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    General Scholarship Application Form: First Last

    Uploaded by

    Ken Bi
    This document is a general scholarship application form requesting basic contact and academic information. It requests the applicant's name, address, phone number, email, citizenship status, educational details, honors received, extracurricular activities, work or internship experience, and which scholarships they plan to apply for. The applicant must provide a biographical statement and scholarship essay(s), and certify that the information is accurate before submitting the single form to the Scholarship Office for consideration.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    General Scholarship Application Form: First Last

    Uploaded by

    Ken Bi
    56 views3 pages
    This document is a general scholarship application form requesting basic contact and academic information. It requests the applicant's name, address, phone number, email, citizenship status, educational details, honors received, extracurricular activities, work or internship experience, and which scholarships they plan to apply for. The applicant must provide a biographical statement and scholarship essay(s), and certify that the information is accurate before submitting the single form to the Scholarship Office for consideration.

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    general-scholarship-application-form

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    This document is a general scholarship application form requesting basic contact and academic information. It requests the applicant's name, address, phone number, email, citizenship status, educational details, honors received, extracurricular activities, work or internship experience, and which scholarships they plan to apply for. The applicant must provide a biographical statement and scholarship essay(s), and certify that the information is accurate before submitting the single form to the Scholarship Office for consideration.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    56 views3 pages

    General Scholarship Application Form: First Last

    Uploaded by

    Ken Bi
    This document is a general scholarship application form requesting basic contact and academic information. It requests the applicant's name, address, phone number, email, citizenship status, educational details, honors received, extracurricular activities, work or internship experience, and which scholarships they plan to apply for. The applicant must provide a biographical statement and scholarship essay(s), and certify that the information is accurate before submitting the single form to the Scholarship Office for consideration.

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    General Scholarship Application Form

    Name____________________________________________________________________________
    First Last

    Address__________________________________________________________________________
    Street City State Zip Code

    Home phone ( )______________Cell phone (___)________________ Email_________________


    *EmplID #_____________________________ Gender: _______ Male _______ Female
    U.S. Citizen ______Permanent Resident ______ Student Visa _____ Other ______
    Nationality_____________________________
    Degree: ______ Undergraduate ______ Graduate Status: _____ Full-time ______ Part-time
    Major ____________________ Minor ____________________
    Number of currently registered credits ______

    What scholastic honors or distinctions have you received?


    ________________________________________________________________________________
    ________________________________________________________________________________
    ________________________________________________________________________________

    List the most significant extracurricular and community activities (sports, art, music, clubs,
    social or public service etc.) in or out of Lehman College, in which you have participated.
    Organization Duties/Activities Length of Time Name & Contact Information
    Of Supervisor or Faculty Advisor
    ________________________________________________________________________________
    ________________________________________________________________________________
    ________________________________________________________________________________
    List any internship(s) and/or research experience(s) in which you have participated.
    Organization Duties/Activities Length of Time Name & Contact Information
    Of Supervisor or Faculty Advisor
    ________________________________________________________________________________
    ________________________________________________________________________________
    ________________________________________________________________________________

    List any work and/or volunteer experience.

    Organization Duties/Activities Length of Time Name & Contact Information


    Of Supervisor or Faculty Advisor
    ________________________________________________________________________________
    ________________________________________________________________________________
    ________________________________________________________________________________

    Applying for individual scholarships


    Please indicate which scholarship(s) you plan to apply for. Please note that each scholarship requires
    a minimum GPA of 3.0
    __ Lehman College Foundation Scholarship

    __ Bronx CUNY Scholarship

    __ Bronx Dominican Parade Scholarship

    __ St. George’s Society Scholarship

    • Please note that a particular scholarship may require for you to submit a separate application and
    additional documents such as essays, letter(s) of recommendation etc.

    Biographical personal statement


    ________________________________________________________________________________
    ________________________________________________________________________________
    ________________________________________________________________________________
    Scholarship essay(s)

    ________________________________________________________________________________
    ________________________________________________________________________________
    ________________________________________________________________________________

    Applicants must print name here

    I hereby certify that all of the information in this scholarship request form is accurate and complete.
    I understand that all the information contained in this form will be treated confidentially and will be
    used for institutional purposes only. If awarded a scholarship, the organization may utilize this
    information for academic purposes.

    Applicant name ________________________________________ Date ____________________

    For Office Use Only:

    GPA: _________ Credits:_________

    For further information please contact:


    Scholarship Office
    250 Bedford Park Blvd. West
    Bronx, NY 10468
    Shuster Hall room 205
    718-960-8382
    scholarship.office@lehman.cuny.edu

    • This form should be submitted only once.

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