Apply Scholarship Renewal Amanda J Mierzwa Memorial Fund

Applicant's Name:

Applicant's Cell Phone:

Applicant's Personal Email:

Applicant's University of Michigan Email:

Applicant's Address:

Applicant's City:

Applicant's State:

Applicant's Zip:

High School From Which You Graduated:

Year of High School Graduation:

Current Cumulative GPA

List STEM Courses taken thus far (or attach current transcript)

Declared Major (if not yet declared, list intended major)

Please share your latest thoughts re your career plans.

"Be the things you loved the most about the people who are gone." As we seek to honor Amanda's legacy with these scholarships, please list your participation in activities over the past year that have contributed to the betterment of society