ECU-TECS-TSYS

SUBJECT: Scholarship Application, Spring 2014

Scholarship Application

Spring 2014

East Carolina University

Department of Technology Systems

Please type in your information (to be kept confidential and used for scholarship application only) and submit with all applicable supporting documents via email to Leonard E. Palmer, Chair of the Department Scholarship Committee, at . .

Deadline for all scholarship applications is 10 AM, March 18, 2014.

All information must be correct, and you must be qualified for and meet the criteria for the scholarships you apply for.

Last Name: First Name: Middle Initial:

Banner ID number:

For tax purposes if you receive an award:

What country were you born in:______

Are you designated as a “foreign student?”: (Y/N) ______

Local Address:

Local Phone:

Permanent Address (if different from above):

Permanent Phone (if different from above):

After looking at the scholarships available and the requirements for consideration, list what scholarship(s) you are applying for.

References: List three ECU faculty members & office phone no.


Full time or part time student:

Semester hours at ECU:

Semester / Fall 2012 / Spring 2013 / Summer 2013 (estimated) / Fall 2013 (estimated)
Hours

Tentative graduation date:

Declared major:

Concentration:

Minor:

GPA in major:

Hours completed in major:

Current overall GPA:

Total Transfer Credit ((if applicable):

School: Transfer GPA:

Describe your career goals (please elaborate).


List professional organizations with which you are associated. Please indicate any leadership positions:

List participation in service activities (department, school, campus, and community at large).

List your college extracurricular activities ( athletics, band, debate, dramatics, student government, etc.) and years ( freshman, sophomore, junior, senior). Please indicate any leadership positions.

List any job experience related to your major.

Please attach a copy of your resume. It is not required, but helpful.


For need based scholarships:

Indicate present income source(s) and indicate approximately percentage of total college expenses.

Self

Scholarship and grants

Other

Describe your financial need.

Why do you feel uniquely qualified for a scholarship?

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