Scholarship Eligibility 2015-2016
Department of Sociology
To be eligible for a Department of Sociology Scholarship, students must:
1. Be a declared Sociology major.
2. Have a minimum 3.5 cumulative GPA (if transferring, must have a 3.5 from the school transferring
from. If a student at the University of Utah, must have a 3.5 GPA at the University)
3. Must be a Utah resident.
4. Must attend a minimum of 12 credit hours per semester during the time that the scholarship money
is dispersed (the scholarship will cover up to 18 credit hours per semester).
5. Must be a U.S. Citizen.
Sociology Checklist:
Complete a Department of Sociology Scholarship Application
Attach a personal statement of no more than 500 words to this application concerning your background,
educational and career plans, and how receiving this scholarship would help you to pursue your degree in
Sociology.
Attach or have sent to the department of Sociology a copy of ALL college transcripts (for 15 or more hours
completed). You may NOT submit a DARS report or Summary of Transfer Credit to meet this requirement.
Transcripts can be unofficial.
Two letters of recommendation are required and should be sent directly to the department of your major. One
letter from an academic source is required. Both letters must be on official letterhead and signed or they will
not be considered.
Complete applications are due to the Department of Sociology,
BEHS 301 @ 4:00PM, January 23rd, 2015
Department of Sociology Scholarship Application
1
SCHOLARSHIP APPLICATION FORM
2015-2016 Department of Sociology Scholarship
Name _____________________________________________________________________________
First
Middle
Last
UID: _____________________________________
Local Address _________________________________________________________________
Street
_____________________________________________________________________________
City
State
Zip
Home phone: _________________Work : __________________Cell :__________________
E-mail Address ________________________________________________________________
What is your major(s)? __________________________________________________________
Date of High School Graduation _______________
What is your present Cumulative GPA? ________
How many total credit hours have you completed as of today? _________
What is your present SOCIOLOGY GPA? __________
How many SOCIOLOGY credit hours have you completed as of today?________
Department of Sociology Scholarship Application
2
List the high school from which you graduated, and all community colleges, four-year colleges, and universities
attended. Include summer and study-abroad programs.
School
Location
Dates Attended
__________________________________
____________________
______________
__________________________________
____________________
______________
__________________________________
____________________
______________
__________________________________
____________________
______________
__________________________________
____________________
______________
List activities (include student government, sports, school publications, student-faculty committees, arts, exchange
programs, tutoring, etc.).
Activity
Dates
______________________________________________________
________________
______________________________________________________
________________
______________________________________________________
________________
______________________________________________________
________________
______________________________________________________
________________
List public service and community activities (include projects with community organizations, environmental protection
and conservation efforts, advocacy activities, and work with religious organizations). Do not repeat items listed
previously.
Activity
Dates
Number of Weeks
Actively Involved
____________________________________
_______________
__________________
____________________________________
_______________
__________________
____________________________________
_______________
__________________
____________________________________
_______________
__________________
Department of Sociology Scholarship Application
3
Are you an active member of SAC or Alpha Kappa Delta? If so, list activities you have been involved with.
What are the three most significant SOCIOLOGY courses you have taken? Why?
Has SOCIOLOGY impacted your life and if so, how?
Department of Sociology Scholarship Application
4
Attach a personal statement of no more than 500 words to this application concerning your background,
educational and career plans, and how receiving this scholarship would help you to pursue your degree in
Sociology.
Attach or have sent to the department of Sociology a copy of ALL college transcripts (for 15 or more hours
completed). You may NOT submit a DARS report or Summary of Transfer Credit to meet this requirement.
Transcripts can be unofficial.
Two letters of recommendation are required and should be sent directly to the department of your major. One
letter from an academic source is required. Both letters must be on official letterhead and signed or they will
not be considered.
Mail or bring this application form and all attachments to the DEPARTMENT OF SOCIOLOGY,
BEHS 301 by 4:00PM, JANUARY 23rd, 2015.
I certify that the information provided on this form is true to the best of my knowledge. I understand that
scholarship committee members may review any transcript of credits that I may provide. I understand that if
I am selected as a scholarship recipient and I change my major to one that is no longer in the Department
of Sociology during the scholarship term, my scholarship will be terminated.
SIGNATURE: _____________________________________ DATE: ________
Students who receive a scholarship, fellowship, or other financial aid administered by the University of Utah are
required by state law to certify that they are eligible to receive the scholarship as a U.S. citizen or a citizen of another
country who is lawfully present in the U.S. If students do not know whether they are in the U.S. lawfully, they should
seek the advice of an immigration attorney before filing a scholarship/financial aid application.
Prior to the disbursement of any scholarship/financial aid, the University of Utah is required by law to verify the
recipient’s citizenship status or lawful presence in the U.S. with the Department of Homeland Security (DHS). Once
the University submits a student’s information to DHS for verification, this federal agency may have the legal right to
share the information with other government agencies.
SIGNATURE: _____________________________________ DATE: ________
By signing this application, I certify under penalty of perjury that I am either a U.S. Citizen or a citizen of another
country who is lawfully present within the U.S. I understand that my lawful presence within the U.S. will be verified
through the Department of Homeland Security prior to an award of this scholarship/financial aid.
Department of Sociology Scholarship Application
5
The University of Utah is fully committed to policies of nondiscrimination and equal opportunity, and vigorously pursues affirmative action in all
programs, activities, and employment with regard to race, color, national origin, sex, age, and status as a person with a disability. Religion,
sexual orientation, and status as a disabled veteran of the Vietnam era also are protected under nondiscrimination and equal opportunity
employment policies. Evidence of practices not consistent with these policies should be reported to The University of Utah Office of Equal
Opportunity/Affirmative Action, (801) 581-8365. The University of Utah Center for Disabled Student Services, (801) 581-5020 (voice or TDD),
provides resources and support services for students with disabilities.
Department of Sociology Scholarship Application
6