Staff Association of Fairfield University

STAFF ASSOCIATION OF FAIRFIELD UNIVERSITY Class of 2014 Scholarship Application

Qualifications & Process  This application is available to members of the junior class (2014) at Fairfield University who receive need-based financial aid, and have attended Fairfield University for two consecutive years.

 The Committee will carefully review each application, and will contact qualified applicants to sit for an interview with the Committee later in the spring semester.

 The winner of the scholarship will be the Staff Association’s guest at its annual Scholarship Luncheon in May.

Instructions

 Please answer each question completely, print and sign the application, and return your complete application packet to Jonathan Hodge, DiMenna-Nyselius Library, by 6 pm on Friday, March 8, 2013.

 Your application packet MUST include, in addition to a completed application form, a complete academic transcript and financial aid award history. You can print both your transcript and award history through my.Fairfield: a. Transcript: a.i. Log in to my.Fairfield (formerly StagWeb) a.ii. Click on “Student” tab a.iii. Click on My Academics tab a.iv. Click on “Unofficial Transcript” link to display “Academic Transcript” a.v. Select ‘undergraduate’ from ‘transcript level’ drop-down menu a.vi. Click on “submit” button and make sure you print the complete document b. Financial Aid Award: b.i. Log in to my.Fairfield (formerly StagWeb) b.ii. Click on “Student” tab b.iii. Click on My Academics tab b.iv. Click on “Financial Aid” tab b.v. Click on “Award” link b.vi. Click on “Award History” link b.vii. Make sure you print the complete document

 Don’t forget to sign your application! And please do not include any additional materials besides what is requested above. Thank you, and good luck!

Tell us about yourself:

Last Name: First Name: Fairfield ID Number:

Contact information: Preferred e-mail address: Preferred telephone number: Campus box number: Local address (residence hall, etc.): Home address (street, city, state, zip):

Personal information: Number of siblings: Number of siblings in college: Ages of siblings: Mother’s occupation: Father’s occupation:

Provide a complete listing of University extracurricular activities and offices held, along with dates of participation:

List all community service activities in which you have participated, along with dates of participation:

Select from the extracurricular or community activities listed above one that was especially meaningful to you and why:

List (include dates) and explain all scholastic honors and awards you have received: What profession are you considering?

Do you anticipate studying for an advanced degree? If yes, which one?

Please comment briefly on your need for this financial assistance:

All information received by the Scholarship Committee is completely confidential. Your signature below indicates that all information provided to the Committee is complete and accurate.

Applicant Signature Date