Lingzi Lu Memorial Award Application Form

PLEASE TYPE OR PRINT

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Qualifications: To be eligible, applicants must be enrolled in a master's degree program in statistics or biostatistics at the time of application for the award, or must have completed a master's degree in statistics or biostatistics no more than two years prior to the time of application for the award.

PERSONAL DATA

Date:
Name:
LAST NAME / FIRST / MIDDLE
Present Address: / Email:
(Number and Street)
Present Phone:
(City, State/Province, ZIP/Postal)
Permanent Address: / Permanent Phone:
(Number and Street)
(City, State/Province, ZIP/Postal)
I am currently enrolled in a master’s degree program in statistics or biostatistics at the time of this application (no later than October 1 of the current year). / Yes / No
OR
I have completed a master’s degree in statistics or biostatistics no more than 2 years prior to the time of this application (no later than October 1 of the current year). / Yes / No

EDUCATION

Please complete the information requested for all universities or colleges attended. Where a degree was not received, provide the semester/quarters in attendance as a full-time student.

School Name / Location / Attendance (Mo/Yr) / Degree / GPA

Page 1 of 3

SCHOLASTIC ACHIEVEMENTS
Undergraduate Cumulative
Grade Point Average: / Master’s Degree Grade Point Average:
Out of Possible Points: / Out of Possible Points:

SCHOLASTIC HONORS (Honor Societies, Prizes, Scholarships, etc.):

ACTIVITIES

REFERENCES
List two individuals who are sending letters of recommendation (academic references are preferred.)
Name / Affiliation / Phone #s / Email
1.
2.
PERSONAL ESSAY (Maximum of 500 words; please use a separate sheet and attach it to this application.)
A personal essay of 500 words or less should explain your career goals, what you hope to learn by attending the conference, and how you plan to contribute to real-world applications of statistics.

I authorize the circulation of the documents I have submitted or which have been submitted on my behalf to those parties who are involved in the selection process.

Signature: / Date:

Electronic submission of all materials, including letters of reference, is strongly encouraged.

The following MUST be received by October 15:

  • This application form
  • Personal essay
  • Two academic reference letters
  • All academic transcripts (unofficial transcripts are acceptable)

PLEASE SEND APPLICATION AND MATERIALS TO:

or

American Statistical Association

Attention: Award Nominations

732 N. Washington Street

Alexandria, VA 22314

Academic Reference Letter for Applicant

LINGZI LU MEMORIAL AWARD

PERSONAL DATADate:

Name:
LAST NAME / FIRST / MIDDLE
Present Address: / Present Phone:
(Number and Street)
Email:
(City, State/Province, ZIP/Postal)
Permanent Address: / Permanent Phone:
(Number and Street)
(City, State/Province, ZIP/Postal)

REFERENCE

Name:
LAST NAME / FIRST / MIDDLE
Affiliation:
Address: / Phone No.:
(Number and Street)
Email:
(City, State/Province, ZIP/Postal)
Please provide information about the academic and personal qualifications of the applicant. In particular, please comment on or assess the candidate’s ability to do graduate work and contribute to real-world applications of statistics.

PLEASE SEND THIS REFERENCE LETTER, TO BE RECEIVED BYOctober 15, to the address listed below. Electronic submission is encouraged (PDF with letterhead and signature or “plain” e-mail with institutional return address).

or

American Statistical Association

Attention: Award Nominations

732 N. Washington Street

Alexandria, VA 22314

Academic Reference Letter for Applicant

LINGZI LU MEMORIAL AWARD

PERSONAL DATADate:

Name:
LAST NAME / FIRST / MIDDLE
Present Address: / Present Phone:
(Number and Street)
Email:
(City, State/Province, ZIP/Postal)
Permanent Address: / Permanent Phone:
(Number and Street)
(City, State/Province, ZIP/Postal)

REFERENCE

Name:
LAST NAME / FIRST / MIDDLE
Affiliation:
Address: / Phone No.:
(Number and Street)
Email:
(City, State/Province, ZIP/Postal)
Please provide information about the academic and personal qualifications of the applicant. In particular, please comment on or assess the candidate’s ability to do graduate work and contribute to real-world applications of statistics.

PLEASE SEND THIS REFERENCE LETTER, TO BE RECEIVED BY October 15, to the address listed below. Electronic submission is encouraged (PDF with letterhead and signature or “plain” e-mail with institutional return address).

or

American Statistical Association

Attention: Award Nominations

732 N. Washington Street

Alexandria, VA 22314