College of Liberal Arts Scholarships

2017-2018 Application for College of Liberal Arts Freshman Scholarships

Priority application deadline: January 13, 2017


Personal Information

Name

First Name
Middle Name
Last Name

Date of Birth

Month
Day
Year

Current Address

Number and Street
City
State/Province
Postal Code
County/Parish/Borough
Country

Phone

Day
Evening

E-mail Address

Name of High School

High School City and State

City
State

Is your high school public or private?

The College of Liberal Arts awards scholarships on the basis of academic merit and financial need. Please provide the following information.

Please list your family's adjusted gross income from your most recent year's income tax return. (Combine your income with your parents' income.)

$

Are you a child in a single-parent home?

How many people depend on your family's income?

How many people in your family will be enrolled in college next year?

Are you an international student without permanent United States residency?

If so, what is your visa status?

If so, specify your country of residence.

Scholarship consideration for specific interests

For some scholarships that are funded by private donation, preference is given to students who have interests or backgrounds in specific fields. Please indicate whether any of the following apply to you.

Goal Statement

Please describe (in 500 words or less) your personal, academic, or career goals. What do you plan to study at the University of Minnesota, and why? If you checked any of the special fields listed above, please describe your experiences, interests, and plans. Students with a rural or farm background should specify any agricultural cooperatives to which they or their families belong.

Certification

Note: Information from your admission application (e.g., activities and award information, high school transcript, etc.) will also be used to consider you for scholarships.

Privacy statement: All information on this application form is private. The information requested will be used for identification and to determine scholarship consideration. Failure to provide the information may delay or affect the scholarship decision. Information will be shared with offices within the University for the uses described above and may be released to outside organizations and government bodies in limited circumstances as authorized by state or federal law.

This publication is available in alternative formats upon request. Please contact the College of Liberal Arts Office of Undergraduate Education by mail at 115 Johnston Hall, 101 Pleasant Street SE, Minneapolis, MN 55455, or by calling 612-626-3140.

CLA Undergraduate Education

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