SENIOR QUESTIONNAIRE

Senior Thesis
Did you conduct a Senior Thesis? * Required
- Yes
- No
Senior Thesis Discipline * Required
Senior Thesis Supervisor/PI * Required
Senior Thesis Location * Required
Please list the institution, agency, or company name.
Senior Thesis City * Required
City State / Province / Region Country
Senior Thesis Title * Required
Senior Thesis Project Description/Abstract * Required

Employment
Please note that the information in this section will only be seen by the Executive Director and shared with the Heyl Science Scholarship Fund Board Members.
Work * Required
Did you work an external job as an undergraduate Heyl scholar?
- Yes
- No
On average how many hours a week did you work? * Required
Why are you working? * Required
Please enter the reason that you are working (ie: if I do not work, I won’t be able to pay my rent).

Mentorship & Guidance
Each of you will be invited to come forward to speak briefly about the faculty member that has impacted your educational journey. Please plan to share a brief statement with attendees about why your Guiding Light is awesome. It doesn’t need to be poetry and only needs to be a few sentences long! These awards are for STEM faculty at K College or Nursing faculty at WMU.
Is there are faculty member that has impacted your educational journey? * Required
For graduating Heyl Scholars from K, this person should be a STEM faculty member. For graduating Heyl Scholars from WMU, this person should be a WMU Bronson School of Nursing faculty member.
- Yes
- No
Faculty Mentors Name * Required
This field is hidden when viewing the form
Please describe how this person has impacted your educational journey? * Required
These words will be read on your behalf although the Fund would like for you to present the award if the person is in attendance.

Next Steps & Reflection
Post-graduation Plans * Required
How did the Heyl Scholarship make a difference in your undergraduate education? * Required
What is one piece of advice you would provide to an incoming Heyl Scholar?
What is one thing the Heyl Science Scholarship Fund could change, do, or provide in order to further impact and enhance future scholars expeirences as an undergraduate?
Personal Image * Required
Please upload a current photo of yourself doing something you enjoy. This image will be used to highlight you at the Spring Celebration.
Accepted file types: jpg, jpeg, png, gif.
Addtional Comments
Please feel free to share any additional comments.

Heyl Scholarships