Amira Mae Prewett

Personal Information Date Submitted: 12/07/2017

Amira Mae Prewett State Student ID: 2396604

99 Lone Hollow Drive Date of Birth: 11/03/1999

Sandy, Utah 84092 Gender: Female

(803) 504-7903 Black or African

Ethnic Origin:
American
amiraprewett@gmail.com
U.S. Citizen: Yes

I have a criminal record? No

Education Information

Which high school will you graduate Academy for Math, Engineering and ACT Test Scores
from? Science (AMES)

Are you graduating in the 2017-18 Yes ACT Test Date: 10/28/2017
school year?
Composite: 19
Which grade will you be in when 12
you graduate? English: 16

Cumulative High School GPA: 3.500 Math: 18

Which Utah college or university do Reading: 22

University of Utah
you plan on attending?
Science: 19

Course Information

Grade 9
Subject Course School Grades Credit

English English 9 H Keller High School B+, B+, 1.00

Mathematics Algebra 1 Keller High School B+, B+, 1.00

Social Science World Geography Keller High School B+, B+, 1.00

Science Biology H Keller High School C+, C+, 1.00

World Language Spanish 1 Keller High School A, A, 1.00

Grade 10
Subject Course School Grades Credit

English English 10 H Keller High School C+, B+, 1.00

Mathematics Geometry Keller High School B+, B+, 1.00

Social Science World History Keller High School A, A, 1.00

Science Chemistry Keller High School B+, B+, 1.00

World Language Spanish 2 Keller High School B+, B+, 1.00

Grade 11
Subject Course School Grades Credit

English English 11 H Keller High School B+, A, 1.00

 Subject Course School Grades Credit

Mathematics Algebra 2 Keller High School A, A, 1.00

Social Science Hist 2700 US Hist 1877 Keller High School, Salt Lake B+, 1.00
Community College
Science Physics Keller High School A, A, 1.00

Grade 12
Subject Course School Grades Credit

English English 1010 Introduction to Writing Academy for Math, Engineering and 1.00
Science (AMES), University of Utah
English 2010 Intermediate Writing Academy for Math, Engineering and 1.00
Science (AMES), University of Utah
Mathematics Secondary Math 3 H Academy for Math, Engineering and B, 1.00
Science (AMES)
Social Science US Government AP Academy for Math, Engineering and A, 0.50
Science (AMES)

Acknowledgement Statements

I understand that all required documentation (listed below) must be postmarked by December 09, 2017, to meet the priority
deadline, or postmarked by February 1, 2018, to meet the final application deadline. Faxed or emailed documents are not
accepted.

Mail documents to:

Regents' Scholarship
PO Box 145114
Salt Lake City, UT 84114

1. I understand that all required documentation (listed below) must be postmarked by December 8, 2017, to meet the

Note: Additional Official Transcript(s) may be required if you took an English, Math, Social Science, Science, and World
Language course from a school in a district other than the one from which you will graduate. These are the conditions that
would require you to submit additional official transcripts: The coursework you completed from another school/business entity is
not recorded or has been altered on the official transcript of the school from which you will graduate. For example, if your grades
have been changed to P grades or a class title has been changed.

2.Official college transcript(s) should be submitted via the university/college's electronic transcript exchange directly to our
office. If the exchange system that your university/college uses requires you to input an email for the recipient please use
regentsscholarship@ushe.edu. Transcripts emailed directly from the student to our office are not accepted.

i) These are required as part of my supporting documents if I have earned any college credit through concurrent enrollment,
distance education, or regular college/university enrollment for any English, Math, Social Science, Science or World
Language completed during grades 9, 10, and 11.
ii) Your application will be evaluated based on the college grade and credits you earned. Therefore, the official college
transcript must be submitted even if the course is reported on your high school transcript.

3. ACT scores. A photo copy of my score report or the ACT scores listed on my official high school transcript, if my high school
transcript includes ACT scores.

I understand it is my responsibility as the applicant to keep copies and records of documents submitted to the Regents'
Scholarship office such as transcripts, ACT scores, forms and certified mail receipts.

I understand that if I do not complete the courses as I have reported them on my application it may negatively impact my ability to
qualify for the Regents’ Scholarship. This includes completing the course from a different source than originally reported as
well as changing my schedule and not completing the course by the date of graduation.

I understand that the Regents' Scholarship staff will communicate with me via my student portal; therefore it is important that I
check my email (or text message if I have opted to receive texts) often and review the messages in my scholarship portal in a
timely manner. I understand that I can update my contact information and notification settings in My Account Settings.

I understand that to ensure I receive accurate information I will only seek assistance from the Regents’ Scholarship staff.

I understand that if I have not received a notification message from the Regents’ Scholarship office by May 1, 2018, I am to call
the office to inquire about the status of my application or I risk forfeiting consideration for the scholarship.
I understand that information regarding my college enrollment plans may be shared with the college I am planning to attend as a
means to facilitate enrolling at the college.

I understand that by submitting this signed application I am certifying, under penalty of law (perjury), that I am a U.S. citizen or a
qualified alien who is lawfully present in the United States.