Application

1. Please fill out the application completely.

2. If your information is given incorrect, an error will be shown during filling out the application or after the submit button is pressed.

Personal Information

Application for Scholarship:

Campus Wide ID:

Middle Initial:

State:

Alt. Phone: ###-###-####

First Name:

Address, City:

Phone Number: ###-###-####

Last Name:

Zip: #####

Email: example@ex.com

Financial Information

Do you currently have Financial Aid? Yes
No

Have you applied for Financial Aid next Fall? Yes
No

If you are a Financial Aid Recipient, you must show us a copy of your award. A copy is available through Titan Online.

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Educational Objective

Minor:

Major:

Intended Graduation Date:

Do you plan to go into teaching?   Yes
No

What year are you?

Are you currently enrolled in CSUF?   Yes
No

What is the next semester you plan to enroll in?           How many units?

Academic Information

CSUF GPA:

Total units completed:

High School GPA:

Units currently enrolled:

Cumulative GPA:

Degree Objective:

Written Statements

You may be required to complete additional applications. Please refer to the text in the Scholarship description to ensure you provide all required documents

1. To what on campus organizations do you belong? Please list names and dates of memberships; names of offices held and dates; names and dates of organizational programs, projects, and events you were involved in and what part you played.

2. To what OFF-CAMPUS organizations have you belonged to within the past three years? Be sure to provide names and contact information for these off-campus organizations. Please list names and dates of membership; names of offices held and dates; names and dates of organizational programs, projects, and events you were involved in and what part you played.

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3. Please describe any involvement in special projects, research paper that are a part of your academic studies; with which professors are you working?

5. Please list any other scholarships and awards that you have received while in college and dates they were awarded.

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6. Please explain how this award money will help you to fund your education. Please include any other information that impacts your financial situation.

7. Please include insurance classes you took and any other information that is relevant to your application for this scholarship.