Payne Scholars Application

Please complete this form to be considered for the Payne Scholars one (1) credit class.

First Name*
Last Name*
Colorado School of Mines email address*
Enter Email Confirm Email

Please use your Colorado School of Mines email address.
CWID*
Intended Graduation Semester*
- Spring
- Summer
- Winter
Please chose the semester in which you intend to graduate from Colorado School of Mines.
Graduation Year*
Please put the four number year that you intend to graduate from the Colorado School of Mines. For example: 2020
Major of Study*
If you have a double major, please enter the major that you would like to consider for research purposes.
Minor
Work Study*
This is not a consideration for entrance to the program. It is for contract payment purposes only.
In 250 words or less, please write why you would like to be considered for the Payne Scholars Program.*
Name
This field is for validation purposes and should be left unchanged.