Cameron University Alumni Association Scholarship Application

Application Requirements for the Alumni Association Scholarship

General Information

Name

Address (Permanent)

Address (School)

Phone - day

Phone - evening

CU ID Number

Birth Date

Academic Information

Indicate your academic classification at the beginning of the first semester when the scholarship will be awarded.

Junior Senior

Cumulative GPA

Date Cumulative GPA calculated

Number of hours which will be completed at the beginning of the semester that scholarship would begin

Students who will earn more than 128 hours during the term of the scholarship will not be eligible for funds during the semester that the 12 hour minimum enrollment requirement exceeds 128 hours unless the Scholarship Committee has waived the requirement.

Expected date of graduation

College Major

College Minor

Extra-Curricular Activities

(List all college and community activities in which you are or have been involved and briefly describe the nature and extent of your participation in each activity. Include the year that you participated and the length of your involvement.)

Scholarships, Stipends or Educational Grants and amounts you will be receiving during the term for which you are applying:

Scholarships, Stipends or Educational Grants and amounts you are currently receiving:

References

List below the names of three references who are not your relatives. Do not obtain written recommendations.

Name

Phone

Address

Occupation

Name 2

Phone 2

Address 2

Occupation 2

Name 3

Phone 3

Address 3

Occupation 3

Statement

Write a statement explaining why you have applied for this scholarship. Emphasis will be placed on this statement when applications are considered.

Statement

**INCOMPLETE APPLICATIONS WILL NOT BE CONSIDERED** By submitting this form, it is understood that you have reviewed the
criteria and eligibility requirements
and agreed that the information submitted is correct.