Aline Nunn Renner Non-Traditional Education Scholarship
University of Southern Indiana
Pott College of Science, Engineering, and Education
SCHOLARSHIP APPLICATION FORM
Please type or print all information.
Applicant’s Name ______________________________________________________________________
Present address _______________________________________________________________________
Phone numbers ________________________________________________________________________
Current Academic Year of Study (i.e. Freshman, etc.) __________________________________________
What is (are) your major areas(s) of study? __________________________________________________
Write a concise statement about your areas of study, your personal plans, and your professional goals.
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Marital Status: single _____ married _____. If married, give name and occupation of spouse.
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If you have children, give their ages. _______________________________________________________
Are you currently employed full-time _____ part-time _____?
If so, employer name and address_________________________________________________________
Number of hours you work per week ________________________
List any monetary awards/recognition you will receive in 2014-2015 academic year. For each, give
dates, name of award or project, place, and amount of stipend.
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List other awards, honors, recognitions you have received.
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Discuss briefly your need for financial assistance for the next school year.
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Are there other factors or special circumstances you feel need to be given consideration? Please
explain.
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Applicant’s Signature_________________________________________
Date ______________________________________ USI Student ID Number _______________________
SUBMIT COMPLETED APPLICATION FORM TO:
Mrs. Lisa Bartley (ED 3143)
University of Southern Indiana
Pott College of Science, Engineering, and Education
Deadline: March 1
ALINE NUNN RENNER NON-TRADITIONAL EDUCATION SCHOLARSHIP
UNIVERSITY OF SOUTHERN INDIANA
POTT COLLEGE OF SCIENCE, ENGINEERING, AND EDUCATION
SCHOLARSHIP CRITERIA
This scholarship is for students who qualify for minimal or no financial assistance. Not automatically
renewable, but may apply for a second year.
GPA 3.0 or better
Employed
Single with children
Married with children
Nontraditional teacher education student 25 years or older
Undergraduate/5 awards
Graduate/5 awards
Scholarship amount per year is $2500.
If only 3 graduate students apply and qualify, 7 undergraduate scholarships will be awarded.