AMERICAN ASSOCIATION OF UNIVERSITY WOMEN MUNCIE BRANCH 2016-2017 Scholarship Application for Non-traditional Students Applicants meeting the following criteria will be considered for an American Association of University Women (AAUW) Muncie Branch scholarship in the amount of $1,500 to be awarded for the 2016-2017 academic year, effective August 1, 2016 through July 31, 2017. The scholarship is to be used for tuition, health fee, books, and other classroom-related expenses for the year, including summer session. Scholarship selection criteria: a) Male and female students who are age 23 or older b) Graduate or undergraduate students who have completed at least thirty (30) semester hours and will be attending Ball State University, Ivy Tech, and/or other approved post-secondary institutions. Recipients may be enrolled as full-time or part-time students, but must carry at least 6 hours. c) Students who reside in Delaware County, Indiana, at least 12 months prior to the application deadline d) Students who have a minimum grade point average of 3.0 or higher on a 4.0 scale e) Students who have demonstrated financial need. If an applicant meets the applicant criteria, the Scholarship Committee will evaluate the applicant’s career goals, potential for realization of goals, change of career focus, financial need and verbal recommendations to determine the scholarship recipient(s). Finalists for the scholarship must provide an official transcript. For additional information, please contact Diane E. Hill, Scholarship Committee Chair, dehill130@att.net Deadline This application must be completed and submitted by email to Diane E. Hill, dehill130@att.net no later than Monday, April 4, 2016. 1. Name: Last First Middle 2. Birth date: 3. Telephone (home) (cell) 4. Preferred email 5. Resident of Delaware County for at least 12 months prior to April 4, 2016? No Yes Date moved to Delaware County 6. Present Address 7. Permanent Address Page 1 of 7 AMERICAN ASSOCIATION OF UNIVERSITY WOMEN MUNCIE BRANCH 2016-2017 Scholarship Application for Non-traditional Students 8. Class standing: Soph. Jr. Sr. M.A./M.S. in process Ph.D. in process 9. Grade Point Average (GPA) 10. Number of credit hours completed: Number of credit hours planned for Fall semester 2016: Spring semester 2017: Summer semester 2017: 11. Degree expected Date targeted for completion 12. Major 13. References—List 3 individuals not related to you who are able to speak on your work, professional, or educational achievements. References will be contacted. Do not have letters sent. Name 1. Title Phone Email Address 2. 3. 14. Your Family How many live in your household, including yourself? Number of individuals, including yourself, who are dependent on your income? Age and relationship of each of your dependents: Page 2 of 7 AMERICAN ASSOCIATION OF UNIVERSITY WOMEN MUNCIE BRANCH 2016-2017 Scholarship Application for Non-traditional Students 15. WORK EXPERIENCE: List positions beginning with most recent. Include the dates of employment, the name & address of each employer, position held, and whether the position was paid or volunteer. Page 3 of 7 AMERICAN ASSOCIATION OF UNIVERSITY WOMEN MUNCIE BRANCH 2016-2017 Scholarship Application for Non-traditional Students 16. List other professional, academic, community activities, clubs, and offices held: 17. HONORS AND AWARDS: 18. CAREER GOALS: Describe the reason(s) for your career choice, your professional goals, and how you plan to achieve these goals. 19. How is your education currently being financed? Include scholarships, grants, monetary awards, and parental support. Page 4 of 7 AMERICAN ASSOCIATION OF UNIVERSITY WOMEN MUNCIE BRANCH 2016-2017 Scholarship Application for Non-traditional Students 20. FINANCIAL INFORMATION: Please indicate annual income and expenses for your household: INCOME ($) Applicant’s net income Spouse/Partner net income Loans Scholarships Other TOTAL ANNUAL NET INCOME ($) EXPENSES PERSONAL EXPENSES ($) Housing Utilities Food Transportation Medical Insurance Debt payments Childcare EDUCATIONAL EXPENSES (Annual) ($) Tuition Books, and other school expenses Miscellaneous TOTAL ANNUAL EXPENSES ($) Page 5 of 7 AMERICAN ASSOCIATION OF UNIVERSITY WOMEN MUNCIE BRANCH 2016-2017 Scholarship Application for Non-traditional Students 21. Please include any additional financial information that will aid the committee in understanding your financial need. 22. MISCELLANEOUS (Use this space for any additional information you would like to provide the committee.) Page 6 of 7 AMERICAN ASSOCIATION OF UNIVERSITY WOMEN MUNCIE BRANCH 2016-2017 Scholarship Application for Non-traditional Students The AAUW Muncie Branch Scholarship Committee will review the applications and make selections for final candidates. Final candidates will be notified of the selection for personal interviews by April 21, 2016. Following the personal interview, the scholarship recipient(s) will be notified. All applicants will be notified of the results of the competition by May 11, 2016. The information in the applications and/or derived from personal interviews shall be considered privileged information of the committee. The scholarship grant will be presented at the AAUW Muncie Branch annual meeting which will be scheduled for May. The awardee is expected to make a brief presentation of five minutes or less to the membership in attendance. Scholarship funds remaining in the student’s account due to graduation, withdrawal from school, or scholarship forfeiture, will be returned to AAUW Muncie Branch. Page 7 of 7