Scholarship Questionnaire

First Name:*

Last Name:*

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Email:*

Address:*

City:*

State:* Select State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming

Zip:*

Country:

Phone:

College: Select College College of Education and Human Development Liberal Arts Management Nursing and Health Sciences Public and Community Service Science and Mathematics John W. McCormack Graduate School of Policy and Global Studies University College

Major:

Minor:

Expected Graduation Date:*

Name of Scholarship(s) received:*

Two interesting things about yourself:*

What do you like most about UMass Boston?*

What unique work or life experiences do you bring to your studies?*

Have you had a particularly influential professor?
Who was it and what have you learned from that person?*

Are you involved in any student organizations, sports, or community activities?
Why are they important to you?*

As part of your studies have you had any work, internship, or travel experiences?
If so, please share some information about these.*

Please respond: The greatest learning experience I have had so far at UMass Boston is . . .*

After graduation I plan a career in...*

If you were to meet your scholarship donor, what would you say?*

Additional comments or things you would like to your donor to know about you:

Can we share your e-mail address with your donor?*

What is the best method to contact you with important info?*

By submitting this form, I declare that the information provided is true and complete to the best of my knowledge and that I have completed this form voluntarily. I give my permission to disclose this information to the donor or representative of my scholarship. Further, if requested by UMass Boston, I agree to write and/or meet the donor or representative of the scholarship.

Please answer the question below. This is to ensure that this form is submitted by a person rather than a robot.*
The 2nd letter in "boston" is?