APPLICATION FOR SCHOLARSHIP AID

Department of Interpersonal Communication, School of Communication Studies Bowling Green State University

(Please type or enter on computer to complete this form. Additional sheets may be attached if necessary.) Submission deadline: Friday, February 16, 2007.

All applicants must have one or more remaining semesters (Summer or Fall) at BGSU to qualify for scholarship awards.

(Note: Students now classified as freshmen are encouraged to include their high school achievements where appropriate, especially to those questions marked (*). All students should attach a resume. Attendance at awards reception will be mandatory.)

Profile

Name ______Date ______

Campus Address ______Phone ______

P00# ______E-Mail Address ______

Parent’s/Guardian’s Name & Address ______

______

High School ______Year Graduated ______

City & State ______

Academic Information

Major ______Minor/Career Focus ______

Overall GPA ______GPA in IPC (if any) ______

Hours enrolled in Spring semester ______Date you entered IPC Program ______

Anticipated date of graduation: Semester ______Year ______

Give details on any internship experience you have completed and/or will complete by the end of this semester: (*) Describe other extracurricular activities (freshman should list high school activities and awards):

(*) List any honorary or professional or departmental organizations to which you belong:

(*) Describe any awards, prizes or citations you have received while a student at the university:

(*) Describe any work experience:

Have you received any other scholarships of financial aid at BGSU? Give details:

Have you had to borrow money to help pay for your University expenses? Describe:

Describe any other circumstances relating to your needs for financial aid: What are your special interests and goals in the profession of interpersonal communication:

I attest that the information provided on this application is complete and truthful, to the best of my knowledge. Signature also indicates authorization to release all appropriate information as necessary to complete the scholarship process.

Signature______Date______

DEADLINE: 5PM, Friday, February 16, 2007