Genevieve Edsall Mortensen Special Needs Scholarship

University of Denver Students withDisabilities 2015-2016

Introduction:

The purpose of the Mortensen Scholarship is to provide scholarship support to University of Denver undergraduate students with disabilities, with preference given to students enrolled in the Daniels College of Business and who are from Colorado or Wyoming. Prior recipients of this scholarship are eligible to reapply if all criteria continue to be met.

Scholarship awards will be determined by a committee comprised of faculty and staff of the Daniels College of Business and the Disability Services Program (DSP).

For the academic year 2015-2016, two (2) scholarshipsof up to $2,900.00 eachare available. Scholarships awarded may be used only for tuition and mandatory fees.

Requirements:

Have a documented disability

DSP will review documentation and determine eligibility. Neither the nature of the disability nor the documentation will be disclosed without student permission. It is not required for an applicant to be registered with DSP in order to apply.

Full-time undergraduate studentat the University of Denver

GPA of 3.0 or above

Demonstrated financial need

Other sources of financial aid must be disclosed. FAFSA and CSS profile must be completed.

Applicants mustsubmit the following:

Completed 2015-2016 Mortensen Scholarship application.

Personal statement pertaining to your achievements, activities, career goals and the effect(s) of your disability(ies).

Documentation of disability(additional documentation not needed if already registered with DSP) – see for documentation guidelines.

One letter of recommendation addressing your academic success and potential. May be from DU faculty, staff, employer, or other academic professionals.Must be submitted directly from the writer, not the applicant.

Questions and completed applications should be sent to:

Disability Services Program
Ruffatto Hall, 4th Floor
1999 E. Evans Ave.
Denver, CO 80208 / Brenden Goetz (DSP) -
-OR-
Marilyn Hughes (DCB) - / FAX
303-871-2248

Application Deadline: May 26,2015

Genevieve Edsall Mortensen Special Needs Scholarship

University of Denver 2015-2016

Application Form - Please Print or Type

Last Name: ______First Name: ______

DU Student #: ______DU Email: ______

Current Address: ______City: ______Zip: ______

Phone Numbers: (h) ______(w) ______(cell) ______

  1. Are you currently registered with the Disability Services Program? Yes__ No __
  2. Current cumulative GPA: ______
  3. 2015-2016 Academic Level:

1st year ___ 2nd year ___ Junior ___ Senior ___ Dual Degree ___

  1. Major/Course of Study: ______Expected Graduation Date: ______
  2. Other scholarships/ financial aid: ______

Read the following statements and sign below. Unsigned documents will not be considered.

I certify that I have read and understand the conditions of this scholarship, and that the information I am providing in this application is true, complete and correct.

Furthermore, I attest that I have a documented disability, my GPA is at 3.0 or above and that I have a financial need.

I grant permission for the appropriate University of Denver personnel to release information pertaining to my GPA, proof of disability, and application to the Mortensen Scholarship committee strictly for the purposes of determining the scholarship recipient.

I also grant permission for the Committee to contact me after I graduate the University regarding my post graduate career in order to compile information for the scholarship Donor and Committee.

Finally, I understand that this application has no bearing on admissions to a particular program or college.

______

SignatureDate

Date Rcv’d in DSP: ______