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? ______

______

______

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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