Application for Nieka "Sean" Wright Memorial Scholarship UNCW Department of Foreign Languages and Literatures This scholarship was established to honor UNCW alumnus Nieka “Sean” Wright (M.A. 2011) and his commitment to higher education and the study of foreign languages. Recipients must be full-time students in the M.A. in Spanish program at UNCW. The award will be based on academic merit with a secondary consideration of financial need. This application is due Wednesday, March 30th, 2016. Please submit a hard copy of this completed form with attachments as indicated to Leutze Hall 279. THE FOLLOWING ITEMS ARE REQUIRED TO COMPLETE THIS APPLICATION. PLEASE ATTACH: 1. An original typewritten essay in Spanish on the importance of being bilingual or learning a foreign language. (400 words maximum) 2. A current degree audit of graduate coursework from SeaNet. 3. Financial status form PLEASE COMPLETE THE FOLLOWING: Name ___________________________________________________ UNCW Student ID_________________ Signature ____________________________________________________ Date __________________________ Address ___________________________________________________________________ City __________________________ State ____________ Zip Code ________________ Phone numbers __________________________________ E-mail ___________________________________ ACADEMIC INFORMATION (Consult SeaNet for quantitative information.) Earned graduate credit hours_______ Graduate Credit hours in progress ________ Overall Graduate GPA ____________ Expected graduation date _________________ List honors, scholarships, awards, achievements, and special recognition that you have received as a graduate student or in the final year of undergraduate work. _________________________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ List any presentations made at conferences, publications, etc.: _________________________________________________________________________________________________ _________________________________________________________________________________________________ List two Spanish faculty members as references: ________________________________________________________________________ ________________________________________________________________________ Signature _______________________________________ Date ____________________ 1 FINANCIAL STATUS FORM If the answer is zero, write “0” or “N/A”. Student/Spouse Income/Resources January 2015-December 2015 Gross Income From Work (including TAships, if applicable) $ Unemployment or Disability $ Child Support Received $ Social Security Benefits $ Public Assistance $ Subsidized Housing Income $ Food Stamps $ Veteran Benefits (non-educational) $ Support from Relatives and/or Friends $ $ TOTAL INCOME/SUPPORT (sum of items above) Student/Spouse Annual Expenses January 2015-December 2015 Rent / Mortgage Payment $ Car Payment / Car Insurance $ $ Groceries Utilities (Electric, Water, Sewer, etc.) $ $ Cell phone / Cable / Internet Medical / Dental / Vision Insurance $ Childcare Expenses $ Other (specify) $ $ TOTAL EXPENSES (sum of items above) Please provide and explain any special circumstances that might need to be taken into consideration. _____________________________________________ ____________________ Signature Date By signing this form you certify that the above information is accurate and truthful. 2