Scholarship Application
(PLEASE READ COVER LETTER CAREFULLY BEFORE APPLYING.)
APPLICATION
Name___________________________________ Student ID________________
Address__________________________________________________________
Telephone________________ Major/Program___________________________
EMAIL Address________________________________________
I am a GRADUATE UNDERGRADUATE student (circle one)
Semester you will be completing a full-time internship or practicum______________
Do you have any interest in teaching/working in the Boston Public School System? Y N
High School from which you graduated and city where it is located:
Credits earned at UMass Boston Graduation Date________________________
Are you currently receiving any financial aid? Y N
Are you currently working to help finance your education? Y N
How many hours per week do you work?
Where do you work?____________________________________________________________________
PLEASE ATTACH AN ESSAY OF 1-2 PAGES DISCUSSING YOUR COMMITMENT TO THE FIELD OF EDUCATION. ALSO ATTACH A COPY (UNOFFICIAL) OF YOUR MOST RECENT TRANSCRIPT, AND A CURRENT RESUME.
Your signature below indicates your permission to have your application, essay, academic record, and financial aid award (if applicable) reviewed by the committee selecting the recipients of scholarships. You further give permission to release such information to donors of the scholarships, should you be selected a recipient.
DEADLINES: MAY 1ST FOR FALL AWARD DECEMBER 15 ST FOR SPRING AWARD
Signature Date
Completed application and materials may be brought to Kelly McLaughlin, Office of Merit-Based Scholarships, Campus Center, 4th Floor.
