International Student Tuition Scholarship Application [Please print or type answers clearly] Print Form

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International Student
Tuition Scholarship Application
1. International Tuition Scholarships are
available to qualified International students based on academic achievement,
community service and the availability
of funding. The receipt of a scholarship
reduces the amount of nonresident
tuition owed to the university per semester.
[Please print or type answers clearly]
2. International Tuition Scholarships are
awarded on a competitive basis.
City, State, Postal Code, Country
3. Scholarships are not available for summer sessions.
4. Tuition scholarship funding is limited.
Applicants must be degree seeking,
enrolled on a full time basis and have a
minimum grade point average of 2.5
(undergraduate student), or 3.0 (graduate student). Applicants must re-apply
each year.
Summer Mailing Address [number and street]
USA Phone Number:
City, State, Postal Code, Country
E-mail Address:
4. The Office of International Education
reserves the right to consider these
factors in determining awards. Students
are responsible for the balance of their
university billing statement after the
scholarship reduction to their account.
Name as it appears on your passport:
Family Name [surname]
First Name, Middle/Maiden Name
Current Mailing Address [number and street]
E-Mail Address:
Fax Number:
Expected Academic Year: _______ ❏ Fall ❏ Spring
Expected Enrollment Status: ❏ Undergraduate Student ❏ Graduate Student
Cumulative Grade Point Average:
How is your education being financed?
Please complete and return the form to:
Office of International Education
421 Bowman Hall, UW-Stout
Menomonie, WI 54751-0790
Why are you applying for scholarship assistance?
What is your involvement in professional groups, community and extracurricular activities? Please be sure
to list any groups or activities that you participatie in. (Do not leave this answer blank.)
Signature of Applicant