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					                        University of Memphis
                        School of Accountancy
                   2012/2013 Scholarship Application
                          Due March 1, 2012

Consideration will be given for all scholarships in accounting. Please check your
class status as of August, 2012: Graduate________ Graduate hours completed _____
Applied (Applying) to Graduate School _______
Undergraduate_______ Freshman____ Sophomore____ Junior ____ Senior ____
Full time_______ Part time_______ Please note that most scholarships require full-time status.

Student Information

Last Name ______________________ First Name ______________________ Middle Initial ________

Street Address _______________________________________________________________________________

City ________________________________________ State _______________ Zip Code __________________

Home Phone Number (______)_______________ Cell Phone Number (______)_________________

U.S. citizen? Yes _______ No________ County of Residence _________________________________

Date of Birth ___________________ Gender ______________________ Race ________________________

Email Address ____________________________ University User ID (UUID) ___________________

Marital Status? Single____ Married____ Divorced____ Number of Dependents? ________

Relatives who have attended the University of Memphis: _______________________________

_______________________________________________________________________________________________

Do you or one of your parents work at one of the following companies? (Circle all
that apply.)

Regions Bank       Memphis Light, Gas and Water (MLGW)              Shelby Group International




Fogelman College of Business                                                              Page 1
Academic Information – Undergraduate Scholarships
If you are applying for an undergraduate scholarship, please complete this section.
If you are applying for a graduate scholarship, please skip this section.

Declared major(s) __________________________ Declared minor(s) __________________________

Cumulative GPA __________ Major GPA __________ Expected Graduation Date ____________

Status in Spring 2009 (Check one): Full time _________________ Part time ________________

Number actual/expected cumulative hours: Current _______ Fall _______ Spring _______

Academic Information – Graduate Scholarships
If you are applying for a graduate scholarship, please complete this section.
If you are applying for an undergraduate scholarship, please skip this section.

Undergraduate College or University ______________________________________________________

City ________________________________________ State _______________ Country __________________

Graduation Date ____________________ Undergraduate Cumulative GPA ___________________

Degree(s) Received __________________________________________________________________________

Undergraduate Major _______________________________________ Major GPA___________________

Graduate degree program enrolled in (applied to) ______________________________________

Concentration __________________________ Expected Graduation Date ______________________

Graduate Cumulative GPA _______________ GMAT Score __________ GRE Score ____________

Status in Spring 2012 (Check one): Full time _________________ Part time ________________

Number actual/expected cumulative hours: Current _______ Fall _______ Spring _______


Honors, Awards, Activities & Certifications
Please list any honors or awards you have received, as well as any academic
activities (e.g. business fraternities, student organizations) you are involved in,
indicating any leadership roles and/or offices held:



Certification(s) currently held or pursuing:




Fogelman College of Business                                                           Page 2
Please list any activities and memberships in organizations outside of college,
indicating any leadership roles:




Employment Information
If you are not currently employed please skip to the next section of the application.

Place of employment ______________________________ Dates of employment ________________

Street Address _______________________________________________________________________________

City ________________________________________ State _______________ Zip Code __________________

Position ________________________________________ Number of hours per week _______________

Immediate Supervisor _____________________________ Phone Number (______)_______________


Career Goals

Please briefly describe your career aspirations with respect to the field of business
and accounting.




Do you plan to further your education after graduation? Yes ___________ No ___________
If yes, please describe your future educational plans.




Fogelman College of Business                                                            Page 3
Scholarships & Financial Aid

Are you receiving any scholarships at the University of Memphis? Yes______ No_______

If yes, please list the name(s) of the scholarship(s) you’ve received with the award
amount and the academic year they were received in.

1. Scholarship Name ________________________________________________________________________
Award Amount ____________________________ Academic Year(s) _____________________________

2. Scholarship Name ________________________________________________________________________
Award Amount ____________________________ Academic Year(s) _____________________________

3. Scholarship Name ________________________________________________________________________
Annual Award Amount ____________________________ Academic Year(s) ____________________


Do you receive any other type of financial aid at this time? Yes _________ No _________

If yes, please list the name of the financial aid you’ve received with the award
amount and the academic year they were received in. (Examples include Pell Grant,
subsidized and unsubsidized student loans, etc.)

1. Type of Financial Aid _____________________________________________________________________
Annual Aid Amount ____________________________ Academic Year(s) ________________________

2. Type of Financial Aid _____________________________________________________________________
Annual Aid Amount ____________________________ Academic Year(s) ________________________

3. Type of Financial Aid _____________________________________________________________________
Annual Aid Amount ____________________________ Academic Year(s) ________________________

Please list any extenuating circumstances in terms of financial need:




Fogelman College of Business                                                           Page 4
Agreement

I understand the procedures for admission outlined in this application. To the best
of my knowledge, the information provided in this application is valid and omissions
have not been made. I acknowledge that if an omission has been made, I may forfeit
my eligibility for FCBE scholarship consideration in this award year as well as
subsequent semesters. I give permission for information to be given to appropriate
committees so that they may recommend eligible recipients. I give permission for
my application to be released to a scholarship sponsor. I am aware that scholarship
recipients will be asked to write donor thank you notes, attend special University
events, participate in community service and take part in programs specific to these
scholarships and the University community. Failure to do so will forfeit my
eligibility for FCBE scholarship consideration in this award year as well as
subsequent semesters.

Signature of Applicant ______________________________________________________________________

Date ________________________________________


Please return completed application along with two recommendations (sealed
envelopes or emailed directly to committee chair) and an unofficial transcript
                    as of Dec. 2011 by March 1, 2012 to:

                               Charlene Spiceland
                           Scholarship Committee Chair
                            FCBE School of Accountancy
                            The University of Memphis
                   201 Fogelman College Administration Building
                             Memphis, TN 38152-3120

                 Incomplete applications will not be considered!
   Applications for scholarship are processed without regard to sex, age, race, color,
   creed, national origin or physical handicap. In 1987 and later years, scholarship
             benefits are considered to be taxable income to the recipient.

               An Equal Opportunity / Affirmative Action University




Fogelman College of Business                                                          Page 5

				
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