College of Applied Science and Technology Scholarship Application

College of Applied Science and Technology Scholarship Application

Highlight the name of the scholarship you’re applying for:

□Dr. Jean Johnston Scholarship□ STEM Achievement Scholarship

□New Freshman Advancement Scholarship□Targeted Excellence Scholarship

University of Akron Student ID Number: xxx
(If you don’t have an ID number, enter your Date of Birth.)______

Name (First, Middle, Last):

Mailing Address (Address Line, City, State, Postal Code, Country):

xxx

Phone: xxx

Email: xxx

Gender: xxx

Ethnicity (Majority): xxx

U.S. Citizenship (Yes or No): xxx

Degree Major: xxx

Highlight the mostapplicable description of your college enrollment status:

□New Freshman □Continuing Student □Transfer Student

Honors College (Yes or No): xxx

Name of High School Attended: xxx

City, County, and State of High School Attended: xxx

Career Center/JVSD Attended (if applicable): xxx

City, County, and State of Career Center/JVSD Attended: xxx

Career Technical Program (if applicable): xxx

City, County, and State of Career Technical Program: xxx

High School Cumulative Grade Point Average: xxx

ACT/SAT Composite Score: xxx

College Credit Plus Courses Taken (if applicable):

What semester will you start at UA as a freshman student? xxx

First Generation College Student (Yes or No): xxx

List any scholarships (if applicable) that you have already been offered by UA:

List any other scholarships (outside of UA) that you have been offered:

Are you employed (Yes or No)? xxx

List any community service activities you have participated in:

List any other activities, either through your school or community, that you have participated in:

Write a short essay that describes (1) why you have chosen this major in the College of Applied Science and Technology, (2) how this scholarship will assist you financially, and (3) what this scholarship means to you. The essay should not exceed 500 words.

Print a copy of this form and sign your full name to certify that the information you’re submitting is complete, accurate, and true to the best of your knowledge and that the application, accompanying essay, and academic record may be released to persons and/or companies that may want to consider you for a scholarship.

Signature ______

Date ______

Please mail the application materials to the following address:

Dee Dee Pitts

Assistant Dean, Student Success

The University of Akron

College of Applied Science and Technology

Polsky Building 301

Akron, OH 44325-6501

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