The Connelly Scholarship for Commuter Students
2015-2016 APPLICATION
Mr. Jeffrey A. Connelly is a loyal alumnus of Eastern Michigan University and a former member
of the EMU Foundation board of Trustees. Mr. Connelly was a commuter student while he
attended EMU. It is his desire to help commuter students through the creation of this
scholarship. The goal of the scholarship is to support the retention and success of EMU
commuter students by encouraging their involvement and learning in life beyond the classroom.
This scholarship is open to undergraduate commuter students enrolled at least half-time, who
will commit to seek active involvement on campus in the upcoming year.
The Connelly Scholarship for Commuter Students is a one-time scholarship award of $250
dollars for the academic year. Several recipients will be rewarded each year. To be eligible
for The Connelly Scholarship you must fulfill the following criteria:
1. Be an undergraduate or pre-bachelor student who has completed at least one semester at EMU.
2. Have a minimum EMU grade point average of 2.0 and maintain good academic standing for the
current academic year.
3. Be in good judicial standing with Student Judicial Services.
4. Have financial need as determined by the Office of Financial Aid for current academic year.
5. Be enrolled at least half-time (6 credit hours) for the current and next semester.
6. Commute from at least 15 miles away or be living in your family’s home.
7. Commit to actively seek involvement and learning on EMU’s campus (beyond the classroom) during
your year as scholarship recipient (i.e. student organizations, undergraduate research, student
employment, volunteerism, etc.).
8. Agree to meet with a member of the Connelly Commuter Scholarship Committee in the semester
following the award to discuss your progress of active campus involvement.
The Deadline for all application materials is
Accepted on a rolling basis until funds deplete or it is the start of the new
fiscal year on July 1st.
YOUR COMPLETED APPLICATION SHOULD INCLUDE:
 A completed Application will include: application, personal statement, release of information
authorization, and completed recommendation form.
 The recommendation form should be completed by a current or former teacher/professor, a work
supervisor, organization advisor, or someone who is not a relative and is not an EMU student.
 You must also have filed a Free Application for Federal Student Aid (FAFSA) with the Office of
Financial Aid for the previous year. For additional FAFSA information visit www.fafsa.ed.gov , or contact the
Office of Financial Aid, 403 Pierce Hall, (734) 487-0455.
Submit completed application to
campuslife@emich.edu or a hardcopy submission:
Connelly Scholarship for Commuter Students, Campus Life ATTN: Kate Curley via the Center for Student Involvement, 345
EMU Student Center, Ypsilanti, MI 48197
PART I. APPLICATION
EMU Student Number: E
Full Name:
Last
First
Middle
EMU Email address:
(Correspondence regarding the scholarship will take place via your Emich email address)
Mailing Address (where you will receive important communication):
Street Address
City
State
Zip Code
Telephone:
Degree(s) Sought:
Major(s):
Minor(s):
When do you expect to complete your degree(s)?
Are you a transfer student?
Do you currently hold employment?
Part/Time
If yes, when did you transfer to EMU?
Circle that which applies:
Full/Time
PART II. PERSONAL STATEMENT
Create a personal statement of no more than two (2) typed pages, discussing how the Connelly Scholarship
for Commuter Students will better connect you to EMU’s campus.
Include the following information:
Why would you like to be more involved on campus?
What are your plans for getting involved?
What contributions do you plan to make to the EMU community?
Please attach your personal statement as part of your full application.
Part III. Release of Information Form
Under the Family Educational Rights and Privacy Act of 1974, your authorization is needed
in order for the Connelly Scholarship for Commuter Students Committee to contact the
Office of Financial Aid for verification regarding your financial need; Registration and
Records for verification of your enrollment status and grades; and Student Judicial Services
to verify that you are in good judicial standing. Please read the authorization statement and
sign below, indicating that you agree to permit these offices to review your files and to share
the information with the committee.
I authorize the release of information regarding my EMU academic and/or discipline
records to the EMU Connelly Scholarship for Commuter Students Committee.
Signature:
Print Name:
EMU Student Number: E
Date:
PART IV. Signature
By signing this application I attest that all the information submitted as part of this application is
accurate to the best of my knowledge. I understand that the falsification of any information, for
any reason, may result in the revocation of the scholarship and appropriate judicial charges.
Signature:
Date:
FOR OFFICE USE ONLY
Date Received:
Enrolled Status:
Recommendation:
GPA ______
FAFSA ____
Part V. Request for Reference
APPLICANT NAME:
Reference
Judicial Standing ______
TO WHOM IT MAY CONCERN: The above named person is applying for the Connelly Scholarship
for Commuter Students. We appreciate your assessment of this applicant's suitability according
to the criteria provided below. Thank you for your assistance.
If you have any questions, please contact Kate Curley, Campus Life, at kcurley@emich.edu
or (734) 487-9322.
The applicant will be considered for the Connelly Commuter Student Scholarship. The goal of
the scholarship is to support the retention and success of EMU commuter students by
encouraging student involvement and learning at EMU beyond the classroom. The Connelly
Scholarship for Commuter Students is a one-time scholarship award of $250 dollars for the
academic year. To be eligible for scholarship, students must fulfill the following criteria:
1. Be an undergraduate or pre-bachelor student who has completed at least one semester at EMU.
2. Have a minimum EMU grade point average of 2.0 and maintain good academic standing for the
current academic year.
3. Be in good judicial standing with Student Judicial Services.
4. Have financial need as determined by the Office of Financial Aid for current academic year.
5. Be enrolled at least half-time (6 credit hours) for the current and next semester.
6. Commute from at least 15 miles away or be living in your family’s home.
7. Commit to actively seek involvement and learning on EMU’s campus (beyond the classroom) during
your year as scholarship recipient (i.e. student organizations, undergraduate research, student
employment, volunteerism, etc.).
8. Agree to meet with a member of the Connelly Commuter Scholarship Committee in the semester
following the award to discuss your progress of active campus involvement.
Submissions are accepted on a rolling basis.
Name/Title of Reference:
Relationship to Applicant:
Address of Reference:
Email address of Reference:
Phone Number of Reference:
Signature of Reference:
Continued on next page
Part V. Request for Reference (continued)
1). Would you recommend this individual to receive a scholarship which requires this student
commit to actively seek involvement and learning on EMU’s campus (beyond the classroom)
during their year as a scholarship recipient?
Yes____
With Reservations____
No____
No basis for evaluation____
2). Please comment in the space below on how you think this award will assist the student in
connecting to campus by becoming more involved in learning beyond the classroom.
Please return this form to the student to hand in with their application or forward to:
Connelly Scholarship for Commuter Students, Campus Life ATTN: Kate Curley, via the
Center for Student Involvement, 345 EMU Student Center, Ypsilanti, MI 48197
Or Email to campus.life@emich.edu
For questions contact, Kate Curley, Campus Life, at kcurley@emich.edu or (734) 487-9322.