FirstLady’sScholarshipApplication
Section1:ApplicantInformation
LastName:______________________________FirstName:______________________________MI:___________
StudentStatus:FullTimePartTimeA_Number:________________Classification:__________________
EmailAddress:_______________________________GraduationDate(Expected):____________________________
Currentrecipientofanyscholarship________Ifyes,pleaselist_________________________________________
Major:______________________________________________Minor:_____________________________________
CumulativeGPA:__________________PhoneNumber:________________________
CurrentAddress:_______________________________________________________________Apt.#___
__________
City:______________
_______________State:_______________________________Zip:______________________
PermanentAddress:______________________________________________________________Apt.#____________
City:_____________________________State:_______________________________Zip:______________________
Section2:Questions
1.In150wordslistanyorganizationsthatyouarepresentlyamemberandrolesandresponsibilities
associatedwiththeorganization.
2.In150wordslistanycommunityserviceorspecialprojectsbothcommunity‐basedand/orcampus‐
basedwhichyouparticipatecurrently:
Form must be typed online and printed in order to be considered for
scholarship.