This application is to be submitted to the department in which you are requesting the scholarship Instructions on how to submit application 1. Complete the form in full 2. Save application document after completion. 3. Find the department's email address to the right that you want to submit your application to. 4. Send application via email as an attachment to the department you are applying for Grad College Tuition Scholarship. (Note: you have to attach document to email, it is not automatic) 5. Indicate "GC Tuition Scholarship Application" in subject line of email. Submission of this form is a certification by you the form is true and correct, to the best of your knowledge. Academic Department Accounting Applied Human Sciences Art Biology Chemistry & Biochemistry Comm. Sciences & Disorders Communication Studies Computer Science Curriculum & Instruction Ed Leadership & Postsec. Ed Ed Psychology & Foundations Environmental Programs Geography HPELS HPELS (Athletic Training Division) History Lang & Lit. (English MA) Lang & Lit. (TESOL/Spanish MA) Lang & Lit. (TESOL MA) Lang & Literatures (Spanish) Math Master's of Business Admin. (MBA) Music Physics Psychology Public Policy Science Education Social Science Social Work Sociology, Anthropology & Crimnlgy Special Education Teaching Technology Women's & Gender Studies Department's email debra.messerer@uni.edu roberta.roberts@uni.edu angela.kroemer@uni.edu sandi.ingles@uni.edu bill.harwood@uni.edu deborah.burroughs@uni.edu donna.uhlenhopp@uni.edu jane.gillen@uni.edu darnell.cole-taylor@uni.edu marlene.shea@uni.edu debra.jacobs@uni.edu lori.wurtz@uni.edu janette.mcculley@uni.edu julee.jacobson@uni.edu machelle.stickler@uni.edu judith.dohlman@uni.edu kristi.knebel@uni.edu kristi.knebel@uni.edu kristi.knebel@uni.edu robinw@uni.edu mathematics@uni.edu nancy.hoffman@uni.edu julia.bullard@uni.edu beckly.adams@uni.edu jan.cornelius@uni.edu charlene.white@uni.edu lori.wurtz@uni.edu chad.christopher@uni.edu debra.laneville@uni.edu wayne.fauchier@uni.edu marilyn.busch@uni.edu tamara.powers@uni.edu vickie.turner@uni.edu charlene.white@uni.edu University of Northern Iowa Application for Graduate College Tuition Scholarship (Must be full-time graduate student to be eligible) UID: First (given) Name: Last (family) Name: Email: Phone: Gender Correspondence address March to May Correspondence address May to August Name of Graduate Program/Degree: Beginning date of program: Undergraduate GPA: Graduate GPA: Target completion date Graduate hours completed Post BA GPA: (if applicable) For which semester(s) is this application made: Fall Note: student must re-apply for each academic year Spring Year Year List bachelor level, and higher, honors or awards received or extra-curicular activities involved in: Applied Other support for time period covered by this application: Received UNI Graduate Assistantship Fellowships-Identify: Other Scholarships-Identify: Do you plan to attend UNI full-time until your degree is earned? Yes No UNI requests this information for the purpose of considering you for a Tuition Scholarship. No persons outside the University are routinely provided this information. Release of any information is governed by Board of Regents rules and applicable state and federal statutes. Responses to all items are required, if applicable. If you fail to provide the required information, the University may not consider your application.