ScholarshipforService
NEW STUDENT APPLICATION I.THISCHECKLISTISREQUIREDTOBETHEFIRSTPAGEOFTHEAPPLICANT
PACKAGE,ANDMUSTBESIGNEDBYTHESTUDENTAPPLICANT.
Provideaddressatschoolandpermanentaddressaswell(ifdifferent)
Address:
PhoneNumber: E‐MailAddress: DegreeProgram:
Major:
ExpectedGraduationDate: GPA:
Pleaseattachtwoletterofreferenceandofficialtranscriptstothisapplicationanddeliverto:
Dr.DaveDampier,ButlerHall,Room300,Box9637,MississippiState,MS39762‐9637
StudentName: