Please use this form to submit your Dr. Adawia Alousi Scholarship report for the 2018-2019 school year. This form is for past scholars only and is also used for scholarship renewal requests. If you are a new applicant, please apply here. If you have questions, please contact us. ReportName* First Middle Last Address*List where you will reside most of 2019-2020. Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanÅland IslandsAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarrussalamBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatini (Swaziland)EthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauMacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth KoreaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRéunionRomaniaRussiaRwandaSaint BarthélemySaint HelenaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth GeorgiaSouth KoreaSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan Mayen IslandsSwedenSwitzerlandSyriaTaiwanTajikistanTanzaniaThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks and Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUS Minor Outlying IslandsUzbekistanVanuatuVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabwe Country Phone*Email*Do not list an .edu address if you are graduating. Current college GPA*Have you participated in STEM research or activities during the 2018-2019 school year?*YesNoPlease describe:*Limit your response to no more than 5 sentences.Were you able to identify a female mentor to coach you and give professional guidance/support during the academic year?*YesNoPlease describe your interactions.*Limit your response to no more than 5 sentences.What were the challenges you faced?*Remember that you agreed to find and utilize a mentor throughout your academic year. We understand that there may have been limitations so please describe if so. What are your academic or professional plans for summer 2019 and beyond?*Limit your response to no more than 5 sentences.What additional services would you like to see out of CAAP’s scholarship programs?*Examples include Facebook networking groups, conference opportunities, mentorship programs, etc.Do you want to be considered for a renewal?*You must still adhere to the same eligibility requirements as first-time applicants. Renewals are not guaranteed and can differ from your original award amount.YesNoRenewalName of 2019-2020 academic institution*Student ID numberWhat degree/major are you pursuing?*Are you currently working towards a graduate degree?*YesNoAnticipated date of graduation from your program?*DocumentsPlease upload the following documents in PDF format: 1. Federal Student Aid Report (required) 2. Transcript (required) 3. CV or Resume (required) 4. Additional materials related to research, work, or other STEM activities (optional) Student Aid Report*Name the file "LastName_FirstName_SAR" Accepted file types: pdf.Transcript*Name the file "LastName_FirstName_Transcript" Accepted file types: pdf.CV or Resume*Name the file "LastName_FirstName_Resume" Accepted file types: pdf.Additional Documents (optional) Drop files here or Headshot and BioIf your scholarship is renewed, your photo and short bio will be published on CAAP's website. Headshot*Name the file "LastName_FirstName_Headshot." We only accept jpg or png formats. Please submit a high-quality image.Accepted file types: jpg, png.Short Bio*Please submit a bio of no more than 5 sentences describing yourself. The bio should be written in 3rd person.