Undergraduate Scholarship Application

First Name:

Last Name:

ASU ID#:

What is your campus?

ASU Tempe

ASU Online

Present address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Is this your permanent address?

Yes

Permanent address

Address

Address 2

City/Town

State/Province

ZIP/Postal Code

Country

Phone Number:

ASU Email Address:

Confirm email

Are you a resident of Arizona?

Yes

How long have you lived in the state of Arizona?

Are you presently employed?

Yes

How many hrs/week do you work?

Do you expect to continue this job(s) during the period of this award?

Yes

Not sure

If you work closely with and SSFD academic advisor, please enter their name here:

What is your major?

If you have a concurrent (double major), list it here:

If you have a minor, list it here:

Will you be a full-time or part-time student in the next academic year?

Full-time (12 or more credit hours per semester)

Part-time (11 or fewer credit hours per semester)

Credit hours completed at ASU at the end of this Spring semester:

Year/Semester you started attending this school:

After the Spring semester of this academic year, how many credit hours will you need to complete for graduation?

What is your expected standing after the Spring semester of this academic year?

Anticipated graduation date:

Undergraduate grade point average (GPA):

GPA in your major:

Please tell us about your involvement in leadership/service on campus or in the community:

Please list/describe any honors, awards and/or scholarships you have received in the last 3 years:

Describe academic and/or professional goals you hope to achieve and how you plan to reach those goals:

Please tell us why you chose your major in FHD or Sociology. Describe what specific topics you are most passionate about:

Describe any professional experience you have that relates to your major:

Employment and Financial History

Describe how you are currently funding your education and explain any personal and/or familial financial hardships:

What percent of your education have you financed...

out of your own pocket?

from scholarships?

from loans?

from parents?

other?

If other, source of finance:

Do you expect these percentages to be the same next year?

Yes

Not sure

Evaluation and Recommendation Forms

Please provide the e-mail addresses for two individuals who can best evaluate your performance and potential. These individuals should be academic or professional references, not friends or family. At least one recommendation letter from an ASU faculty member is preferred. Once you submit this scholarship application, these individuals will receive an e-mail with instructions for submitting the recommendation form.

1. Email for first recommender:

Relation:

Faculty member

Academic advisor

Supervisor

2. Email for second recommender:

Relation:

Faculty member

Academic advisor

Supervisor

Attach unoffical transcript:

(optional)

One file only.
100 MB limit.
Allowed types: pdf, doc, docx.

Sign (type your name) for the above choice.

I give permission to make the completed application available to individuals responsible for the disbursement of scholarships. I give permission to access transcript information from the ASU Student Information System. I certify that the foregoing is true and correct.

Sign above