2015-2016 Mohamed S. Farsi Foundation Scholarship In conjunction with American University’s Washington Semester Program Application Deadline: May 1, 2015 Please complete all Three (3) sections of the application to ensure you are considered for funding from the Mohamed S. Farsi Foundation (MSFF). Funding is available for two Mohamed Said Farsi Scholars each academic year. Submit this form to the School of Professional and Extended Studies International Enrollment and Student Services Team at: washsem@american.edu. Representatives from the university and the foundation consider applicants jointly. Part I: Applicant Contact Information Personal Information Name: _____________________________________________________________________ Last (family name) First MI Gender: ! Female ! Male Citizenship(s):________________________________________________________________ Current Residence (City, Country):________________________________________________ Reliable Email Address (es): Reliable Phone Number(s): Personal/Private___________________________ Home Phone: +____-_______________ In-Session/School__________________________ In Session Phone: +____-____________ Additional________________________________ Cell Phone + ___-__________________ WSP/MSFF Application ~ 1 Part II: 2015-16 Mohamed S. Farsi Foundation (MSFF) Scholarship Essays Please complete both essays to be considered for the MSFF Scholarship. Feel free to submit additional documents with your essay responses, as needed. A. There has been a lot of change in the Middle East recently, and particularly in Egypt and Tunisia. How do you see yourself working to improve your country once you have completed university? Please include how you will work to insure the participation of all citizens in the decision process and improve quality of life for everyone: ! See attachment marked A for response to this question. B. The Mohamed S. Farsi Foundation seeks to provide students the opportunity to participate in the Washington Semester Program with full funding for the entire academic year. The aim of the foundation is to support students with a demonstrable financial need, whereby without foundation support, they would not otherwise be able to study in the United States. Please explain your financial need. ! See attachment marked B for response to this question. WSP/MSFF Application ~ 2 Part IV: Consent and Disclosure ! I authorize and permit American University to communicate personal data, education records and relevant financial documentation pertaining to my application with the Mohamed S. Farsi Foundation. ! I agree to make myself available to the Mohamed S. Farsi Foundation for an in-person or telephone interview. I understand that I am not required to travel for this interview. ! The information disclosed on this application is accurate. I agree to abide by the regulations of the American University School of Professional and Extended Studies Washington Semester Program. I also grant American University permission to use any photographs of me and quotes taken in connection with the Mohamed S. Farsi Foundation, School of Professional and Extended Studies and/or American University. Signature Date ________________ Final Step: Submit your Application and Supporting Documents All applications must be received by May 1, 2015 Please submit all scholarship applications via email or express mail: Option 1 - Email electronic application materials to: washsem@american.edu Subject: MSFF Scholarship Option 2 - Print and mail hard copy application materials to: Washington Semester Program School of Professional & Extended Studies American University 4000 Brandywine St, NW Washington, DC 20016 USA ATTN: MSFF Scholarship In compliance with the student Right-To-Know Act, American University publishes annual reports which disclose information about the athletic programs andcampus security. The campus security report included campus crime statistics and is publishes annually by September 1. A copy may be obtained by calling (202)885-2525. The athletic reports include athlete participation and graduation rates and are published annually by October 15. A copy of either of these reports may be obtained by calling Athletic Communication at (202) 885-3030. An equal opportunity/affirmative action university WSP/MSFF Application ~ 3