Fillable CONFIDENTIAL MSOE General Scholarship Report Form (City of Oakland)

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CONFIDENTIAL MSOE General Scholarship Report Form (City of Oakland)

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The CONFIDENTIAL MSOE General Scholarship Report Form (City of Oakland) form is 4 pages long and contains:

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NOTE: Entire form MUST be typed, except for the signature which must be SIGNED and CANNOT be typed.
To submit this application, please either drop form off in the Financial Aid Office (CC 431), email as a single PDF file to
finaid@msoe.edu, or submit by mail to: Milwaukee School of Engineering, 1025 N. Broadway, Milwaukee, WI 53202
CONFIDENTIAL
MSOE General Scholarship Report Form
For Scholarships Awarded for the 2021 - 2022 Academic Year
Name (First and Last) MSOE Student ID Number
Local Address Email Address
Permanent Address Phone (where you can be reached)
High School Attended Year Graduated High School
MSOE GPA or Most Recent High School or College GPA (if incoming student) ACT or SAT Score (Optional)
Race
Year in School
Gender
Program of Study
Minor or Specialty
Career Interest
Share Your Background/History
Please list any scholarships you are currently receiving from any private donor, company, or group INCLUDING an
MSOE Presidential Scholarship. In addition, please list if you are receiving any veteran/military benefits and at what
percentage.
Secured/accepted employment for next summer? Yes___ No___
Employer Name:____________________________________ Job Title: ______________________
Employment History:
Scholastic or Academic Honors
Reset Form
NOTE: Entire form MUST be typed, except for the signature which must be SIGNED and CANNOT be typed.
To submit this application, please either drop form off in the Financial Aid Office (CC 431), email as a single PDF file to
finaid@msoe.edu, or submit by mail to: Milwaukee School of Engineering, 1025 N. Broadway, Milwaukee, WI 53202
Societies and Organizations
Travel and Volunteerism
Interests and Hobbies
Personal Statement
In your personal statement, please illustrate who you are to the scholarship committee. Include anything that you feel gives us
the best perspective of your character, future goals, and steps you’re taking to get there. What separates you and your
application from the others we may receive?
Personal statements must be at minimum 1 page and may be up to 3 pages. Students may attach additional pages if necessary.
NOTE: Entire form MUST be typed, except for the signature which must be SIGNED and CANNOT be typed.
To submit this application, please either drop form off in the Financial Aid Office (CC 431), email as a single PDF file to
finaid@msoe.edu, or submit by mail to: Milwaukee School of Engineering, 1025 N. Broadway, Milwaukee, WI 53202
By signing below, I acknowledge that the MSOE Financial Aid and the Development Offices will release all
information provided on my MSOE Scholarship Report Form for review to the donors of MSOE Donor
Funded Scholarships that I am eligible for. I also authorize the release of transcripts and applicable personal
identifying information by MSOE's Development Office to the donors of MSOE Donor Funded
Scholarships I am eligible for, for review as part of the scholarship application process. In addition, should I
be awarded a donor funded scholarship, I authorize the release of my transcript and applicable personal
identifying information to the Development Office and the scholarship donor in order to review my academic
progress and enforce the terms and conditions of the scholarship. I also understand that the Financial Aid
Office and scholarship donors reserve the right to renew or not renew their scholarships on an annual basis,
and that my awarding of the scholarship is contingent on its yearly funding.
Additional Requirements
Transcripts will not be released if there is an outstanding balance on your student account. For questions,
please contact Student Accounts at (414) 277-7130.
This release will remain valid until you rescind this release in writing.
Student signature (required) ____________________________________ Date (required) __________
NOTE:
Must be physically signed, we CANNOT accept typed signatures
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CONFIDENTIAL MSOE General Scholarship Report Form (City of Oakland)

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Completed 15 May 2021

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