2015-2016 General University Scholarship Application Name: E-Mail: Financial Aid Office Lommasson Center 218 Missoula, MT 59812-1254 Phone: (406) 243-5373 Fax: (406) 243-4930 faid@mso.umt.edu UM ID#: 790Phone#: Permanent Address Local Address ____________________________________ ________________________________________ Please print or type your response to each of the questions below, and return your application to the UM Financial Aid Office by May, 15 2015. General Application Expected date of Graduation: __________________ What is your area of graduate academic study? __________________ UM Cumulative GPA_________ Are you planning to attend UM full time next year for both Autumn and Spring semesters? Yes No If no, please explain why, including whether or not you are graduating early: _________________________________________________________________________________________ _________________________________________________________________________________________ _________________________________________________________________________________________ List of schools you have attended: (Be sure to add county or the application will be considered incomplete) ________________________________, _________________________________, ___________ Elementary City, County, State dates ________________________________, _________________________________, ___________ Middle School City, County, State dates ________________________________, _________________________________, ___________ High School City, County, State dates ________________________________, _________________________________, ___________ College or equivalent City, County, State dates 1|Page 1. In two or three sentences, describe your academic aspirations: ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 2. Briefly describe an experience or event since being a UM student that has had the biggest impact or impression upon you as an individual. Why? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 3. What are some of your greatest strengths? How will they help you achieve your goals? ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ ________________________________________________________________________________________ 2|Page Honors, Achievements, Club/Organization, Work & Volunteer Service Include your most recent work and volunteer service and your most notable achievements ________________________________, _________________________________, ___________ Name of Award/Activity City, County, State dates ________________________________, _________________________________, ___________ Name of Award/Activity City, County, State dates ________________________________, _________________________________, ___________ Name of Award/Activity City, County, State dates ________________________________, _________________________________, ___________ Name of Award/Activity City, County, State dates The questions below are optional and will be used only for the purpose of matching student recipients with donor preferences. Your response is not a factor for scholarship selection. Gender: ____________ US Citizen or permanent resident alien: _________________ Current Marital Status: ___________________ Number of your dependent children residing in your home: ________ Thank you to our UM Donors: General University Scholarships are made available to students on behalf of the generosity of donors who have made gifts to the University. Recipients are selected on the basis of the indicia of success, as measured by gpa leadership attributes, and service to campus and community; and/or financial need, as determined by the UM Financial Aid Office. If selected as a recipient of a General University Scholarship, your academic interests and personal qualifications may be matched with a specific donor. Your scholarship may be contingent upon our receipt of a short note of thanks to your donor. Financial Need Some General University Scholarships are restricted on the basis of financial need. Students must file the 2015/16 FAFSA by February 15th, and have need as determined by the University to qualify for a need-based award. I certify that the above information is true and correct to the best of my knowledge. Upon signing this application, I hereby give The University of Montana permission to release relevant information to scholarship donors and/or the news media. Student signature_____________________________________ Date_____________ 3|Page