Application for Nieka "Sean" Wright Memorial Scholarship

advertisement
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
Download