If disabled or retired, from where__________________________________________________ Mother’s Name_______________________________
Occupation______________________
Employed By______________________________________
How Long________________
If disabled or retired, from where_________________________________________________ Are you a single parent with dependent child(ren) ______ Non-traditional student__________ No. of child(ren) living at home who are dependent upon the total family income____________ Age of child(ren)_______________________________________________________________ Will you have to contribute to the support of another while you are in college? ______________ If yes, please explain_____________________________________________________________ Are you employed (full/part time, workstudy, extra help, etc.? ________ Describe your work experiences._______________________________________________________________ ______________________________________________________________________________
Beginning with high school, list in chronological order all schools attended: School/College
Location
Years Attended
______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ List school activities in which you have been involved (clubs, organizations, offices): ______________________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ What community activities/organizations are you involved? ______________________________________________________________________________ ______________________________________________________________________________ What special talents do you possess and what are your hobbies/special creative interests? ______________________________________________________________________________ ______________________________________________________________________________ Give the names and addresses of two personal references: ______________________________________________________________________________ ______________________________________________________________________________ Secure a letter of recommendation from your departmental chairperson, academic advisor or a professor/instructor in your department. On a separate sheet, write a brief narrative (100 words or more) of your area of study at UAPB and your plans after graduation. (MUST BE TYPED.)
Please attach a copy of your current award letter (2016-17) to this application. Signature_________________________________________
Date______________
APPLICATION DEADLINE IS FEBRUARY 16, 2017 12:00 NOON ADMINSTRATION BUILDING, ROOM 207
CRITERIA FOR ALUMNI SCHOLARSHIP 1. Must be a UAPB student, have 30 or more hours and possess a 2.3 GPA or better to apply. Applicants must be first time degree seeking students. 2. Complete both sides of the application form. All scholarship applications must be typed. A copy of your current award letter (201617) must be attached to the application. 3. Must be enrolled in 12 or more hours during the Fall ‘17 and Spring ’18 semesters to be eligible for scholarship. (The scholarship amount is split between the fall and spring semesters and will be awarded based on students being enrolled both semesters). 4. Application must be submitted no later than 12:00 p.m. on February 16, 2017 to be considered. No emailed applications will be accepted. 5. All recipients will be notified and must send thank you letter(s) to donor(s) in order to receive the scholarship(s) for Fall ‘17 and Spring ’18 semesters. 6. Recipients of scholarship(s) who are participating in summer internships/co-ops must notify this office with contact information. Failure to do so may result in forfeit of scholarship(s). For additional information, please contact the Office of Alumni Affairs at 870575-8499.
PLEASE ATTEND FOUNDER’S & HONORS CONVOCATION ON THURSDAY, APRIL 27, 2017. THE SCHOLARSHIP RECIPIENTS WILL BE ANNOUNCED AT THAT TIME.
