Patrick J. Quigley Iv Memorial Scholarship

PATRICK J. QUIGLEY IV MEMORIAL SCHOLARSHIP

RUTGERS, THE STATE UNIVERSITY OF NEW JERSEY

Questionnaire

This questionnaire constitutes Part I of a four-part application.

It must be submitted along with an official transcript (Part II), a personal essay (Part III), and two letters of recommendation (Part IV). The completed application must be received in the Department of Art History on or before March 1.

Late applications will not be considered.

Name:

Student ID#:

Address:

E-mail:

Tel:

Class: Full Time Part Time

Major:

Minor:

GPA:

Art History GPA:

Art History Courses:

No. / Title / Grade

Awards and Honors: (Please include any honors or other special courses.)

Employment:

The PATRICK J. QUIGLEY IV MEMORIAL SCHOLARSHIP provides support in the senior year to students who are pursuing a college degree while working to support themselves.

Please provide a complete employment history for the period of your attendance at Rutgers, including position held, name and address of employer, and length of employment, beginning with your current position.

Position / Employer / Address / Tel. / Dates

Extracurricular activities and interests:

Recommendations:

Please supply the name of two faculty members who have agreed to supply a recommendation. It is the student’s responsibility to contact the recommenders and to request that the recommendation be sent to the Undergraduate Director, Dept. of Art History, Voorhees Hall, 71 Hamilton St., New Brunswick, NJ, 08901, by the application deadline.

1.

2.