Full Legal Name (as it appears on your passport)
_______________________________ _____________________________________________________
Family or Surname First or Given Name
Mailing Address
_______________________________________ ___________________________ ___________________
Street Address or Post Office Box Number City State/Province
__________________ _____________________________
Postal Code/Zip Code Country
_________________________________________
Telephone Number – include country code
_________________________________________
E-mail Address
College / GPA Information
Cumulative Grade Point Average: _________________
Credit Hours Earned: __________________
IELTS / TOEFL / Eiken Score: ___________________
Arkansas Tech University International Transfer Scholarship is available to students who complete 12 or more transferable for-credit
hours at an accredited college or university with a minimum of 3.25 cumulative transfer GPA. Scholarships will be awarded
competitively to students who have been granted admission or early admission. The scholarship application and all supporting
documentation must be received in the Office of International Admissions by March 31 for the fall semester, or September 30 for the
spring semester. All scholarship recipients must be admitted to the university, and enrolled in a minimum of 15 main-campus hours
before the scholarship will be authorized. Unless an exemption to the residency requirements is received from the Residence Life Office,
all scholarship recipients must live on campus. Academic scholarships must be used on the main campus in Russellville. Renewal
requirements will be included in the scholarship offer letter and are available on our website at www.atu.edu/imsso. Students receiving
scholar awards must hold valid nonimmigrant visas. Depending on the country of origin, this scholarship may be taxable. To remain in
compliance with Act 323 of 2009, the University reserves the right to cancel or modify any scholarship funded by the institution at any
time.
I certify that the above information is true and correct to the best of my knowledge. I have read and understand the information on this
application and the renewal requirements for the scholarship which I am applying.
Applicant’s Signature_______________________________________ Date ______________
Scholarship applications submitted without your signature, and/or support of all required documents will be
regarded as incomplete and will not be considered for an award.
A R K A N S A S T E C H U N I V E R S I T Y
APPLICATION FOR INTERNATIONAL TRANSFER SCHOLARSHIP
Office of International Admissions, Tomlinson Hall Room 029, 1507 North Boulder Avenue, Russellville AR 72801
