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FALL_________ SPRING_________
COMMUNICATION MEDIA SCHOLARSHIP APPLICATION
Please print. Return completed form to D316 front desk.
Enrollment Status: New Freshman Transfer Currently Enrolled Re-entry
Student ID Number:_________________________ Email
Address:________________________ Telephone Number: (Home)_______________________
(Cell)___________________________
Name:________________________________________________________________________
(Last) (First) (Middle)
(Street Number and Name) (City/State/Zip)
Address:______________________________________________________________________
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High School Yes___ No___ Date:____________
Graduate? GED? School:__________________ Yes___ No___ Date:____________
Cumulative GPA: School:__________________ High School___________
College__________________
Explain why you are applying for this scholarship. Please include any personal or academic skills,
talents, or strengths related to the Communication & Performing Arts field.
What is your concentration within the Communication Media Program?
Multimedia Mass Communication Sound & Music
Recording Graphic Design/Computer Animation Photography
Check which Crew you are applying for:
NEWS Crew: 11am-1pm Monday/Wednesday/Friday *Plus 12:30-1:30 slot for Tuesday &
Thursday
Talent (On Air) Technical (Behind the Camera)
HOMEWORK HANGOUT Crew: 2:30pm-4:30pm Monday thru Thursday
Signature Date
FOR OFFICE USE ONLY: __________GPA __________HOURS
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