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First Name ______Last Name ______ISU ID ______

2016 ISU International Scholarship

International Student Council

Each year, the International Student Council (ISC) along with the International Students and Scholars Office (ISSO) of Iowa State University, award scholarships to outstanding international students; this year, ISC and ISSO will award $750.00 scholarships to these students, for their contributions to the ISU community.

Scholarship Criteria

To be eligible for the ISU International Scholarship you must:

• Be a full-time undergraduate or graduate international student (F-1 or J-1 Status)

• Demonstrate leadership or volunteering experiences

• Demonstrate financial need

• Have been enrolled at ISU for at least two semesters (Fall and Spring) prior to applying

• Have a minimum ISU cumulative GPA of 2.5 for undergraduates and 3.0 for graduates

v  If you have already received this scholarship, you are not eligible to win a second time, and should not apply again.

Instructions

Submit application materials including:

1.  Completed Scholarship Application

2.  One Recommendation Letter (We recommend you to request the letter from a professor or adviser, only one letter will be accepted.)

3.  An essay (no more than 600 words typed on a page with 1.5 spacing) stating the reason for your application.

4.  An Unofficial copy of your transcript printed from your AccessPlus account

5.  If you are employed, submit a copy of your paystub printed from your AccessPlus account

v  While completing the scholarship application, if a question does not apply to you, please write N/A.

Please put your name and University ID on each material, print out all the materials and submit them in one envelope to the International Students and Scholars Office at 3248 Memorial Union by

5:00 p.m. Friday, October 28, 2016. Late or incomplete applications will not be considered.

The 2016 International Scholarship Committee will review the applications and select the winners according to financial need, GPA, and leadership and volunteering experiences. Applicants will be notified via email by Monday, November 14, 2016 of their award status. The scholarships will be presented to award winners during International Night on Thursday, November 17, 2016 in the Great Hall, Memorial Union, as part of the 2016 International Week.

If you have any questions or need more information, please contact Alec Knight via email at with “ISC Scholarship” written in the subject line.

International Student Council

ISC is the International Student Council that has served Iowa State’s international community since April, 1984. Our goal is to bring together ISU’s international student body, and work for the benefit of international students within the Ames community.

Participation from all international students is a key factor in achieving these goals. If you are interested in participating in the ISC executive board or for more information on how to better serve the international community, please send an email to .

Scholarship Application Form

Name

Last First Middle

University ID______E-Mail Address ______

Phone Number (______) ______Nonimmigrant Status: ______F-1 Student ______J-1 Student

Country of Citizenship ______Country of Permanent Residence ______

Classification: ____ Freshman ____Sophomore ____ Junior ____ Senior ____ Graduate____ Other

Major

Date of Birth _____/_____/______

First Semester at ISU (for current degree) ______Expected Graduation Semester ______

Cumulative GPA ______Credit Hours Taken at ISU (excluding transfer credits) ______

Credit Hours for Fall 2016 ______Credit Hours Taking in Spring 2017 ______

Are you married? Yes No

Is your spouse with you? Yes No N/A

Name of Spouse

Is your spouse a student? Yes No N/A

Is your spouse a United States citizen or permanent resident? Yes No N/A

Number of dependent children with you Ages of children

Are you currently employed? Yes No

If yes, who is your employer?

How many hours per week do you work? What is your hourly rate of pay?

Are you on a graduate assistantship? Yes No

If on an assistantship, what is your monthly stipend?

Please provide the following information about your parents (or stepparent, guardian, or sponsor). All money amounts should be listed in U.S. dollars.

Marital Status: Married Separated/Divorced Mother and/or Father Deceased

Parent (Sponsor) City and Country of Residence

Father’s/Sponsor’s Name Age

Occupation & Employer

Mother’s/Sponsor’s Name Age

Occupation & Employer

2014 2015 2016

Father’s/Sponsor’s Annual Income $ $ $

Mother’s/Sponsor’s Annual Income $ $ $

The primary source of income comes from salary family-owned business other

If “other”, please explain

Please itemize the present value of family’s assets:

Home $ What is owed? $

Land and building

(Excluding primary residence) $ What is owed? $

Savings $

Investments $

Other (please explain) $

Please list any additional money, assets, or property your family has in another country

In which country are these additional assets held?

How many people are in the family who depend on your parents for living expenses? (Including yourself)

How many dependents, excluding you, are attending a postsecondary institution? ______

Names of institution(s)

Please Fill in the Following Summary Table of your Financial Resources and Expenses
(All Amounts in US Dollars):

Resources for 2016-2017 Academic Year / Anticipated Expenses for 2016-2017
Academic Year
Click here for undergraduate estimated annual expenses
Anticipated cash or savings / $ / Tuition and fees / $
Amount expected from relatives,
parents, friends, or sponsors
during this period / $ / Health insurance / $
Anticipated earnings (jobs) / $ / Living expenses:
Income of spouse / $ / ·  Rent/Room / $
Amount you will receive from: / ·  Food/Board / $
Loans / $ / ·  Utilities/Phone / $
Grants / $ / ·  Clothing / $
Scholarships / $ / ·  Medical and dental / $
Other sources / $ / ·  Books and school supplies / $
______/ $ / ·  Car expenses / $
______/ $ / ·  Local transportation / $
______/ $ / ·  Personal expenses (laundry, toiletries, etc.) / $
Other expenses:
______/ $
______/ $
______/ $
______/ $
Total Resources / $ / Total Expenses / $

What financial assistance do your family members receive to attend these post-secondary institutions annually?

______

______

Please provide the average amount of money spent yearly by your family for food, clothing, housing, and taxes.

______

What other expenses are incurred on a yearly basis? Please explain and provide the amount in U.S. dollars.

______

______

______

Please explain if your total anticipated expenses are higher than the ISU’s estimated annual expenses.

______

______

______

______

______

Have you applied for any scholarship for the future? If so, please specify to whom you have applied and the amount of the benefit from that source.

______

______

______

______

Please list any campus or community activities in which you have been involved. (Attach a separate sheet if necessary.)

______

______

______

______

______

We reserve the right to check the information on this form. Severe penalties exist for knowingly and willfully falsifying or concealing a material fact, or using any false documentation in the submission of this form. Failure to comply will result in University Judicial Proceedings which could result in loss of scholarship and enrollment status.

______

Student Signature Date

Please return this form together with the essay, recommendation letter, unofficial transcript, and paystub (If applicable) to:

The International Students and Scholars Office,

3248 Memorial Union

By

5:00 p.m. Friday, October 28, 2016

(Late or incomplete applications will not be accepted)