Please Consider My Application for the Following Scholarship(S)

Scholarship Application Form

Deadline February 6, 2017

Applicants who wish to be considered for more than one scholarship need to complete only one application form. Please check the appropriate box(es). You will only be considered for the scholarship(s) you indicate. Make sure that you fulfill the requirements for all scholarships for which you apply. Then fill out the rest of this form and hand deliver it to Tiffany in room 309 Gundersen.

Please consider my application for the following scholarship(s):

c The Frances Lee and Charles Dutreau Scholarship (funds to assist with expenses for language study in a foreign country).

c The John Sadler Award (given to a student of foreign languages who has demonstrated academic excellence).

c The William J. Ray Memorial Scholarship (awarded to a junior or senior who is committed to teaching Spanish in the public schools).

c The Reusen-Berghmans Memorial Award (given to a student who has completed 15 hours of French or equivalent and who has demonstrated academic excellence).

c The Golconda Award (awarded to outstanding students in upper division foreign language courses).

c The John Schweitzer Memorial Award (awarded to outstanding senior French major).

Last Name, First Name, Middle Initial______

Student ID______

Home Address, State, Zip Code______

Home Phone (including Area Code)______

Stillwater Address, Zip Code______

Stillwater Phone______

College within OSU (A&S, Business, etc.) ______

Major Advisor______

First Major______

Second Major______

Minors______

How many credit hours, including advanced standing, have you completed through fall semester 2016?______

What is your classification this semester?______

Which languages, if any, did you study prior to coming to OSU, and for how long?

______

Have you ever studied/ traveled abroad? If so, when and where?______

______

Which language courses are you currently taking?______

______

What plans do you have for future study and/or travel abroad? Be specific. Attach extra pages if needed.

______

______

Say what you can, at this stage, about your career and specialization, including graduate school, if appropriate. Attach extra pages if needed.______

______

List any academic awards, academic honors, or scholarships that you have received during college years.

______

______

Add any additional information or comments that might be relevant to your application.

______

______

REFERENCES: Give the names and email address of two of your professors whom you have already contacted and who would be willing to recommend you. Do not ask them to write a letter of reference.

1.  Name: 2. Name:

Email Address: Email Address:

Applicant’s Signature:______Date ______

Note: If you are a candidate for the Dutreau Scholarship, you must enclose an information sheet or brochure describing the program(s) to which you are applying. Your course of study must be centered on the language, literature and culture of the country you are visiting. The study program must be at least six weeks long.

If you need assistance or directions to submit your application electronically, please email Megan at

REMINDER: Applications are to be hand delivered to Tiffany in 309 Gundersen. Applications will be accepted no later than 5:00 p.m. on Monday, February 6, 2017. Please furnish one official Oklahoma State University transcript to accompany the application form; it must include fall 2016 course grades.