For students graduating from high schools in Cabell (WV), Wayne
(WV), Lincoln (WV), Lawrence (OH), or Boyd (KY) Counties
Student’s Name: ____________________________ MU Student ID Number: 901___________
Permanent Address: ____________________________________________________________
City: __________________ State: _______ Zip Code: _________County: _______________
Telephone: (_____ ) ______________ E-Mail Address: ________________________________
Planned College Academic Major: _________________________________________________
Because financial need is a prerequisite to be considered for this scholarship, when did you file the 2015-16 Free Application for Federal Student Aid (FAFSA)? _________________________
Please provide the name of the parent or grandparent who is a Marshall University Alumni:
____________________________________________________________________________
When did he/she graduate from Marshall University? __________________________________
What is your relationship to that person? ____________________________________________
Student Signature: _________________________________________ Date: _____________
For Internal Use Only
SCH011
S553
Logged by: ____________________
Date Logged: ___________________
Submit completed application by
th to:
Office of Student Financial Assistance
116 Old Main, Marshall University
1 John Marshall Drive
Huntington, WV 25755-3300
Phone (304) 696-3162
Fax (304) 696-3242
Once awards have been made, students will be notified through their myMU account if they will be receiving the scholarship.