TENNESSEE TECH CYBERCORPS SCHOLARSHIP FOR SERVICE APPLICATION Survey

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* 1. Personal Information

First Name *

Last Name

Address *

City/Town *

State/Province *

ZIP/Postal Code *

Country *

Email Address *

Phone Number *

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* 2. Age

<18

18 - 29

30 - 44

45 - 59

60+

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* 3. What is your gender?

Female

Male

Prefer not to answer

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* 4. What is your ethnicity? (Please select all that apply.)

American Indian or Alaskan Native

Asian or Pacific Islander

Black or African American

Hispanic or Latino

White / Caucasian

Prefer not to answer

Other (please specify)

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* 5. For tuition purposes, what state are you a resident of?

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* 6. Last Institution attended:

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* 7. Last Term attended:

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* 8. Degree Program (in progress or earned)

Other (please specify)

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* 9. Undergraduate Major

CIS

ECE

CompE

MIS

Math

Other

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* 10. Minor(s):

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* 11. In what month and year do you expect to graduate? (Example: May 2022)

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* 12. Current Cumulative GPA (/4.0)

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* 13. Current Major Specific GPA (/4.0)

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* 14. Total credit units/hours required by your (current or earned) degree program:

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* 15. Total credit units/hours you will complete by August 1, 2022:

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* 16. So far, what experiences/exposures have you had with cyber/information/computer security field? Select all that apply.

None

Taken course(s) on campus where such concepts were discussed/studied

Taken 1 specialized course on campus in the field

Taken more than 1 specialized courses on campus in the field

Taken online course(s) in the field

Undergraduate specialization in the field

Undergraduate/graduate thesis/capstone project in the field

Undergraduate/graduate course project in the field

Hands on experience with tools/techniques in the field

Competition experience in the field

Student club experience in the field

Professional certification in the field

Please elaborate if needed or specify any others:

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* 17. Please upload a Statement of Purpose (limited to 1 page) that highlights your aspirations and aptitude in becoming a SFS scholar.

PDF file types only.

Choose File

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* 18. Please upload your Resume that includes work experience, key skills, honors/awards, extra-curricular activities, etc.:

PDF file types only.

Choose File

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* 19. Please acknowledge that majority of SFS approved jobs are in the Washington Dc area and you will have no problem moving there, if needed.

Yes, I agree.

Not acceptable