2013/2014 Scholarship Application.

Applicant Information:

Name*:

First:

M:

Last:

Address*:

City/State/Zip*:

 /  / 

Country*:

History:

Are you a first generation college student?
yes  |   no

Eligibility:

Are you a United States citizen or legal resident?
yes  |   no

Gender:

female  |   male

What is your ethnicity:

Hispanic or Latino

Not Hispanic or Latino

Select one or more races to indicate what you consider yourself to be:

Black or African American
American Indian or Alaskan Native
Native Hawaiian or Other Pacitic Islander

Asian
White

Location*:

Email*:

Purdue ID #*:

format: 10 digits (xxxXXXxxxx)
I don't know my PUID #, how do I find it?

 

College of Technology major:

Credit Hours*:

How many credit hours do you plan to take in the fall:

Federal Aid*:

Have you, or will you be completing a Free Application for Federal Student Aid (FAFSA) form?
yes  |   no

Fall '14 Semester Classification*:

Anticipated Graduation Date*:

Month #:

Year:

Cumulative GPA*:

Work Information:

 

Will you be on a Co-Op work session:
Fall '14 or Spring '15

 

Will you be doing a campus internship:
Fall '14 or Spring '15

Please answer these questions:

 

Describe your university/department/community activities and academic accomplishments. Clarify your involvement and activity as member, officer, committee chair, project leader. Explain how the activity helped other COT students, your department, the college, or the University.

 

What are your career objectives and long-term professional goals? If you have preference for a particular segment of the overall industry, include this in your response.

 

Describe your personal attributes that you feel should be considered by the selection committee.

 

Describe how you and/or your activities enhance the diversity of our program.

 

I authorize Purdue University to release personally identifiable information from my education record to outside entities for scholarship selection, to scholarship donors and/or for publicity purposes regarding the awarding of a scholarship. This could include items such as your class, major, and GPA but not your PUID.

I agree

 

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