NAME ______________________________________________________ EMAIL _____________________
ADDRESS _______________________________________ CITY __________________ ZIP ____________
HOME PHONE ___________________________ WORK PHONE __________________________________
UNITS COMPLETED ______ CURRENT CLASS LEVEL _______________________ SFSU G.P.A. ______
SOCIAL SECURITY OR STUDENT # ___________________________ MAJOR  _______________________

By signing this form, I grant the San Francisco State University (SFSU) College of Science & Engineering (COSE) permission to check SFSU’s records to verify these facts.

Criteria:
1.  Student must have a declared major in the SFSU College of Science & Engineering
2.  Student must have completed a minimum of 60 units (upper division standing).
3.  Students must be a resident of San Francisco.
4.  Student must have a minimum SFSU GPA of 2.5.
5.  Student must demonstrate a financial need.

Application Procedure:
1.  A completed David G.C. Cassa Memorial Scholarship application (this page).
2.  A paragraph or two covering the following topics: a) How you will use your degree to better the community upon graduation, b) Reasons for applying for this scholarship, and c) Your financial need.
3.  An e-mail recommendation from one SFSU professor in your major field of study to science@sfsu.edu.
4.  An unofficial current copy of your SFSU academic transcript.

Evaluation of applicants will be based on the essay/paragraph, faculty recommendation, and academic record.

Application Deadline:
Bring the completed application packet to the COSE Office of Alumni Relations & Student Projects, Science 248, or mail to: San Francisco State University, College of Science & Engineering, 1600 Holloway Avenue, San Francisco, CA 94132-4163, Attn: Lannie Nguyen-Tang, Scholarship Committee.

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