Art Department
Scholarship Application For Currently Enrolled Students
Department of ArtNote: application must be accompanied by a portfolio. Refer to Procedures in Scholarship announcements. Please print out form below and return to Art Office.
PERSONAL INFORMATION
Last Name _______________First Name________________ M.I.___________
Street _______________City______________State____________Zip___________
Birthdate ___________________________
Permanent Address__________________________________________________
Social Security Number _________________________
Home Telephone # (____)_____-____________________
Local Telephone # (____)______-____________________
ACADEMIC INFORMATION
Secondary School _________________________________________
City _____________________________________________________
State_____________________________________________________Colleges Attended (Other than U.M.)__________________________
Date Entered U.M._________________________________________GPA _______________________
Curriculum (circle one) BFA, BA, BS
Concentration in Art ______________________________
List below art activities (organizations, openings/lectures/Conferences attended):
_____________________________________________________________________
_____________________________________________________________________FINANCIAL INFORMATION
Do your parents (guardians) contribute to your financial support? yes no
Do your parents claim you as a dependant on their taxes? yes no
If yes, what is your parents' total income? __________
Do you file federal income tax? yes no
If yes, what is your total income ______________
Do you have financial aid? yes no
If yes, what type? __________________________
Do you have a Grant, Scholarship or Fellowship? yes no
Do you have work-study, or jobship? yes no
Do you work off campus? yes no
If yes, how many hours? _______________