University of West Florida Computer Science Department Scholarship Program
Graduate Scholarship and Assistantship Application
I
mportant Note: You must reapply for financial aid each academic year (which starts with the fall term) to be
considered for an award in that year. Please acknowledge by placing your initials here
.
N
ame: Student Number ______________________
_______
_________________
A
rea Code & Phone #
Current Address:
__
__________________________________________________________
P. O. Box #Street City State Zip
___________________________________________________________
E-mail address
Ar
e you a permanent resident of the State of Florida? Check if yes
Are you a citizen of the United States? Check if yes ; If no, are you a permanent resident alien? Check if yes
List all Colleges and Universities that you have attended:
____
____________________________________________/______________________/___________
Name Dates of attendance Cum. GPA
________________________________________________/______________________/___________
Name Dates of attendance Cum. GPA
________________________________________________/______________________/___________
Name Dates of attendance Cum. GPA
Are you regularly admitted to a Computer Science program and in good academic standing? Check if yes
Specific specialization within Computer Science (CS/DB/SE specialization):_________________________
Specify the academic year for which you are applying
. For instance you would enter
2010-2011 for the academic year that starts fall, 2010.
Check the term(s) for which you are applying: fall spring summer
A
nticipated graduation month/year from UWF: ______/____________.
P
lease indicate any other sources of support you already have or may receive such as:
Out-of-state tuition assistance: Check, if yes
Other Tuition Assistance: Check, if yes
Other awards of any type (please list. Use a separate page if necessary)
I
mportant Note: Scholarships are merit-based and awarded with no work requirement. You may elect to apply for
an Assistantship which involves work, typically 10-20 hrs/wk, assisting faculty with teaching or research.
Do you wish to be considered for a graduate scholarship? Check if yes
D
o you wish to be considered for a graduate assistantship? Check if yes
I
f yes, are you more interested in teaching research , or either
Signature:____________________________________________________________ Date:_______________
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MAIL APPLICATION TO: Scholarship Committee, Department of Computer Science,
The University of West Florida, 11000 University Pkwy, FL 32514-5750 (850) 474-2542
Or email the completed PDF to jcoffey@uwf.edu and treichherzer@uwf.edu
(mod 03/22/2018)
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