2014-2015 Scholarship Application Form
DEADLINE – Sunday, February 23, 2014_
 The Scholarship Committee will make their final selections no later than May 1, 2014. Scholarship
recipients will be notified by mail. Non-recipients will not be contacted.
 All scholarships will be administered by the Office of Student Financial Aid Services. If you are a needbased financial aid recipient (loans, grants, work-study employment) your financial aid package may
be revised as a result of this award. If no adjustment is necessary and your fee bill is paid in full, you
may be entitled to a refund. If you have questions about how a scholarship could affect your financial
aid package, please call (860)486-2819.
Instructions
The application process has gone green!
1. On Page 2, select the scholarship awards for which you are applying.
2. Type your responses to all items in the form on the following pages.
3. Create an unofficial copy of your University of Connecticut transcript as a PDF. This transcript must
include your Fall 2013 grades. Incoming freshmen do not need to submit a transcript.
To create the PDF of the unofficial transcript:
 Access unofficial transcript via https://student.studentadmin.uconn.edu, Main Menu, Self
Service, Student Center, My Academics, View My Unofficial Transcript
 Click “Print This Page” link
 Select Adobe PDF option from Printer Name drop-down menu, click OK, and save.
4. Submit the completed form and unofficial transcript as attachments via email to
clas_scholarships@uconn.edu no later than Sunday, February 23, 2014. Paper applications will not be
considered.
Scholarship Awards
Please select the awards for which you are applying.
Arthur O. Bayer CLAS Scholarship
Incoming freshman, financial need, academic
achievement
Robert F. and Margaret Dodge Belden
Scholarship
Graduate or undergraduate, Past and potential
academic achievement
The Betty ’50 and Bish ’50 Bishop Scholarship
Undergraduate, 2.8 GPA, financial need, CT
resident, academic achievement
Jacqueline Brown-Dickstein Fund
Undergraduate, minor in Women’s Studies, CT
resident, financial need, academic
achievement
Patrick M. Campion Scholarship
Incoming freshman or continuing
undergraduate, academic achievement,
financial need
Covenant Insurance Co. Summer Fellowships
Graduate student, past and potential
academic achievement and professional
accomplishment
Dr. Patrick E. Fontane Memorial Scholarship
Graduating pre-med, accepted by accredited
med school (for an M.D.) in the continental US,
former undergraduate at UConn no less than 2
years
Greenblatt Undergraduate Research Award
Academic excellence, interest in conducting
academic research in US race relations, US civil
rights, or US human rights
Susan Herbst and Douglas Hughes Family
Scholarship in Humanities
Incoming undergraduate, intending/enrolled
in a Humanities division major or individualize
major focusing on one of the humanities,
academic achievement, financial need
Hogan Family Scholarship
Incoming or continuing junior, majoring in
History or English, academic achievement,
financial need, CT resident
Lange Family Endowment
Undergraduate, majoring in a physical, life, or
environmental science or math, 3.5 GPA,
financial need
Fleur and Jerry Lawrence Endowed
Scholarship in International Relations and
Human Rights
Undergraduate, studying international
relations and/or human rights
McMahon Family Endowment for Global
Education
Continuing undergraduate, demonstrating
interest in global education via coursework,
academic achievement, financial need
Crystal Molina Memorial Scholarship
Continuing undergraduate, demonstrating
financial need and an interest in social justice,
environment, and/or advocacy outreach
programs assisting disadvantages populations
Arwood S. and Mary Northby Scholarship
Freshman, majoring in Math, or upper
classman majoring in a physical science
Fred and Kathleen Otter Scholarship
Graduate or undergraduate, academic
excellence, financial need
Page 2 of 5
Scholarship Awards (cont.)
Please select the awards for which you are applying.
George C. Parker Memorial Scholarship
Orphaned by age 14 or in foster care for
minimum 3 years, citizen or legal US resident,
financial need, academic achievement
Linda Louro Petrella ’78 Scholarship
Graduate or undergraduate, majoring in
Literatures, Cultures & Languages
Posselt Family Opportunity Scholarship
Undergraduate, financial need, preference to
sophomores and upper classmen who
demonstrate overcoming obstacles (i.e.
socioeconomic, educational disadvantage), are
members of an underrepresented group at
UConn, have experience living/working in
diverse environments, or interest in urban
education/studies.
Dr. Victor Rizza Scholarship
Incoming freshman, majoring in Chemistry or
Biology, CT resident
Rosen Family Scholarship for Science and
Studies Abroad
Undergraduate, financial need, 3.0
GPA, majoring in s physical or life
science, has participated/is participating in an
approved study abroad program administered
by Study Abroad Office
Slavik Family Endowment
Undergraduate, academic achievement,
financial need
William and Lucretia Dewey Tanner
Scholarship
Undergraduate, financial need
Paul J. Volpe ’67 Award
Undergraduate, accepted into the University
Honors Program, CT resident, US citizen
Anthony E. Wallace and Helen B. Wallace
Memorial Scholarship
Rising junior, 3.0 GPA, financial need, CT
resident
Grace Yeagle Scholarship in Math and Science
Education
Undergraduate, majoring in Math, a life
science, or a physical science, academic
excellence, commitment to teaching as
profession
Anthony P. Zemetis and Helen Noonan
Zemetis Scholarship
Undergraduate, financial need
Marsha Pomerantz Roth Scholarship
Undergraduate, academic achievement,
financial need, CT resident
Ron Roy Fund for Future Writers
Junior or senior, majoring in English or
Journalism with a focus on creative writing,
children’s literature, or literature, Hartford,
Tolland, or Middlesex county resident and
high school graduate, 3.0 GPA, financial need
Page 3 of 5
University of Connecticut
College of Liberal Arts and Sciences
2014-2015 Scholarship Application Form
APPLICANT INFORMATION
Last Name
First Name
Academic Major
M.I.
PeopleSoft ID
Academic Minor
GPA (as of Dec. 2013)
Year come Fall 2014 (ex.: Sophomore)
Please include your Permanent Address information (some scholarships have residency requirements)
Street Address
Phone
City
State
Zip Code
Email Address
COLLEGIATE ACTIVITIES, AWARDS AND RECOGNITIONS
Organization or Event
Office or Award
Date
WORK EXPERIENCE/COMMUNITY SERVICE
(List Name of Employer, Location, Position Title, Duties, and Dates)
SPECIAL QUALIFICATIONS
(Please describe any specific academic or extracurricular activities or accomplishments that qualify your for this scholarship)
(continued on next page)
Page 4 of 5
PERSONAL STATEMENT
Given the eligibility requirements for these scholarships, please describe why you are the best applicant.
I hereby grant permission to the University of Connecticut to release information pertaining to my academic
standing and qualifications for scholarships and awards to any individual or organization that maintains an
authorized scholarship or award at the University for which I may be eligible.
Signature
Date
Page 5 of 5