AFRICAN AMERICAN FACULTY AND STAFF ASSOCIATION SCHOLARSHIP APPLICATION
Application must be typed. Incomplete and/or handwritten applications will not be reviewed.
Last Name: ___________________________ First: ___________________________ myWSU ID#_________________
Current mailing address: _________________________________________ Telephone: ___________________________
City: _____________________ State: ____________ ZIP: __________ Email: ___________________________________
Academic Major: ____________________________________ Minor: _________________________________________
What is your current student classification? __ Freshman __ Sophomore __Junior __ Senior __Graduate Student
Cumulative GPA_________ Anticipated graduation date: _________________
Applications are considered incomplete without the following requirements:
1. Must be fully admitted to WSU seeking a degree
2. Have a cumulative grade point average of a 2.7 or above
3. Submit a copy of your resume that includes a list of activities
4. Be willing to provide a picture of yourself for media relation purposes
5. Write a 500-word essay explaining the following:
Why did you apply for the Scholarship?
Where do you see yourself in five years?
How do you plan to give back to the community?
Submit to: African American faculty and Staff Association
C/O Moniqueka Holloway
Wichita State University
1845 Fairmount St., Box 93
Wichita, Kansas 67260-0093
Or email to: mholloway@niar.wichita.edu
***A
pplications Must be received by 5pm on October 1, 2016***
I certify that all answers I have given in the application are accurate to the best of my knowledge. I grant permission for the
African American Faculty and Staff Association (AAFSA) to obtain information regarding my academic standing, and
enrollment status in order to evaluate my candidacy for scholarship awards. I understand that this information will be kept
strictly confidential and will be available only to the scholarship committee members having a need to know for the
purpose of scholarship determination. If I am awarded a scholarship from the AAFSA, I authorize said organization to
publish my name as a scholarship recipient and understand that I will be asked to attend a scholarship reception.
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Applicant’s Signature Date
