Applications Are Due Wednesday, February 1, 2017 by 4:00 Pm Tahoe Hall 1030

College of Business Administration - Scholarship Application for 2017-2018 Print 2 copies of this completed application. On the line below, fill in the name of the scholarship you are applying for on both copies.

Name of Scholarship this application is for: ______Complete this process for ALL scholarships. Example: If you are applying for 5 scholarships, you will bring 10 packets, 2 for each scholarship. NO STAPLES.

Applications are Due Wednesday, February 1, 2017 by 4:00 pm [Tahoe Hall 1030].

Last Name: Student ID #:

First Name: Email:

Address: City:

State: Zip:

Phone: Extension:

Sac State/CSUS GPA: Overall GPA:

Grad Semester: Fall Spring Summer Grad Year:

Select One: I am an Undergraduate Student -OR- I am a Graduate Student

Select One: I am currently a declared Business Major -OR- I am applying to the Business Major & am including a copy of my completed CBA Supplemental Business Application Undergraduate Student Only: Please Calculate Your Expected Class Standing for Fall 2017 Number of Units completed as of Fall 2016: Based on the total number of units completed before Fall 2017 (Include units transferred from another school) check the box for your expected class standing for Fall 2017 + Units taken in Winter 2017 Intercession: 0-29 = Freshman + No. Of Units enrolled for Spring 2017: 30-59 = Sophomore + No. of Units you plan to take Summer 2017: 60-89 = Junior 90+ = Senior = Total # of units completed before Fall 2017:

Fall 2017 Enrollment Plans : Full-time Part-time Spring 2018 Enrollment Plans: Full-time Part-time What is Your Concentration(s)? :

List Your Leadership/Involvement Organization: Role:

Organization: Role:

Are you a U.S. Citizen? : Yes No Are you a CA Resident?: Yes No

Have you Filed for Financial Aid for 2017-2018? : Yes No If no, do you plan to file for 2017-2018 ? Yes No If yes, have you received Financial Aid before? Yes No As a scholarship applicant, I authorize the Scholarship Committee of the College of Business Administration to release the information contained in this application as well as my academic transcripts to campus personnel and/or private donors as may be required in connection with securing a scholarship for me. I understand that scholarships may be denied or withdrawn if any information reported on this application is found to be intentionally misleading or inaccurate. I understand that I must meet all award requirements [i.e. gpa, class standing, enrollment status] at the time the scholarship is distributed to me.

I agree to the above statement [signature] ______[date] ______