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New Mexico State University

Scholarship Application Form

This application is for:      Fall Semester      Spring Semester

PERSONAL INFORMATION:


Name:      E-Mail Address:

Gender:     Male      Female

Phone Number (Area Code):      Date of Birth:

County:      State:      Zip Code:

PARENTAL INFORMATION:


Mother's Name:       Mother's Occupation:

Father's Name:        Father's Occupation:   

Address:      City:      State:

Zip Code:      Phone Number (Area Code):

Did either parent attend NMSU?     Yes      No

If yes, what were the years of enrollment?

If yes, under what names did they attend?
(Only complete if they vary from above):    

FOR INCOMING FRESHMAN:


High School:     Class Rank:

GPA:     ACT Score:

Classification:      Anticipated Graduation Date:

If transferring, please list other colleges and dates of attendance:

FINANCIAL AID INFORMATION:


Are you applying for any other financial aid?     Yes      No

Have you applied for the President's Associates Scholarship?     Yes      No

What general scholarships have you applied for?

Please list any scholarships that you have received in the past:

EXTRA-CURRICULAR ACTIVITIES:


High School or College activities and year:

List other outside activities:

List High School or College honor(s) or position(s) of leadership:


The above statements are true and correct to the best of my knowledge and I give consent to release any and all pertinent information regarding my academic and/or financial status to scholarship donors.