RENEWAL REQUEST - University of Central Oklahoma

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Department of Engineering & Physics
University of Central Oklahoma
Howell Hall Room 221
100 N. University
Edmond OK 73034
RENEWAL REQUEST
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UCO TUITION WAIVER
DEPARTMENT ALUMNI SCHOLARSHIP
DEPARTMENT FETTERMAN SCHOLARSHIP
This application must be submitted to the Dept of Engineering & Physics office (Howell Hall Room 221) by MARCH 1
** PLEASE TYPE or PRINT **
NAME:
*
UCO ID No.
Mailing Address:
City:
State:
Home Phone:
Zip:
Work Phone:
E-mail:
Which degree program is listed on your UCO transcript?
Engineering Physics - Physics
Engr. Phy. - Mechanical
Biomedical Engr. - Instrument.
Biomed. Engr. - Premed
Science Ed. - Physics
Sci. Ed. - Physical Sci.
Other:
University hours completed:
Approx. GPA:
Engineering Physics - Electrical
MS in Engineering Physics
Science Ed. - General Science
Planned graduation date:
I plan to enroll in these Physics/Engineering/Math classes during the next academic year:
FALL
SPRING
List membership/participation in campus organizations/activities:
I would like to apply for:
Both Fall and Spring Semesters
Fall Semester only
Spring Semester only
I. UCO TUITION WAIVER SCHOLARSHIP
Remember, tuition waiver scholarships DO NOT cover fees, books, or out-of-state tuition.
YES
NO
Are you paying in-state tuition?
Often students have some of their tuition covered by other scholarships/awards:
$
How much of your tuition is NOT covered by other sources? Fall:
In your situation, could the following statements be true?
"This scholarship was awarded on the basis of financial need of the student."
"I would not be able to attend UCO without financial assistance."
Spring
YES
YES
$
NO
NO
II. DEPARTMENT ALUMNI & FETTERMAN SCHOLARSHIPS
These scholarships can be used for any university related expense. Although primarily dedicated to support
undergraduates, they can be given to deserving graduate students.
YES
Please consider me for an Alumni or Fetterman Scholarship:
Signature:
Date:
NO
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