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COLLEGE OF FINE ARTS
SCHOLARSHIP APPLICATION
Deadline for applying March 5, 2004

Student, please provide the following information and submit this form to your faculty recommender.
This form must be submitted to your departmental main office by the faculty recommender.

INCOMPLETE AND LATE APPLICATIONS WILL NOT BE CONSIDERED.

Student Name__________________________________________ SS#_________________________

Address___________________________________________________________________________________________

Phone__________________________ e-mail____________________________

I hereby waive my right to inspection and review of this application.

________________________________________________
Student Signature

__________________________________
Date

Faculty Recommendation

Support this student’s application based on work. (1-10, 10 being the highest recommendation)

__________

Support this student’s application based on factors other than work. (1-5, 5 being the highest recommendation)

__________

Faculty Signature_________________________________________________


Area Recommendation

Support this student’s application. (1-5, 5 being the highest recommendation)

__________

TOTAL SCORE

__________

Signature_________________________________________________


Scholarship Awarded___________________________________________________ (Student must meet the criteria of the award.)

Sum Awarded_______________ Semester and Year of Award____________________

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