Social Work Scholarship Application

Social Work Scholarship Application Department of Social Work Cover Sheet

Departmental scholarships are awarded to Social Work majors based on academic performance, campus and/or community leadership and involvement, and financial need. Funds are provided by the Downtown Kiwanis Club, the Region IX Board of MSSA, the Department faculty, and our alumni. Please type the information onto this form, sign it at the bottom, attach a letter addressing the three items explained below, and attach a current unofficial copy of your transcript. The scholarship materials are due by March 25, 2005

Name: ______Social Security #:______

Address: ______Tech ID #: ______

City, State, Zip______

Phone: (____) ___ - ______E-mail: ______Credit Hours earned as of the end of the current Spring Semester: ______Expected semester and year of graduation: ______, _____ semester year

Overall GPA:______(if applicable, Transfer GPA:_____ ; MSU GPA: _____ ) Letter of application: Please address the following three topics: 1) a statement of Community and Campus activities including approximate dates of involvement and your leadership responsibilities; 2) because the scholarships are based in part on financial need, a brief statement of the financial need you anticipate during the coming year; 3) a description of the quality of your academic achievements so far and any information that might help us understand your performance and your potential. Please attach a current unofficial copy of your transcript and return these materials to the Department office prior to the deadline. Please sign below to be considered for a scholarship. If awarded a scholarship, I agree to all of the following: 1) I give the University permission to use my name and/or photograph to celebrate the provision of student scholarships; and, 2) I agree to attend the free scholarship banquet in April; and, 3) I will submit to the department by May 1st, a copy of the “thank-you” letter that I will send to the donors. ______your signature/date