Student # E _____________________
2016-2017 Scholarship Application
DEADLINE: March 18, 2016
Application Instructions and Requirements:
1. Complete Application, including the short Essay
2. Attach Resume
3. Obtain any additional material required by the scholarship(s) you are applying for
4. Application MUST be completed in its entirety and submitted in person to 109 Sill Hall
to be considered. You must specify each scholarship you are applying to below.
___________________________ ____________________________ ______
Last Name First Name M.I.
___________________________________________________________________
Mailing Address
_________________________ __________________________ ______
City State Zip
E-Mail Address _____________________________________________________ @ emich.edu
E-Mail Address (new student) _________________________________________@ _________
EDUCATIONAL INFORMATION
School of Engineering Technology
School of Information Security and Applied Computing
School of Technology and Professional Services Management
School of Visual and Built Environments
Academic Major: _______________________________________________________________
Class Level Enrollment Status
Freshman (0-24) UG Full Time 12 credits per semester
Sophomore (25-55) UG Part Time - 6 credits per semester
Junior (56-84) GR Full Time - 6 credits per semester
Senior (85-140) GR Part Time - 3 credits per semester
Graduate Student Cumulative GPA: _______
2
nd
Bachelor Total Credit Hours: _______
SCHOLARSHIP
Please indicate the specific scholarship(s) you want to apply. You may apply for more than one.
READ THE CRITERIA BEFORE APPLYING TO MAKE SURE YOU MEET THE QUALIFICATIONS.
1 ______________________________________ 2 __________________________________
3 ______________________________________ 4 __________________________________
5 ______________________________________ 6 __________________________________