APPLICATION FOR FINANCIAL ASSISTANCE
Wichita State University Hugo Wall School of Public Affairs
Master of Public Administration
Name:____________________________________
Student ID:____________________
Mailing Address (If different)
Street:___________________________________
Street:_______________________________
City:_____________________________________
City:_________________________________
State/Country/Zip:______________________________
State/Country/Zip:____________________________
Phone:__________________________________________
Academic Semester for which assistance is desired:____________________________
List below information concerning all colleges and universities, including WSU, (a) from which you received,
or expect to receive, your bachelor’s or master’s degree; and (b) at which you have done other academic
work.
Awarded
_____________________________
__________________________
_____________________________
__________________________
_____________________________
__________________________
George Van Riper Fellowship
Donna Urbom-McClure Fellowship
Do you currently hold a graduate assistantship or fellowship at WSU?
If yes, please list them:
Which of the following type(s) of financial assistance are you seeking?
Graduate Research Assistantship Hugo Wall Fellowship
George Pyle Fellowship Mike Hill Fellowship
Other (please specify)___________________________________
References: We currently use the references sent to us as part of your program application when evaluating
assistantship/fellowship applications. If you wish to submit new reference letters please include them with
the application.
Please email your application and two letters of recommendation to: bethany.kennedy@wichita.edu or mail
to Bethany Kennedy, Student services Coordinator, Hugo Wall School of Public Affairs, Wichita State
University, 1845 Fairmount, Wichita, KS 67260-0155. Your signature is certification that the information
provided is correct and that you have read the notes below.
Date:_________
________ Signature:___________________________________
Notice of Nondiscrimination: Wichita State University (WSU) does not discriminate in its employment practices, educational
programs or activities on the basis of age, ancestry, color, disability, ethnicity, gender, gender expression, gender identity, genetic
information, marital status, national origin, political affiliation, pregnancy, race, religion, sex, sexual orientation, or status as
a
veteran.
