Fillable 2022-2023 APPLICATION FOR SCHOLARSHIPS (Virginia State University)

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2022-2023 APPLICATION FOR SCHOLARSHIPS (Virginia State University)

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Office of Student Financial Aid
P.O. Box 9031
Petersburg, VA 23806
APPLICATION FOR SCHOLARSHIPS
This application is for a merit-based scholarship award from Virginia State University only. All information
provided must be current. Students should complete the Free Application for Federal Student Aid (FAFSA). The
student must have a cumulative GPA of 3.00 and be enrolled full-time to receive this University scholarship. (All
new students receive merit scholarship(s) through our Admissions Office and are not eligible for the University
Scholarship.) Incomplete applications will not be processed. Deadline to submit Merit-Based Scholarship
Application is April 30, 2022.
Scholarship Type: University Other____________________________________
Name: _______________________________ SS # (Last 4 Digits): __________ V#________________
Local Address: _______________________________________________________________________
Permanent Address: ____________________________________________________________________
Email address: _____________________________ Local or Cell Phone #: ________________________
Date of Birth (Month/Day/Year):___________________ Sex: Male Female
Citizenship U.S. Alien Registration # _________________
Other __________________
Indicate your enrollment status: Full-time (12 hrs. or more) Part-time (11 hrs. or less)
Classification: Freshman Sophomore Junior Senior
Major: _________________________________ Department: ________________________________
Provide a Departmental Reference:
Name _____________________ Department ______________________ Telephone #_______________
I understand that submitting this application does not guarantee a scholarship. Receiving this scholarship is
contingent on funding availability. I certify that the information provided is true.
_____________________________________________________________________________________
Signature Date
For Office Use Only
2022-2023 Award Period
Budget_____________________
Award_____________________
Remaining Need_____________
EFC # ___________ PELL AWARD _________
Academics
Cum GPA ___________
Major________________________________
Classification _________________________
Reviewed By: _______________ Date: _____________
2022-2023
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2022-2023 APPLICATION FOR SCHOLARSHIPS (Virginia State University)

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Completed 8 May 2022

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