BOSTON UNIVERSITY WOMEN GRADUATES' CLUB SCHOLARSHIP APPLICATION
WOMEN GRADUATES' CLUB SCHOLARSHIP FUND
IN THE NAMES OF LUCY JENKINS FRANKLIN, RUTH B AKER, AND ELSBETH MELVILLE
You must be a full-time student (undergraduate or graduate) and a U.S. citizen. Only information on
this form will be considered. Please type all responses and return this two-sided form to the Office of
Alumni Relations (PLEASE DO NOT EMAIL), 595 Commonwealth Avenue, Suite 700, West Entrance,
Boston, MA 02215 by 5 p.m. on Wednesday, March 6, 2013
I am full-time enrolled
undergraduate
graduate
online
Name
Local address
code
BU I.D. #
City
(
)
Cell phone
Permanent address
code
State
Zip
email address
City
State
BU School/College
Zip
Major
Anticipated graduation date
Degree
If you transferred to BU, when did you enter?
If you are a graduate student, please indicate the following:
Undergraduate degree(s)
Major
Year
School/University
Graduate degree(s)
Major
Year
School/University
G.P.A. in Fall 2012
# of credits
Cumulative GPA
Intended occupation after graduation
Work-study job for current year
Other employment for current year
Total weekly salary
# of hours worked per week
List all financial assistance received for the current academic year.
Source:
_
Amount:
Renewable?:
Indicate whether a loan/grant/work:___________
Total educational indebtedness $
List your extracurricular activities:
Check if you have filed a 2012-2013 FAFSA
1 of 2
APPLICANT'S NAME:
COMPLETE THE ESSAYS BELOW (ESSAYS MUST BE TYPED OR THEY WILL NOT BE CONSIDERED)
Do not include any attachments. Only information fitting on this form will be accepted.
Describe any unusual circumstances which might affect your costs or resources for the coming academic year:
Give a brief account of your academic record and involvement in Boston University and current community activities.
State your plans and goals, giving whatever information you think the selection committee needs to evaluate your
application for a BU Women Graduates' Club Scholarship.
(Submission of this application indicates that permission is given to the BU Women Graduates' Club to receive academic and financial
information from Boston University.) I am a full-time student and will retain this status for the period covered by this award. I
understand that in order to be considered for a scholarship, I must have a processed copy of a current Free Application for Federal
Student Aid Form (FAFSA) on file with Boston University. I hereby certify that all statements and information provided in this
application are true to the best of my knowledge.
Signature of Applicant
Date
How did you find out about the Women’s Graduate Club Scholarship?
*Please note: Decisions of the scholarship committee are final. Scholarships awarded for the 2013-2014 academic year.
2 of 2