Name: ______NMSU Aggie ID_______
Address: ______City______State______Zip______
Email: ______Telephone # _(______)______
Ethnicity (optional)______Intended Major/Career reference______
Summer Enrollment status: Full Time ______Part Time ______
Previous academic experience (check all that apply): High School _____ GED _____ College _____
Year Graduated from High School/GED______Most recent GPA ______
(College or High School)
Have you completed a Free Application for Federal Student Aid (FAFSA) Yes ____ No____
(FAFSA application must be on file in order to be considered for this scholarship)
What do you perceive as your academic goals? ______
______
______
-- OVER –
Please write a brief essay, no more than 400 words. Describe how you plan to make (or have made) a positive difference in your community.
______
*Please attached one letter of recommendation from a staff or faculty member on campus or from
your high school.
I give my permission for a copy of my high school/GED/college transcript to be attached to this application for review by the appropriate scholarship committee.
______
Signature Date