SCHOLARSHIP APPLICATION FORM
DEPARTMENT OF ART AND ART HISTORY
CALIFORNIA STATE UNIVERSITY, CHICO
I.
Personal Data and Educational Status:
Name:
Phone:
Address:
Degree Program: (**Please note that you must be a student and taking classes for the upcoming fall
semester**)
BA
BFA
MA/MFA
Option:
Please Specify Emphasis Area
Studio
Art History
Interior Architecture
Overall College G.P.A. Art G.P.A.
Expected Date of Graduation:
II.
Educational Background (List most recent first):
III.
Awards, Honors, Exhibitions and/or Related Extra Curricular Activities (List most recent first):
IV.
Summary of Intended Use of Scholarship Award:
(If more space is required, attach additional sheets conforming to the format of this application form)