The James Baxter Endowed Scholarship

For 2017-2018 Academic Year The James Baxter Endowed Scholarship was established in 2004 in memory of a UTSA alumnus and former Political Science Instructor, Mr. James Baxter. Mr. Baxter held a B.A. degree from the State University of New York and an M.P.A. degree in Public Administration from UTSA. He taught several classes in Political Science from 1998 to 2003, and he was regarded by faculty and students as an excellent teacher and student mentor. Qualifications for this award: Must be enrolled in a minimum of 12 credit hours for fall 2017 and spring 2018 as an undergraduate actively pursuing a degree in Political Science at UTSA (i.e., formally declared major in POL); must be a resident of the State of Texas or permanent resident of the United States; a minimum cumulative GPA of 3.0 and maintain a 3.0 during semesters of award; and preference will be given to students demonstrating financial need.

Please type of print all information. Application must be received in the Department of Political Science and Geography (MS 4.03.02), One UTSA Circle, San Antonio, TX 78249 or for UTSA Downtown Campus, COLFA Associate Dean, 501 W. Durango Blvd. (BV 4.384), San Antonio, TX 78207 no later than February 15, 2017.

Late or incomplete applications will not be considered.

I. PERSONAL DATA

Name _ Banner ID # @______Last First Middle Local Address______Street City County State Zip Permanent Address ______Street City County State Zip Local Phone (____)______Permanent Phone (____)______

Are you a U.S. Citizen? ______If not, what is your Alien Resident #? ______

Are you a resident of the State of Texas? ______Have you declared a major in Political Science?______

*Ethnic Background: White__ Hispanic__ African American__ Asian __ Native American__

Expected graduation date ______Are you paying non-resident tuition?______*Sex____

FOR OFFICE USE ONLY

U.S. Citizen: Yes No Texas Resident: Yes No Permanent Resident: Yes No

Declared Major: ______Current Enrollment: _____ hrs. Credit Hours Earned: ____ hrs.

Financial Need: Yes No Academic Standing: _____ Cumulative GPA: _____ UTSA GPA: _____ * This information is optional. Revised 01/03/2017 II. FINANCIAL AID

Have you submitted information concerning financial need to the UTSA Office of Financial Aid? ______(Note: The Scholarship Committee will first consider applications for students who have demonstrated financial need, followed by students who do not otherwise qualify for financial aid.)

Have you been awarded other scholarships (NOT LOANS) at UTSA for the fall 2017 or spring 2018 semesters? ______If yes, please list them and the approximate $$ amount:

______$$ ______

III. OPTIONAL INFORMATION

Applicants may inform the Scholarship Committee about such matters as their academic awards and achievements, their academic interests in the field of Political Science, their prospective contributions in the field, and their financial need for a scholarship.

Please attach additional narrative information to this form.

IV. SIGNATURE AND CERTIFICATION

I certify that the information in this application is correct to the best of my knowledge. I hereby give permission for this information to be released to the donor or potential donors of any scholarship for which I may be eligible.

______Applicant’s Signature Date