Social Work Scholarship Application Cover Sheet
Department of Social Work
Minnesota State University, Mankato
Department scholarships are awarded to social work majors and pre-majors based on academic performance,
campus and/or community service, and financial need. Please provide all information requested on this form, sign,
attach a letter of application with details specified for awards, and attach a current unofficial copy of your
transcript. Make sure you are including all necessary information specific for the scholarship(s) you are applying
for. All completed scholarship materials are due by the published deadline each spring semester. This year
applications are due by 4:00 p.m. on Monday, April 1, 2013. Completed applications should be submitted to the
Department of Social Work Office.
Full Name: _______________________________________
Please check address to which you want official mail sent.
Tech Id#: ______________________
Soc. Sec. #: ____________________
Local Address: ____________________________________
(Needed to process payment if selected.)
(City)_______________ (State) _________ (Zip) ________
Email: __________________________
Permanent Address: ________________________________
Phone: (_____) __________________
(City)_______________ (State) _________ (Zip) ________
Alt.Phone: (____) ________________
Hometown: (City)_____________ (State) ____ (Country)
Hometown News: __________________
Pre-social work major
BSSW major
Cummulative GPA: _________
Foundation Year MSW
Concentration Year MSW
Expected semester/year of graduation: Sem ______ Year ______ Social Work GPA: _________
When will you be in SW Practicum?: Sem_______ Year______
Check all scholarships for which you wish to be considered:
 Entering Student Scholarship (pre-BSSW/BSSW)
 Wayne and Carol Sandee Scholarship (BSSW) (See additional requirement described on page 2)
 MN Social Service Association Scholarship (BSSW & MSW)
 Alumni & Faculty Scholarship (BSSW & MSW)
 Mindy (Hawkins) Thielges Memorial Scholarship (BSSW) (See additional requirement described on page 2)
 Dr. Jane Ann Roberts Memorial Stipend (See additional requirement described on page 2)
 MSW Capstone Scholarship (See additional requirement described on page 2)
* Descriptions and eligibility are available online at http://sbs.mnsu.edu/socialwork/undergraduate/scholarships.html
NOTE: Applicants must also submit a letter of application and current unofficial transcript. (See page 2)
Sign below acknowledging agreement with the following.
If awarded a scholarship, I agree to:
1) Give the Department, College, and University permission to publish my name and/or photograph to
celebrate the provision of student scholarships;
2) Attend the free MSU, M scholarship banquet in Fall 2013; and,
3) Submit to the Department of Social Work by May 1st, a copy of the thank you letter that I will send to the
donors of the scholarship awarded.
4) I further agree that all information in this application is accurate.
_________________________ _________
Applicant Signature
Date
SW Scholar App Rev. 7/24/2016
SEE PAGE 2 FOR OTHER IMPORTANT INSTRUCTIONS 
2
Social Work Scholarship Application Instructions
1) Letter of Application: Please attach a formal letter of application (not more than two pages in
length) in which you address the following topics:

A statement of your community and campus activities including approximate dates of involvement
and any leadership responsibilities. Activities could include paid work, volunteer service,
organizational involvement, or internships that highlight skills, knowledge, and/or values of the
social work profession.

A description of the quality of your academic achievements, providing information that might help
us understand your past performance and your potential in the field of social work. This section
might highlight particular skills or achievements in social work or related courses, and include
writing and communication skills, or other relevant academic achievement.

A brief statement of the financial need you anticipate during the coming academic year, whether or
not you receive financial aid;
Special considerations to address for some awards:

If applying for the Sandee Scholarship, you should also describe your potential for contribution and
leadership as a student from a minority group planning a social work career.

If applying for the Mindy (Hawkins) Thielges Memorial Scholarship, you should also describe your
interests in working with the elderly, especially in skilled nursing facilities, and how you are
preparing to work with this population through specialized course work, volunteer activities, and
practicum placements. Scholarship committee will verify practicum placement prior to award.

If applying for the Dr. Jane Ann Roberts Memorial Stipend, you should also describe your interests
in working with the elderly and how you are preparing to work with this population through
specialized course work, volunteer activities. Describe your plan for completing a practicum
placement within the field of gerontological social work. Scholarship committee will verify
practicum placement prior to award.

If applying for the MSW Capstone Scholarship, you should provide a brief narrative describing how
your Capstone Project contributes to the knowledge base of the profession and creates change at
your practicum agency or broader society. Attach a copy of your approved Capstone Proposal.
The letter of application should be addressed to:
Scholarship Committee
Department of Social Work
358 Trafton Science Center North
Mankato, MN 56001
2) Transcript: Please attach a current unofficial copy of your transcript that includes current course
registration.
All scholarship materials are due to the Department of Social Work office (TN 358)
no later than 4:00pm on the published application deadline.
If you have further questions about the application process, please contact:
Dr. Kimberly Zammitt (kimberly.zammitt@mnsu.edu) or Laurie Strunk (laura.strunk@mnsu.edu)
SW Scholar App Rev. 7/24/2016