Graduate Merit Scholarship Application

GRADUATE MERIT SCHOLARSHIP APPLICATION

For 2011-2012

APPLICATION DEADLINE:May 1each year, for the following academic year

1.Applicants must be seeking a graduate degree and must be recommended for consideration by the Graduate Coordinator.

1. Applicants must satisfy all admission requirements of the university and of the proposed graduate major program.
2. Applicants must have a minimum 3.0 GPA. Failure to maintain a 3.0 semester GPA may result in cancellation of scholarship award.

NAME: Enter Name Here Mustangs ID: M Enter number

ADDRESS: Fill in number and street CITY: Enter city STATE: Enter state ZIP: Enter zip

EMAIL: Enter email address PHONE NUMBER: Enter phone number

GRADUATE DEGREE SOUGHT: MAJOR: Enter Major GRADUATE GPA: Enter GPA; if first time grad, enter 0

GRE SCORE - Verbal: Quant: Written: OR GMAT SCORE : Writing

INTENDED ENROLLMENT FOR: Fall: Pick one:3 hours6 hours9 hoursN/A Spring: Pick one:3 hours6 hours9 hoursN/A Summer I: Pick one:3 hours6 hours9 hoursN/A Summer II: Pick one:3 hours6 hours9 hoursN/A

Do you currently have funding from other sources (including scholarships, grants, etc.)? Choose one:YesNo

If yes, please list each source and amount: enter information here if applicable

Please list any awards or honors received and organizations or volunteer activities in which you participate:

enter information here, if applicable

Student’s Relationship to MSU’s Board of Regents Members

State law (Senate Bill 1325, TEC 51.969) requires that each student identify any relation to a current Board of Regent member. A student who is related to a current member of the governing board of that institution is prohibited from receiving scholarships unless the scholarship is awarded exclusively based on academic merit or is an athletic scholarship. It is a Class B misdemeanor to file a false statement.

Please review a list of current MidwesternStateUniversityBoard of Regents and then select the most appropriate answer below indicating your relation to any of the Board of Regent members.

Please select your answer:

Not related to a regent

Regent’s mother, father, daughter or son

Regent’s brother, sister, grandparent or grandchild

Regent’s great-grandchild, uncle (brother of parent), aunt (sister of parent), nephew (son of brother or sister), or niece (daughter of brother or sister)

Regent’s spouse; spouse’s child’s spouse’s mother or father; child’s spouse; or parent’s spouse

Regent’s spouse’s brother or sister; spouse’s grandparent; spouse’s grandchild; brother or sister’s spouse; grandparent’s spouse; or grandchild’s spouse

After completing the above, print, sign and take to Graduate Coordinator for approval. Then return to Office of Graduate School, Hardin South 146. Note: Receipt of scholarship funds may affect a student’s financial aid status and eligibility.

Signature of ApplicantDateRecommending Graduate Coordinator/Chair Date