SCHOLARSHIP APPLICATION
1. Name _Click here to enter text.__
2. GID _____________________________________________________________
3. Telephone ____________________________
4. E-Mail _______________________________
5. What is your degree/field of study? _________________________________________
6. When do you expect to complete your degree? ______________________
7. Are you presently employed? ( ) Yes ( ) No
8. Your approximate monthly take-home pay $_________
(if more explanation is needed, please include in attached narrative)
9. Are you receiving any local, state, or federal financial aid? ( ) Yes
( ) No
10. On a separate sheet, please respond to each of the following questions (1-2 paragraphs per
question maximum):
a. Biographical account to acquaint the committee with your background (work
experience, service, or extracurricular responsibilities), academic and career plans, and
goals pursuing the Gallatin College degree.
b. An explanation of your financial need (e.g., replacing loans, reason for not applying
for financial aid, financial need not met by financial aid, etc.).
c. Proposed use of scholarship (e.g., tuition, books, transportation, or childcare necessary
to reach your educational goal).
I DECLARE THAT THE INFORMATION REPORTED ON THIS APPLICATION, TO THE BEST OF MY
KNOWLEDGE, IS TRUE, CORRECT, AND COMPLETE.
_______________________________________________
Signature
__________________
Date
DUE: Nov. 13th (for Spring Semester award) and April 13th (for Fall Semester award)
to HAM 101 or gallatincollege@montana.edu