*Required

I wish to apply for a Paul D. Doolen Scholarship for the Study of Aging in the area of *:

Biological-Biomedical Sciences  Behavioral-Social Sciences

1. Name

First*

Middle

Last*

2. University Identification Number (UIN)*

3. Permanent legal home address

Street*

Apartment number

City*

State*

Zip*

Phone*

Email*

4. Campus address (if different from home address above)

Street

Apartment number

City

State

Zip

5. You are currently enrolled

a. Campus*

Urbana-Champaign
Chicago

b. College*

c. Curriculum

6. Enrollment plans for academic year 2025-2026

a. Campus*

Urbana-Champaign
Chicago

b. College*

c. Curriculum

7. Transcripts

Send an official transcript from each institution you have attended (undergraduate and graduate) to:
Doolen Scholarship Committee
University Academic Programs and Services
807 South Wright Street, Suite 370 (MC 307)
Champaign, IL 61820
or by email to: uspscholarships@uillinois.edu

8. Current GPA

9. Educational Experience*

List in chronological order the colleges/ universities you have attended, dates attended, and degrees earned.

College or University Attended

Dates Attended

Degree(s) Earned

10. Professional Experience*

List in chronological order the positions held and academic or professional activities conducted.

11. Publications*

List your peer-reviewed academic or professional publications. Include only published, in press or submitted works. List abstracts/ presentations separately from complete papers.

12. Graduate Academic Awards and Honors

List in chronological order the academic awards and honors that you have earned during your graduate career.

13. References*

Please list the names, mailing addresses, phone numbers, and email addresses of three persons who have agreed to write letters of recommendation on your behalf. Two of these must have first-hand knowledge of your work as a graduate student and be able to attest to your academic and scholarly abilities in the study of aging. The references you enter will receive emails inviting them to submit their recommendation online. Recommendations must be received electronically from the designated recommenders by 10/17/2025.

Reference 1

Name*

Address*

Phone*

Email*

Reference 2

Name*

Address*

Phone*

Email*

Reference 3

Name*

Address*

Phone*

Email*

14. Statement of Experience and Purpose*

Note that the selection committee places considerable emphasis on applicants' discussion of research plans and methodology. Describe (limited to the equivalent of two double-spaced pages using 1-inch margins and 12-point font, approximately 4,000 characters) your motivation for the study of aging, and your experiences, expertise and future plans in this area. Please write your statement in three separate sections:

1. Your motivation for the study of aging.
2. Research plans in aging studies
3. Research methodology you expect to employ

1. Your motivation for the study of aging.*

2. Research plans in aging studies*

References:

3. Research methodology you expect to employ*

References:

 

I have reviewed the above information for accuracy and am ready to submit this application.*

*Required