University of Cincinnati
APPLIED SCIENCE – Scholarship Application
for funding use in the 2009-2010 Academic Year
(Please type or print in Ink)
Please check the following items of interest:
(A)________I will be an entering Applied Science freshman for the ‘09-10 academic year.
(B)________I am a returning Applied Science student for the ‘09-10 year, currently am a Applied Science student this ‘08-09 year.
(C)________I will be a transfer student in the Applied Science beginning the ’09 -10 academic year.
Please answer all items.
Name:
(Last) (First) (Middle)
UCID: _____________________________________________ Phone: (_____)
(area code)
Email: ___________________________________________ Gender: ________Male ________Female
(required)
Local Address:
(Street)
___________________________________________________________
(City) (State) (Zip)
Home Address:
(Street)
_______________________________________________________________________________
(City) (State) (Zip)
Please consider me for: __Any/All scholarships possible. __A specific scholarship: _______
(check one) (name)
Amount of scholarship need/want: amount requested $______________
(dollar amount)
Are you / have you received any non-UC and/or non-Applied Science scholarship funds? ______Yes ______ No
If so list scholarships with approximate amounts, and year:
Are you / have you received scholarship funds from a UC source previously? ______Yes ______ No
If so list scholarships with approximate amounts, and year:
Are you receiving any other financial assistance, except for parental assistance? ______Yes ______No
If so, please list:
Which, if any, are the above listed scholarships and/or financial aid expressly committed to you on a continuing basis?
______
Are you qualified for federal/ state school loans? ______Yes ______No If so, did you use them? ______Yes ______No
Please note, application continues on next page.
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Name:
(Last) (First) (Middle)
Freshman Scholarship -Complete this portion if you checked Item A at the beginning.
High School Name: Class Rank / Class Size:
Cumulative GPA: This GPA is weighted unweighted
SCORES ACTcomp ACTEnglish ACTmath:
SATtotal SATverbal SATmath
Please submit (2 pages maximum) your answers to the following questions for evaluation of your application.
1 List of Scholarships, Honors and Awards earned in high school
2 List of extracurricular activities in high school and community.
3 Additional info regarding your activities & yourself that will be helpful in evaluating your application.
4 A short (50 words maximum) biography of yourself in paragraph format.
Non-Freshman (returning) Scholarship -Complete this portion if you checked Item B at the beginning.
Major:
Cumulative GPA at the end of the quarter you last attended:
Expected Graduation Date (qtr / yr): Current year in school: 1 2 3 4 5
Do you plan to Co-Op? Yes No Residency? On-Campus Off-Campus
Please submit (2 pages maximum) your answers to the following questions for evaluation of your application.
1 Extracurricular activities and commitments; Service to others, etc.
2 How critical is scholarship support relative to the completion of your Applied Science degree?
3 State your career goals? How, if any, do you plan to apply your business skills? Why?
4 A short (50 words maximum) biography of yourself in paragraph format.
Transfer (to Applied Science Scholarship -Complete this portion if you checked Item C at the beginning.
Major: Previous College and/or Major:
Quarter entering Applied Science: Cumulative GPA when entering Applied Science:
Expected Graduation Date (qtr / yr): Current year in school: 1 2 3 4 5
Do you plan to Co-Op? Yes No Residency? On-Campus Off-Campus
Please submit (2 pages maximum) your answers to the following questions for evaluation of your application.
Extracurricular activities and commitments; Service to others, etc.
1 How critical is scholarship support relative to the completion of your Applied Science degree?
2 State your career goals? How, if any, do you plan to apply your business skills? Why?
3 A short (50 words maximum) biography of yourself in paragraph format.
The information provided is true, current, and accurate to the best of my ability. If awarded, I agree to complete all necessary
forms. Additionally, I give the UC CEAS - Applied Science permission to release information to the scholarship / loan donor
and realize that my name may appear on published lists provided to the press and other reporting media.
Signature DATE
Submit completed material to: Patrick C. Kumpf, Associate Dean, CEAS - Applied Science, 2220 Victory Parkway, Room
208, Cincinnati, Ohio 45206
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