Bishop Campus application - Colorado Mesa University

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Bishop Campus application - Colorado Mesa University Powered By Docstoc
					Debbie Balmer
2508 Blichmann Avenue
Grand Junction, CO 81505
970/255-2600
970/255-2626 (Fax)                                             BISHOP CAMPUS
dbalmer@mesastate.edu                                               (Must be typed)

                                     SCHOLARSHIP APPLICATION FOR: 2011/2012 school year

TO BE ELIGIBLE FOR AN AWARD, YOU MUST BE AN ACCEPTED MESA STATE COLLEGE/WCCC STUDENT
        AND HAVE COMPLETED AND RETURNED AN APPLICATION PACKET BY APRIL 1, 2011.

CURRENT ADDRESS
FULL NAME
                         (Last)                                         (First)               (Middle)
ADDRESS
CITY                                                             STATE                                            ZIP
HOW LONG AT THIS ADDRESS?                                                    COUNTY OF RESIDENCE
MESA STATE COLLEGE STUDENT ID #                                                                    PHONE
U.S. Citizen Yes         No       Colorado Resident Yes             No                 E-mail address

PERMANENT ADDRESS (if different from above)
ADDRESS
CITY                                                             STATE                                            ZIP

                                                           EDUCATIONAL STATUS
HIGH SCHOOL SENIOR School name
Expected high school graduation date                                                                GPA
Enrolling in which program
-----------------------------------------------------------------------------------------------------------------------------------------------------------
ENROLLED COLLEGE STUDENT

Major/Field of Study                                                                  GPA            A.A.S.          A.S.          CERT.

Number of credit hours anticipated next semester                           Date you expect to receive your degree: (mm/yyyy)
(Note: must be full-time student for most scholarships)
-----------------------------------------------------------------------------------------------------------------------------------------------------------
IF TRANSFER STUDENT


College attended                                                                      Dates              GPA          Hours      Degree earned

CHECKLIST

    Typed and signed application
    2 recommendation letters – one professional and one personal
    Current resume
    Unofficial high school or college transcript
    Response to questions on separate sheet(s) of paper

To be considered for a scholarship all information on checklist must accompany the application. Return scholarship
   application to Debbie Balmer in Building A at WCCC, 2508 Blichmann Avenue, Grand Junction, CO 81505
WCCC Scholarship Application
Page 2 of 2

On a separate sheet(s) of paper, respond to the following:

1. Explain your occupational goals.


2. Explain how your field of study at WCCC will help you attain your educational & occupational goals.


3. Please write a paragraph describing why you feel you need a scholarship and how you will finance your college
   education.


Please complete the following need-based information for student:

Married     Single    Number of dependents          First generation student? Yes    No

Is student employed? Yes    No     If yes, how many hours?           Student’s gross income per month

Have you received grants? Yes     No     If so, how much in total?

Have you received loans? Yes     No     If so, how much in total?

Have you applied for other scholarships? Yes   No      If yes, list names and amounts:




Are you a work-study student or have you applied for a work-study position? Yes          No
If yes, how many hours worked?




Please complete the following information for parents if you are a dependent student:

Gross income                                           Net worth of business

Number of dependents




I certify to the best of my knowledge that all statements submitted by me are current, complete, and my own. I understand
that this application and all other records gathered for scholarship purposes will be kept confidential.


Signature                                                                                Date

				
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posted:9/30/2011
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