Scholarship Application
(PLEASE TYPE)
PLEASE RETURN FORM TO:
UMKC Staff Council via e-mail at
Deadline: April 1stby 5:00 pm
SCHOLARSHIPS ARE APPLICABLE TO UPCOMING FALL & SPRING SEMESTERS
Applicant Information
Name: (Last, First M.) / Academic Year:
Employee ID#: / Position:
Current Address: / Department:
Phone: / Phone (ext):
Present Academic Level:
Academic Unit: / Academic Major:
Immediate Degree Sought: / UMKC Cumulative GPA:

Staff Council Governing Board Scholarship Application General Information
- Awardees from previous years may not reapply.
- Current UMKC Staff Assembly Governing Board members are ineligible to apply for the scholarship.
- Scholarships are non-renewable. Employees are eligible to receive the scholarship only once for each degree sought. They may reapply once the current degree is received and a new degree program has begun.

General Eligibility Requirements
- Full-time employees of UMKC who are seeking an undergraduate, professional, graduate or doctorate degree from the University of Missouri at the Kansas City campus.

-Applicants must be Full-Time employees at time of award and must remain at full time status during academic award year.Change in full time employment status may result in loss of partial or full award, as decided by the Staff Council Governing Board. The Board must be notified within 14 days of a changed status.
- Applicants must be enrolled in at least 3 credit hours and be eligible for educational assistance from the University of Missouri System.
- Scholarships are based on financial need with preference to individuals with a cumulative GPA of 3.0 or better.
- A completed Federal Application for Financial Student Aid Form (FAFSA) is required before application will be considered for selection. Incomplete applications will not be considered.

- You must submit a “GPA Verification Waiver” along with the application.

Essay Question:

Why this scholarship will benefit me?

Please attach your essay answering the question above. Essay should not exceed one page of 8-1/2”x11” sheet of paper, double spaced, with 1” margins on all sides in 10-point type.

Staff Council Scholarship
GPA Verification Waiver & Media Release Forms
PLEASE ATTACH WAIVER TO SCHOLARSHIP APPLICATION

GPA VERIFICATION WAIVER

Name: (Last, First M.) / Employee ID#:

I,______hereby authorize the leadership of the UMKC Staff Council Governing Board to have access to grade pointinformation from the University of Missouri-Kansas City. Such information is only to be used internally for scholarship requirements and shall not be made available to the public.

Signature: / Date:

MEDIA RELEASE WAIVER

Name: (Last, First M.) / Employee ID#:

I, ______hereby authorize the leadership of the UMKC Staff Council Governing Board to use information from my essay and any relevant information contained in the scholarship application. I do hereby release to the same the rights to exhibit this work in print and electronic form publicly or privately. I waive any rights, claims, or interest I may have to control the use of my identity or likeness in whatever media used. I grant use of these in any and all media, now or hereafter known, and exclusively for the purpose of UMKC Staff Council Scholarship promotion. I further consent that my name and identity will be revealed therein or by descriptive text or commentary.

I understand that there will be no financial or other remuneration, either for initial or subsequent publication. I represent that I am at least 18 years of age, have read and understand the foregoing statement, and am competent to execute this agreement.

Signature: / Date:

NOTE: We will make every attempt to notify prior to use of any essay portion. Scholarship winners’ photo will go on the UMKC Staff Council Website. GPA information is generally never publicized and will never be shared without prior consent. Portions of past winners essays have been published, future essays are not guaranteed publication.