UWA Scholarship Application Form: Fall 2008 Please fill in this form completely, submit it, then send your transcript to the address below. The application deadline is March 31, 2008. Applications are reviewed by the UWA scholarship committee, who select the scholarship recipients. Please make sure that you meet all UWA criteria required to be eligible for a UWA scholarship (see UWA scholarship web-page for criteria). To be completed by applicant Eligibility for application Qualification criteria:(Please mark everything that applies)     I am an undergraduate student at UAF.     I am currently enrolled with or more than the amount of credits required in the UWA criteria for eligibility to apply for the scholarships (see previous web page).     I am not a freshman.     I have never received a $1000 scholarship from UWA (Note: Please mark this circle if you have only received UWA scholarships that were less than $1000 per semester.)     I have a 3.0 or better cumulative GPA. Attention: If you unable to mark all of the circles above then you will not meet the criteria for a UWA scholarship. Contact Information   Full Name (required)   Street/P.O. Box (required)   City/State/Zip code(required)   E-Mail Address (required)   Phone (required) Personal Information Type of scholarship application:(Please select one)     undergraduate degree program     undergraduate degree program at sophomore standing Family status:(Please select one) Married(required )   Yes   No Children(required )   Yes   No  if yes how many? Citizenship:(Please select one) Are you a United States Citizen? (required )   Yes   No If not a US citizen (ALL fields are required for non-US citizens):    Country of Citizenship:    Type of Visa:    Visa Number:    Visa Expiration Date: UAF program in which you are enrolled: List all jobs that you have had and currently hold (dates of employment, type of work performed, employer) and describe in an additional 200 to 500 words how these jobs are related to your studies: Describe your future academic or professional plans (after you receive your degree) using between 200 and 500 words: List your extra curricular activities using between 200-500 words, and describe how they are related to your study, if at all: Duration of your studies: When did you start your studies in this program: When do you intend to finish your degree: Financial Needs and Income Income:(required)   Expected income for the next 12 months from all jobs held by members of your household (including tips)   Total debt from student loans   Alaska Permanent Fund Dividend(s) for household   Monthly sum of maintenance from ex-spouse, parents, grandparents, or other relatives   Monthly maintenance for children (from father or other sources)   Student loans and grants expected for the next 12 months   Monthly payment from native funds   Monthly amount of money provided for your studies from sources in your home country (Aliens only)   Do you have a work permit? (Aliens only)   Yes   No Needs:(required)   Monthly rent   Annual costs for insurance/ health care   Monthly child-care   Annual tuition   Monthly amount spent on transportation   Monthly support of your children (costs other than daycare)   Monthly cost of living in addition to those listed above References and Transcripts Names and addresses including e-mail and phone number of persons you have asked to send a letter of reference (Please note that it is your responsibility that reference letters are sent and arrive on time). Typically, letters of reference are written by UAF faculty and/or applicant's employers. However, we require that at least one letter is from a faculty member. Referee 1: Referee 2: Referee 3: Status of your application Question on your application status:(Please mark everything that applies)     I have already sent my unofficial transcript to UWA     The persons listed above have agreed to provide reference letters to UWA Acknowledgement I understand that if my application is incomplete (one or more of the three required reference letters and/or transcripts are missing) it will not be reviewed. It is my responsibility that the (unofficial) transcripts and reference letters reach UWA in time. I understand that UWA will take no initiative to get them. I also understand that the information that I have submitted on this form will be used to evaluate my eligibility for application for an UWA scholarship. I attest that the information submitted on this form is true and correct to the best of my knowledge. If I am granted an UWA scholarship I will continue my studies during the semester for which the scholarship is awarded or pay back the award to UWA. Awardees will be notified as soon as possible but at the latest during the week before the start of the fall semester 2008. I understand that it is my responsibility to notify UWA if my address or phone number changes. Name: Date:

 

Co-Chairs of the University Women Association Scolarship committee * Alexis Runstadler and Sine Anahita * P.O. Box 81776 * Fairbanks, Alaska * 99708-1776
* e-mail: acrunstadler@yahoo.com or sine.anahita@uaf.edu