Scholarship Application
Note: application must be accompanied by a portfolio
All applicants will be considered for the Dean's, Gregory and Sims scholarships; Jefferson County residents will also be considered for the Alumni Association scholarship.
Personal Information
Last Name _________________ First name _______________MI_________
Street _____________City ___________County_______State______ Zip________Parent or Guardian Address (if different from above) ________________________
___________________________________________________________________Social Security Number _____________________________
Home Telephone (___) _____-_________Academic Information
High School or College _________________________________________________________
Teacher/Instructor _____________________________________________________________
ACT _________________
Accepted to UM _____________________________Please check below:
I will Pick up Portfolio_______ or
Name of person other than self. __________________