2015 APPLICATION
JFEW SCHOLARS PROGRAM in CSD at QUEENS COLLEGE
Applicants must provide:
1. Completed and signed application
2. Unofficial transcript from Queens College and all other colleges and universities
attended
3. Typed short essay responses to three questions
4. A short interview, upon request
Last Name__________________________ First Name: _________________________
Date of Birth: (month/day/year)
/
/
Gender: Male__ Female__
Queens College CUNYfirst ID #: ______________________________________
Best contact phone number: __________________________________________
Best contact E-mail: _________________________________________
Are you an UG or 2nd BA major? ____ UG
____2nd BA
Are you a full-time student? Yes ____
No ____
U.S. Citizen? _____ Permanent U.S. Resident? ______
Or, Other ?_____
If “other”, specify type of visa:_______________________________________
Are you enrolled in the CUNY Macaulay Honors Program? Yes ___ No ___
Are you in the QC Transfer Honors Program? Yes ___ No ___
Have at least four, full-time semesters left at QC? Yes___ No _____
Please list any work history and/or volunteer and community service you have been
involved with to date. If you wish, you can attach a resume having that information.
Job or Service
Where ?
When?
Application JFEW 2015
p. 2
Do you speak/understand any languages other than English? Yes ___
No ___
If yes, please specify which language(s): ________________________________
Did you work this past academic year and go to classes as a full-time student?
Yes ___
No ___
If yes, approximately how many hours/ week did you work? _______________
Are you currently financially independent? Yes ____ No ____
Did you file a FAFSA (Free Application for Federal Student Aid, www.fafsa.ed.gov) for
2014-2015? Yes ___
No ___
Attach your typed answers to the following questions (maximum 250 words each).
Be sure to put your name and CUNYfirst ID at the top of each page:
1. What are three personal qualities that you believe you will bring to the profession
as a speech-language therapist or audiologist?
2. Do you think speech-language pathology is a good, long-term career path for
you? Yes ____ No ____ Why?
3. What specific benefits do you think you will experience if you are chosen to be a
JFEW Scholar?
I certify that all of the information on this application and included in my essay answers,
to the best of my knowledge, is accurate, true and my own.
Signature: ___________________________________________ Date _______________
Please submit completed application materials to the Queens College Speech-LanguageHearing Center, Gertz Building in person or by fax (718-997-2935). Application
Deadline: July 27, 2015
Direct any questions to: qcjfewscholars15@gmail.com
(6.16.15)