Name:

Address :

Telephone:

E-mail:

Check all that apply:

I have applied to UM.

I have been accepted by UM.

My ACT/SAT score has been sent to UM.

Please send me a UM Admissions Application.

Please send me UM Financial Aid Office Information.

I am applying for an out-of-state tuition scholarship.

High School Record

High school students complete this section.

High School:

High School Telephone Number:

Graduation Date:

High School GPA :

Class Rank:

ACT Score:

SAT Score:

High School Counselor's Name:

Community College/University Record

UM and transfer students complete this section.

Institution which you are currently attending:

Major at your last college:

Cumulative GPA:

Last Semester GPA:

For information: Department of Communication Arts, Station 6625, Montevallo, AL 35115. (205) 665-6625 or Fax (205) 665-6619; bellsb@montevallo.edu

 

ACADEMIC INFORMATION

Check Degree Sought at UM

All applicants should complete this section.

Communication Studies

BA / BS

Mass Communication

BA / BS

 

Extracurricular Activities

All applicants should complete this section.

List your extracurricular activities relevant to Communication Studies or Mass Communication.

By submitting this form, I understand and agree:

• I am responsible for maintaining the GPA stipulated on my award letter.

• I must be a degree seeking major within the program offering the award.

*The information I have submitted is correct to the best of my knowledge.

Date:

-OR-