Office of Student Financial Aid
P.O. Box 9031
Virginia State University, VA 23806
PROGRAM SCHOLARSHIP APPLICATION
This application is for a merit-based scholarship award from Virginia State University. The Virginia State University’s Low
Income Families with Talented Students (LIFTS) Program seeks to provide access to academically talented students. An
applicant’s family requirements are as follows:
Applicant must be selected as a Presidential, Provost or University Scholar.
Applicant must complete the Free Application for Federal Student Aid (FAFSA) on/or before the priority deadline
date of March 31
st
of each year.
New applicants or entering freshmen must accept their official admission to the University on or before June 1
st
.
All applicants must be full time, maintain a 3.00 or higher Cumulative Grade Point Average (GPA) and earn 30
credit hours per academic year.
Applicants must complete and submit the VSU LIFTS Application before April 30, 2021.
(Incomplete applications will not be processed.)
Name: ______________________________________ SS# (Last 4 Digits): _________ V#: _________________
Scholarship Type:
Presidential Provost University Other _______________
Permanent Street Address: _________________________________________________________________________
City: _______________________________________________State: _____________ Zip code: _____________
Email Address: ____________________________________ Local or Cell Phone #: ______________________
Date of Birth (Month/Day/Year): ____________________ Sex:
Male Female
Classification:
Freshman Sophomore Junior Senior
Major: _______________________________________ Department: ___________________________________
I understand that submitting this application does not guarantee a scholarship. Receiving this scholarship is contingent on funding
availability. I certify that the information provided is true.
___________________________________________________________________________________________
Signature Date
For Office Use Only
2021-2022
Budget_____________________
EFC_______________________
Award_____________________
Remaining Need_____________
Income _______________ Household Size ______
CGPA ___________ Hours Earned______________
Major________________ Class _________________
LIFTS Award $______________________________
Reviewed By: _________________ Date__________
