!/5!/..!)%2A*&;! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!E_______________!! 8##/0%()$!./5!=//G&!%(+!&*AA#'$&! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !E_______________!! 7/2A*,$5H5$#%,$+!$IA$(&$&!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!E_______________!! 8##/0%()$!./5!A$5&/(%#!$IA$(&$&! ! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !E_______________!! 8##/0%()$!./5!,5%(&A/5,%,'/(! ! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!!E_______________!!! :,-$5!9description required;!!____________________________ E_______________!

NOTE: GMS will not provide funding for computer-related expenses (e.g., notebooks, desktops, handhelds, hardware, software, printers). Computer-related expenses will be subtracted from the Scholar’s reported COA prior to award determination. TOTAL COST OF ATTENDANCE! ! ! !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!! !!!!!!!!!!!!!!!!E_______________ ATTENTION: $%&"'()*&"+,--"./"*,&.(0&/*",)"/1(2-"2%3()4&5",'"46/"&763-20"+,--")34"244/)*"46,&",)&4,4(4,3)"'30"46/"'(--"272*/%,7"8/209":-/2&/":03;,*/"46/":03024/*"732"2)*"'75 !! ! !

2011-2012 FAMILY CONTRIBUTION - Please report the family contribution (FC).!

J.!%AA#')%=#$>!A#$%&$!5$A/5,!=/,-!,-$!.$+$5%#!2$,-/+/#/1?!9KL;!%(+!'(&,',*,'/(%#!2$,-/+/#/1?!9JL;!K7<!D-$!5$A/5,$+!K7!&-/*#+!'()#*+$!M$,$5%(6&!(/(H

$+*)%,'/(!=$($.',&!%(+!&,%,$!$+*)%,'/(!=$($.',&!,-%,!%5$!(/,!'(!,-$!.'(%()'%#!%'+!A%)G%1$<!!

!

FEDERAL FC E_______________!! !!INSTITUTIONAL FC!E_______________!!!9"#$%&$!05',$!NO8!'.!?/*5!'(&,',*,'/(!+/$&!(/,!)%#)*#%,$!%(!JL!K7;!!

! J.!%(!JL!K7!-%&!=$$(!)%#)*#%,$+>!0'##!?/*5!'(&,',*,'/(!%##/0!/*,&'+$!%'+!,/!)/C$5!,-$!+'..$5$()$!=$,0$$(!,-$!.$+$5%#!%(+!'(&,',*,'/(%#!K7!%2/*(,&!0',-/*,!+'&A#%)'(1!'(&,',*,'/(%#!%'+P!!!!!! Q$&! N/!!!

!

! J.!%(!JL!K7!-%&!=$$(!)%#)*#%,$+!+/$&!%(!$IA$),$+!4,*+$(,!7/(,5'=*,'/(!5$A5$&$(,!%!A/5,'/(!/.!,-$!K7P!!!!! Q$&! N/!!! ! ! ! ! ! ! ! J.!&/>!A#$%&$!A5/C'+$!,-$!%2/*(,R!ESSSSSSSSSSSSSSSSSS DETERMINING THE 2011-2012 GMS AWARD AMOUNT

3L4!'&!%!#%&,H+/##%5!%0%5+T!',!5$A#%)$&!%!3%,$&!4)-/#%56&!*(2$,!($$+<!!D-$!3L4!%0%5+!2*&,!=$!%AA#'$+!,/!,-$!3%,$&!4)-/#%56&!$+*)%,'/(%#!$IA$(&$&!./5!

,-$!)/&,!/.!,*','/(>!.$$&>!-/*&'(1>!2$%#&>!=//G&>!&*AA#'$&>!,5%(&A/5,%,'/(!%(+!A$5&/(%#!$IA$(&$&!,-%,!%5$!%##/0%=#$!'(!%))/5+%()$!0',-!.$+$5%#!5$1*#%,'/(&<!!

GMS awards do not replace Federal family contribution (FM FC) /5!%(?!A/5,'/(!/.!%(!$+*)%,'/(%#!#/%(!9"UV4>!*(&*=&'+'W$+!#/%(>!-$%#,-!A5/.$&&'/(%#!#/%(>!&,%,$!#/%(>!'(&,',*,'/(%#!#/%(!A5'C%,$!#/%(!/5!0/5G!&,*+?;!,-%,!)/C$5&!%!4)-/#%56&!KL!K7<!!J.!,-$!4)-/#%5!+5/A&!=$#/0!.*##!,'2$>!+'&)/(,'(*$&!

2%,5')*#%,'/(>!/5!'&!/C$5H%0%5+$+!+*5'(1!,-$!&)-/#%5&-'A!%0%5+!A$5'/+>!,-$!'(&,',*,'/(!&-/*#+!5$.*(+!,-$!*(*&$+!A/5,'/(!,/!,-$!4)-/#%56&!%&&'1($+!3L4!

8+2'('&,5%,'C$!:..')$<!

!

X'+!?/*!$&,'2%,$!,-$!3L4!%0%5+!%&!A%5,!/.!,-$!4)-/#%56&!YZ[[HYZ[Y!.'(%()'%#!%'+!%0%5+!A%)G%1$P!!!!! Yes No !!

J.!&/>!0-%,!'&!,-$!$&,'2%,$+!%2/*(,P!! E!_________________ (Please circle amount on the financial aid award letter).

Name of Financial Aid Counselor: ! ! !

Title: !

Direct Telephone Number:!!( ) !!Fax Number: ( ) !

E-mail Address:

8&!%!.'(%()'%#!%'+!)/*(&$#/5>!J!*(+$5&,%(+!,-%,!,-'&!3%,$&!4)-/#%56&!)/&,!/.!%,,$(+%()$!2*&,!=$!2%+$!'(!%))/5+%()$!0',-!.$+$5%#!5$1*#%,'/(&>!%(+!2*&,!

=$!)/(&'&,$(,!0',-!,-$!)/&,!/.!%,,$(+%()$!./5!2?!'(&,',*,'/(6&!$(,'5$!&,*+$(,!=/+?<!!J!-$5$=?!)$5,'.?!,-%,!,-$!'(./52%,'/(!A5/C'+$+!/(!,-'&!./52!'&!,/!,-$!=$&,!

/.!2?!G(/0#$+1$>!,5*$!%(+!)/55$),<!

Signature: !! ! !!Date: ! !

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!

Submit your 2011-2012 renewal documents to GMS by Friday, July 22, 2011. See page 1 of the renewal packet for GMS contact information.

Frequently Asked Questions

"# If I am unable to submit all of my Renewal documents by the July 22nd priority deadline, when will GMS mail my check for the fall term?

$%&!'()*'!+,+-*'!*.-(/012!03!(+/4!&/431+-5'!.)'0.060.3)!3)!+!-311.)7!8+'.'!8(7.)).)7!.)!9612#!!:;!236!*3!)30!

'68<.0!+11!3;!04(!-(=6.-(*!*3/6<()0'!82!04(!>-.3-.02!*(+*1.)(!?.#(#@!9612!AA@!AB""C@!*(0(-<.)+0.3)!3;!236-!$%&!

+,+-*!<+2!8(!*(1+2(*#!D36!/+)!E.'.0!04(!&/431+-!F(8'.0(!03!E.(,!04(!'0+06'!3;!236-!+,+-*!/4(/G!3-!/+11!"HIJJH

KLBH$%&M!?NKJJC#!

!

A# Do I need to be eligible for the Pell Grant to renew my Gates Millennium Scholars scholarship/awards?!

O3@!M(11!$-+)0!(1.7.8.1.02!.'!)30!+!-(=6.-(<()0!;3-!-()(,+1#!P3,(E(-@!236!<6'0!;.1(!04(!QR&QR!+))6+112#!M1(+'(!

*3!'3!8(;3-(!236-!.)'0.060.3)5'!>-.3-.02!*(+*1.)(!3-!+0!04(!(+-1.('0!>3''.81(!*+0(#!!

!

S# What is the minimum GPA requirement to maintain the GMS award?

T3!8(!(1.7.81(!;3-!$%&!;6)*.)7@!236!<6'0!<((0!236-!.)'0.060.3)5'!U'+0.';+/03-2!+/+*(<./!>-37-(''V!?&RMC!

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(1.7.8.1.02!;3-!;(*(-+1!;.)+)/.+1!+.*#!

!

N# Should I decline loans that are offered to me?!

T4(!$%&!&0+;;!/+))30!+*E.'(!236!3)!,4(04(-!3-!)30!03!*(/1.)(!04(!(*6/+0.3)+1!13+)'!3;;(-(*!3)!236-!;.)+)/.+1!

+.*!+,+-*!1(00(-#!!M1(+'(!/3)0+/0!236-!;.)+)/.+1!+.*!/36)'(13-!03!*.'/6''!04(!<+00(-#!!:)!04(!<(+)0.<(@!'68<.0!04(!

;.)+)/.+1!+.*!+,+-*!1(00(-!04+0!236!4+E(#!!&/431+-'!+-(!)30!>()+1.W(*!;3-!4+E.)7!(*6/+0.3)+1!13+)'!3)!04(.-!+,+-*!

1(00(-'#!!

!

X# My financial aid office told me to take out a loan to cover my family contribution (FC). Will GMS cover all of my loans?

$%&!+,+-*'!*3!)30!-(>1+/(!Q(*(-+1!Q+<.12!Y3)0-.860.3)!?Q%!QYC!3-!+)2!>3-0.3)!3;!+)!(*6/+0.3)+1!13+)!?(#7#@!

MZ[&@!6)'68'.*.W(*!13+)@!4(+104!>-3;(''.3)+1!13+)@!'0+0(!13+)@!.)'0.060.3)+1!13+)@!>-.E+0(!13+)C!04+0!/3E(-'!+!

&/431+-5'!Q%!QY#!

!

K# Will GMS cover my off-campus housing?

T4(!$%&!+,+-*!.'!8+'(*!3)!04(!.);3-<+0.3)!1.'0(*!3)!236-!;.)+)/.+1!+.*!+,+-*!1(00(-!+)*!04(!$%&!:);3-<+0.3)!

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/3'0!3;!+00()*+)/(#!!!

!

J# I am planning to study abroad. Will GMS cover this expense?

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6).E(-'.02!*6-.)7!04(!;+11@!,.)0(-!+)*]3-!'>-.)7!0(-<'!+)*!3)12!,4()!04(!'06*2!+8-3+*!(\>()'('!+-(!

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;.)+)/.+1!+.*!04-3674!236-!home!/311(7(!3-!6).E(-'.02!*6-.)7!04(!0(-<?'C!04+0!236!'06*2!+8-3+*#!$%&!*3('!)30!;6)*!.)*(>()*()0!'06*2!+8-3+*!>-37-+<'!3-!'6<<(-!'06*2!+8-3+*!>-37-+<'#!!!

!

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