2015–2016 School of Social Welfare Student Scholarship Application Document Checklist This form and accompanying materials must be received by 4:30pm on Friday, July 17, 2015. Be sure to include this signed checklist as the first page of your completed application. Email your entire application to groy2@albany.edu and indicate “Scholarship Application” in the subject line. We encourage you to send your application electronically. Place a paper copy in the mailbox of Gail Roy in Richardson 105. Hand-deliver to her in Richardson 185. Mail to Gail Roy, School of Social Welfare, 135 Western Avenue RI 185, Albany, NY 12222. Student Name (type or print) Place an “X” in each box to indicate you have attached or included that document in your application. Incomplete applications will not be considered by the Scholarship Committee. Completed Application Form A general essay including a paragraph for each scholarship for which you are applying that specifically addresses how you meet the criteria of that scholarship. Include your name at the top of each page. Sign below before submitting. Signature OR, if sending by email, place an “X” in the box to the left. Type your name to the right. 2015-2016 SSW Student Scholarship Application Document p. 1 of 3 2015 – 2016 School of Social Welfare Student Scholarship Application Document Application Form Please: Type directly in this form and send by email. OR PRINT LEGIBLY or TYPE. Application may be denied if it is not readable. Student name Anticipated Graduation Date Preferred mailing address Phone number E-mail University ID Check one ___ Current Doctoral Student ___ Current MSW Student ___ Current Joint MSW / Doctoral Student ___ Current Undergraduate Student All scholarship applicants are considered without regard to age, color, creed, disability, national origin, sex or sexual orientation. However, because some scholarships are awarded to members of a specific ethnic or racial group, please complete the following. ___ White, non-Hispanic ___ Asian or Pacific Islander ___ Black, non-Hispanic ___ American Indian or Native Alaskan Gender Identification ___ Male ___ Hispanic ___ Other 2015-2016 SSW Student Scholarship Application Document ___ Female p. 2 of 3 Student name I have placed an “x” by each scholarship for which I am applying. I have included a descriptive paragraph in my essay for each scholarship checked. [To view a full listing of the history and criteria for all scholarships, click here.] Undergraduate Students Ralph & Judith Sidman Memorial Fund School of Social Welfare Scholarship Fund Seth W. Spellman Award for Excellence in Scholarship and Distinguished Service South Korean Endowed Scholarship MSW Students Dennis Dooley Scholarship Dr. Frank J. Filippone ’41 – Hillside House Scholarship Dr. Shirley J. Jones' Award for International Community Building Elfrieda Textores Endowed Scholarship Florence Frazier Graduate Scholarship Doctoral Students Janet D. Perloff Endowment Dennis Dooley Scholarship Kenneth (Kent) Price Brown II Fund Dr. Frank J. Filippone ’41 – Hillside House Scholarship Nola R. Hooper Scholarship Dr. Shirley J. Jones' Award for International Community Building Elfrieda Textores Endowed Scholarship Kenneth (Kent) Price Brown II Fund School of Social Welfare Scholarship South Korean Endowed Scholarship William J. Reid Endowment School of Social Welfare Scholarship Seth W. Spellman Award for Excellence in Scholarship and Distinguished Service Social Welfare Student Association (SWSA) Scholarship Social Workers Advocating Respect & Equality (SWARE) for LGBTQ Communities Scholarship South Korean Endowed Scholarship Stephanie Wacholder Endowed Scholarship Note other School of Social Welfare Scholarships and Awards (with separate application processes) U.S.-Africa Partnership Summer Study Tour Internships in Aging Project (IAP) Also note these School of Social Welfare Scholarships as well as other University-wide Scholarships and Awards at the Office of Financial Aid: Charles and Charlotte Buchanan Endowed Scholarship for a Capital Region Sponsor-A-Scholar Student Kathryn Zox ’83 Scholarship Ladan Alomar Endowed Scholarship Fund William Roth Endowed School of Social Welfare Scholarship William S. Rooney Scholarship 2015-2016 SSW Student Scholarship Application Document p. 3 of 3