Print Form KANSAS STATE UNIVERSITY DEPARTMENT OF POLITICAL SCIENCE SCHOLARSHIP APPLICATION DEADLINE FOR SUBMISSION IS MARCH 1, 2013 Name (First, MI, Last) Mailing Address E-mail Address BY MY SIGNATURE on this application, I agree: I I I I have marked those scholarships for which I believe I am qualified; request that the PolSci Scholarship Committee consider me for other scholarships for which I qualify; will write the donor a note of appreciation for the award should I be awarded a scholarship; and, consent to the disclosure of my overall GPA to the scholarship donor should I be awarded a scholarship. Signature: _____________________________________________________________________ Submit application to: MAIL: Political Science Department Kansas State University 244 Waters Hall Manhattan, KS 66506 FAX: (785) 532-2339 EMAIL: polsci@ksu.edu UNDERGRADUATE STUDENT APPLICATION Previous college/university & dates attended (Transfer students) Academic Class (as of Fall 2013) Date of expected graduation Dual/Secondary major (if applicable) Undergrad credit hours completed (as of date of this application) PolSci credit hours completed (as of date of this application) Undergrad hours currently enrolled PolSci hours currently enrolled Current overall grade point average Current PolSci grade point average Scholarships received to date: Name, $ Amount, Renewable (Y/N) PolSci courses completed & graded (list catalog titles) Two references (one reference must be able to evaluate academic performance) Recommendation letters are to be mailed to the Dept of Political Science, KSU, 244 Waters Hall, Manhattan, KS 66506. RESUME: Attach resume that includes your extracurricular activities (to include PolSci, public service, and on/off campus ) PERSONAL STATEMENT: Attach a one page description of your career plans and objectives. 2013-2014 GRADUATE STUDENT APPLICATION BACCALAUREATE EDUCATION Institution Degree Dates of attendance Major Grade point average IF NOT PREVIOUSLY ENROLLED IN KSU GRADUATE SCHOOL Formally admitted? (Yes/No)* Conditions, if any *Graduate admission application process must be completed before this scholarship application may be considered. Two references (one reference must be able to evaluate academic performance) Recommendation letters are to be mailed to the Dept of Political Science, KSU, 244 Waters Hall, Manhattan, KS 66506. RESUME: Attach resume that includes your extracurricular activities (to include PolSci, public service, and on/off campus ) PERSONAL STATEMENT: Attach a one page description of your career plans and objectives. 2013-2014 SCHOLARSHIPS AND QUALIFICATIONS The Samarrai Middle Eastern Students Scholarship: Graduate student of U.S. Citizenship majoring in political science, specializing in Middle East-American Relations, Middle East Politics and/or international Politics of the Middle East. The Sheikh Ahmed Zaki Yamani Scholarship: Outstanding graduate or undergraduate student interested in the study of Arab culture, the Arab World and Arab-American Relations. Separate application required; available in the Political Science main office, 244 Waters Hall. The Button Political Science Scholarship: Student properly enrolled in the College of Arts and Sciences at KSU majoring in political science who has an expressed interest in public service. The Reba Cobb Memorial Scholarship: Woman student at KSU in her junior year, majoring in political science, primarily based on the highest overall academic grade average attained by the end of each calendar year. The Louis H. Douglas Scholarship: Junior or senior year student enrolled as a political science major who shows evidence of academic excellence. The Joseph Hajda Student Scholarship: Undergraduate or graduate student enrolled in political science at KSU; preference given to students who demonstrate financial need, excellent academic performance, and a strong international commitment. The Donald R. Hill Scholarship: Students enrolled at KSU majoring in political science. The Orma Linford Memorial Scholarship: Junior or senior year student enrolled in the College of Arts and Sciences with a pre-law designation and political science curriculum . The Ed McCoy Jr. Memorial Scholarship: Junior or senior student majoring in political science. The Barbara Meyer Memorial Scholarship: Junior or senior student enrolled in political science at KSU; active in the campus and/ or local community. The Raoul Wallenberg Sholarship: Graduate student enrolled in the College of Arts and Sciences at KSU, pursuing a Master of Arts in political science. The John Carlin Public Administration Scholarship: Students judged to have outstanding potential and high scholastic aptitude; majoring in public administration at KSU. The Nicolas Salgo Scholarship: Undergraduate or graduate student majoring in political science; preference given to students interested in Russia and Eastern Europe. The Dennis K. Tapsak Memorial Scholarship: Student enrolled in political science at KSU with a 3.0 GPA. Tummala's Master of Public Administration Fellowship: Student enrolled in the Masters of Public Administration program in political science at KSU. The Jon David Wagner Scholarship: Junior or senior Kansas resident enrolled in the College of Arts and Sciences, majoring in political science. Jon Wefald International Security Scholarship: Graduate student enrolled in Political Science MA program at KSU and interested in national security affairs. Richter Family "Beyond the Campus" Scholarship: Undergraduate political science major demonstrating academic excellence, enrolled in political science at KSU. This scholarship will enhance experiences beyond the campus environment, such as out-of-state internships, study abroad, or community service abroad. The Rieger-McCrerey Scholarship: Junior, senior or graduate student enrolled in political science at KSU whose primary interest is in international relations & the peaceful resolution of international conflict through the United Nations or other diplomatic means. In all other respects, for all scholarships, these funds will be used without restriction to sex, race, color, handicap, religion or national origin. 2013-2014