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2009-10 UMass Dartmouth Alumni Association Scholarship Application

Check the appropriate Alumni Association Scholarship that you are applying for: *
Association Scholarship (open to all full-time undergraduate/graduate students with 45 credits)
James and Frances Tingle Scholarship (open to all College of Arts & Science undergraduate students only)
Your Name:
First/Personal: *
Middle:
Last/Family: *
Your Student ID number: *
Your Permanent Address:
Street Address Line 1: *
Street Address Line 2:
City: *
State: *
Zip Code: *
Your Phone Numbers: Please include your area code and any extensions.
Home/Permanent Phone: *
Local Extension or Cell:
Your E-Mail Address: *
Your Anticipated Graduation Year: *
Enter only the 4-digit year.
Parent's or Spouse's Name & Occupation: *
Name of a parent, spouse or sibling(s) who is an alumni or current student of SMTI, SMU or UMass Dartmouth:
Name(s) and age(s) of dependent(s) siblings or children living at home:
Other Funding Sources
Are you applying for scholarships, grants or loans from other sources? *
Yes
No
If 'Yes,' please list here:

If 'Yes,' which have you received or have been assured of receiving?
List all UMass Dartmouth activities, sports and clubs you participate in:
List any community activities, honors and volunteerism you participate in or have been awarded:
List any past job experience or current employment: *
What are you doing to fund your education? *
What is your career or personal goal? *
Why would you like to be considered to receive the UMass Dartmouth Alumni Association Scholarship? *
Your well written essay is a very important aspect of the committee's decision. Please limit your essay to 100-200 words. Note that this application uses spaces to determine the number of words.

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Alumni Relations

2009-10 UMass Dartmouth Alumni Association Scholarship Application

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