Social Work Scholarship Application Cover Sheet
Department of Social Work
Minnesota State University, Mankato
Department scholarships are awarded to social work majors and pre-majors based on academic performance,
campus and/or community service, and financial need. Please provide all information requested on this form, sign,
attach a letter of application with details specified for awards, and attach a current unofficial copy of your
transcript. Make sure to include all necessary information specific to the scholarship(s) you are applying for.
Completed scholarship applications and materials are due to our office by the published deadline each spring
semester. This year applications are due by 4:00 p.m. on Monday, March 31, 2014. Completed applications
should be submitted in hard copy to the Department of Social Work office, TN 358.
Full Name: _______________________________________
Please check address to which you want official mail sent.
Tech Id#: ______________________
Soc. Sec. #: ____________________
Local Address: ____________________________________
(Needed to process payment if selected.)
(City)_______________ (State) _________ (Zip) ________
Email: __________________________
Permanent Address: ________________________________
Phone: (_____) __________________
(City)_______________ (State) _________ (Zip) ________
Alt. Phone: (____) ________________
Hometown: (City)_____________ (State) ____ (Country)
Standing:
Pre-Social Work major
Social Work major
Foundation Year MSW
Concentration Year MSW
Expected semester/year of graduation: Sem ______ /Yr ______
When will you be in SW Practicum?: Sem_______/Yr______
Hometown News: __________________
Cumulative GPA: _________
Social Work GPA: _________
Check all scholarships for which you wish to be considered:
 Entering Student Scholarship (Pre-SW major or Newly admitted SW major)
 Wayne and Carol Sandee Scholarship (BSSW) (See additional requirement described on page 2)
 MN Social Service Association Scholarships (BSSW & MSW)
 Alumni & Faculty Scholarship (BSSW & MSW)
 Mindy (Hawkins) Thielges Memorial Scholarship (BSSW) (See additional requirement described on page 2)
 Dr. Jane Ann Roberts Memorial Stipend (See additional requirement described on page 2)
 MSW Capstone Scholarship (See additional requirement described on page 2)
* Descriptions and eligibility are available online at http://sbs.mnsu.edu/socialwork/undergraduate/scholarships.html
NOTE: All applicants must submit a letter of application, current unofficial transcript, & resume. (See p.2)
Please sign below acknowledging agreement with the following.
If awarded a scholarship, I agree to:
1) Give the Department, College, and University permission to publish my name and/or photograph to celebrate
the provision of student scholarships;
2) Attend the free MSU, M scholarship banquet in Fall 2013; and,
3) Submit to the Department of Social Work by May 1st, a copy of the thank you letter that I will send to the
donors of the scholarship awarded.
4) I further agree that all information in this application is accurate.
_________________________ _________
Applicant Signature
Date
SW Scholar App Rev. 2/6/2016
SEE PAGE 2 FOR OTHER IMPORTANT INSTRUCTIONS 
2
Social Work Scholarship Application Instructions
1) Letter of Application: Please attach a formal letter of application (not more than two pages in length) in
which you address the following topics:

A statement of your community and campus activities including approximate dates of involvement and any
leadership responsibilities. Activities could include paid work, volunteer service, organizational involvement,
or internships that highlight skills, knowledge, and/or values of the social work profession.

A description of the quality of your academic achievements, providing information that will help us
understand your past performance and your potential in the field of social work. This section might highlight
particular skills or achievements in social work or related courses, and include writing and communication
skills, or other relevant academic achievement.

A brief statement of the financial need you anticipate during the coming academic year, whether or not you
receive federal financial aid;
Special considerations to address for some awards:

If applying for the Sandee Scholarship, you should also describe your potential for contribution and
leadership as a student from a minority group planning a social work career.*

If applying for the Mindy (Hawkins) Thielges Memorial Scholarship, you should also describe your interests
in working with the elderly, especially in skilled nursing facilities, and how you are preparing to work with
this population through specialized course work, volunteer activities, and practicum placements. Scholarship
committee will verify practicum placement prior to award.*

If applying for the Dr. Jane Ann Roberts Memorial Stipend, you should also describe your interests in
working with the elderly and how you are preparing to work with this population through specialized course
work, volunteer activities. Describe your plan for completing a practicum placement within the field of
gerontological social work. Scholarship committee will verify practicum placement prior to award.*

If applying for the MSW Capstone Scholarship, you should provide a brief narrative describing how your
Capstone Project contributes to the knowledge base of the profession and creates change at your practicum
agency or broader society. Attach a copy of your approved Capstone Proposal.*
*These awards may only be given to a student awardee one time each.
The letter of application should be addressed to:
Scholarship Committee
Department of Social Work
358 Trafton Science Center North
Mankato, MN 56001
2) Transcript: Please attach a current unofficial copy of your transcript that includes current course registration.
All scholarship materials are due to the Department of Social Work office (TN 358)
no later than 4:00pm on the published application deadline of M. March 31.
If you have further questions about the 2014 application process, please contact:
Annelies Hagemeister, Dept. Chairperson, 358 Trafton North, 389-5078
SW Scholar App Rev. 2/6/2016